A+ 받은 성인간호학 실습 <골절환자 case study> (간호진단 3개, 각 진단별 계획 6-7개)

본 내용은 " A+ 받은 성인간호학 실습 <골절환자 case study> (간호진단 3개, 각 진단별 계획 6-7개) " 의 원문 자료에서 일부 인용된 것입니다. 2023.05.06

문서 내 토픽

• 1. Acute pain

  환자는 T11 및 T12 부위의 골절로 인한 급성 통증을 호소하고 있다. 통증 관리를 위해 진통제 투여, 얼음찜질, 마사지 등의 비약물적 중재를 시행하고 환자에게 이완요법과 전환요법 등을 교육하여 통증을 완화시키고자 한다. 단기 목표는 11월 20일까지 통증을 완화시키는 비약물적 요법을 1가지 이상 시행하고, 장기 목표는 11월 26일까지 NRS 4점 이하를 유지하는 것이다.

• 2. Constipation

  환자는 극심한 허리 통증으로 인해 활동이 저하되어 변비가 발생하였다. 이를 해결하기 위해 대변 완화제 투여, 수분 섭취 증진, 섬유질 섭취 권장, 복근 운동 교육 등의 중재를 시행하고자 한다. 단기 목표는 11월 22일까지 배변을 자극하는 운동을 하루 3회 이상 시행하고, 장기 목표는 11월 28일까지 이틀에 한 번 변을 보는 정상 배변 양상을 회복하는 것이다.

• 3. Risk for impaired skin integrity

  환자는 극심한 허리 통증으로 인해 활동이 저하되어 피부통합성 장애의 위험이 있다. 이를 예방하기 위해 2시간마다 체위변경, 피부 마사지, 압박 부위 지지 등의 중재를 시행하고자 한다. 단기 목표는 11월 25일까지 braden scale 점수가 19점 이상으로 유지되고, 장기 목표는 12월 4일까지 욕창이 발생하지 않는 것이다.

Easy AI와 토픽 톺아보기

• 1. Acute pain

  Acute pain is a complex and multifaceted experience that can have significant impacts on an individual's physical, emotional, and psychological well-being. It is a common symptom that can arise from a variety of underlying causes, such as injury, illness, or surgical procedures. Effective management of acute pain is crucial, as it can help alleviate suffering, facilitate healing, and improve overall quality of life. Healthcare providers should take a comprehensive approach to pain assessment and treatment, considering the individual's unique circumstances, medical history, and personal preferences. This may involve a combination of pharmacological interventions, such as analgesics, as well as non-pharmacological strategies, such as physical therapy, cognitive-behavioral therapy, and complementary therapies. By addressing acute pain in a holistic and patient-centered manner, healthcare professionals can help individuals regain their functional abilities, reduce the risk of chronic pain development, and ultimately improve their overall well-being.

• 2. Constipation

  Constipation is a common gastrointestinal condition that can significantly impact an individual's quality of life. It is characterized by infrequent or difficult bowel movements, often accompanied by discomfort, bloating, and abdominal pain. Effective management of constipation requires a multifaceted approach that addresses the underlying causes, which may include dietary factors, medication side effects, physical inactivity, or underlying medical conditions. Healthcare providers should work closely with patients to develop a personalized treatment plan that may involve dietary modifications, increased fluid intake, exercise, and the judicious use of laxatives or other pharmacological interventions. Additionally, it is important to address any underlying psychological or emotional factors that may contribute to or exacerbate constipation, such as stress or anxiety. By taking a comprehensive and patient-centered approach to the management of constipation, healthcare professionals can help individuals regain their digestive health, improve their overall well-being, and prevent the development of more serious complications.

• 3. Risk for impaired skin integrity

  Risk for impaired skin integrity is a significant concern in healthcare, as it can lead to a range of complications, including pressure ulcers, skin tears, and other types of skin damage. Factors that can contribute to this risk include immobility, poor nutrition, incontinence, and underlying medical conditions. Healthcare providers should take a proactive and comprehensive approach to assessing and addressing this risk, which may involve regular skin assessments, the use of appropriate support surfaces, proper positioning and repositioning techniques, and the implementation of evidence-based skin care protocols. Additionally, patient and caregiver education on skin care and prevention strategies is crucial, as it empowers individuals to actively participate in their own skin health management. By addressing the risk for impaired skin integrity through a multidisciplinary approach, healthcare professionals can help prevent the development of skin-related complications, improve patient outcomes, and enhance overall quality of life.