JAUNDICE CASE STUDY

Jun 21st, 2015
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Southern Oregon University
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Within 2-3 hours of nursing intervention the client will Verbalize understanding causative factors and appropriate interventions demonstrate techniques and behavior to alleviate retention.

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JAUNDICE CASE STUDYNURSING CARE PLANAssessmentDiagnosisScientific knowledgePlanningInterventionRationaleEvaluationSubjective: Hindi ako makaihi kahit anung pilit ko, as verbalized by the client.Objective:Post-operativeUrine-output= 0With palpable bladder distentionUrinary retention related to reduced bladder muscles contractilityadministration of anicholinergic drug (atrophine sulfate)stimulation of SNSinhibition of acetyl choline productiondecreased bladder contractilitysigns and symptoms (urinary retention)(Medical-Surgical Nursing 10th edition - Brunner & Suddarth)Short term goal:Within 2-3 hours of nursing intervention the client will:Verbalize understanding causative factors and appropriate interventions.demonstrate techniques and behavior to alleviate retentionLong-term goal:Within 2 days of nursing intervention the client will void in sufficient amounts with no palpable bladder distention.INDEPENDENT:Assist to upright position on bedpan Provide privacyUse ice techniques, spirits of wintergreen, stroking inner thigh, running water or warm water over perineum.DEPENDENT:Catheterize with intermittent or indwelling catheterTo provide functional position of voiding.Stimulate reflex arc Resolve acute urinary retentionReference:Nurses pocket guide, pp. 754Goal met-after 2-3 hours of nursing intervention the client:Verbalized understanding causative factors and appropriate interventions.demonstrate techniques

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