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Nurs 324: A Nursing Care Plan

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Nurs 324: A Nursing Care Plan
NURSING CARE PLAN
Nurs 326
SFSU

Student Name: Alena Makarava
Instructor/Clinical Site Gerardo Caritan, RN, MSN
Date: 2/26/2015

Ms. X is a 34 year old female. The patient is a G3 P2, with both children delivered by C-section, with the only complication in both being low birth weights. Ms. X has a longstanding history of hypertension, anxiety and depression. Additional health history includes a vitamin D deficiency, back surgery in 05/06 due to a herniated disc, and two previous cesarean sections. Ms. X delivered a healthy baby boy weighing 6 lb. 2 ounces, with apgar scores of 8 and 9; the patient did well through delivery and during the postoperative stage. No lack of sensation or motor function following discontinuation
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Abnormally increased tone in the sympathetic nervous system originates in the vasomotor system centers, causing increased peripheral vascular resistance.
Increased blood volume results from renal or hormonal dysfunction.
Increase in arteriolar thickening is caused by genetic factors, leading to increased peripheral vascular resistance.
Abnormal renin release results in the formation of angiotensin II, which constricts the arterioles and increases blood
…show more content…
Research shows that self-efficacy is associated with significant improvements in self-management behaviors.

Research shows that self-management education improves the outcome of chronic illness.

Self-management education help to achieve positive health outcomes such as reduction in systolic blood pressure

Patient will need good social support for lifestyle changes needed after the baby is born

Assessment provides information about adequacy of client rest and activity pattern.

Patient may be too tired to identify primary problem without some assistance

Excessive bleeding may cause anemia and fatigue related to insufficient hemoglobin. Signs of infection also include fatigue

A short-lived peiod of depression accompanied by emotional fragility is common in the first few weeks postpartum. Continued depression needs further investigation

Poor nutrition and dehydration add to feeling fatigue. Protein and vitamin C are needed for tissue regeneration after childbirth

Patient will:

Identify current stresses leading to ineffective coping

Explore personal strengths and plan new ways to cope with

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