Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

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Study Tools For Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

Abruptio Placentae (Picmonic)
Abruption vs Previa (Cheatsheet)
Example Care Plan_Abruptio Placentae / Placental abruption (Cheatsheet)
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Outline

Nursing Care Plan (NCP) for Abruptio Placentae/Placental Abruption

 

Lesson Objective 

  • Understanding the Definition and Risk Factors:
    • Define and comprehend the concept of abruptio placentae, including risk factors such as hypertension, trauma, advanced maternal age, and substance abuse.
  • Recognition of Clinical Signs and Symptoms:
    • Identify the clinical manifestations of placental abruption, including vaginal bleeding, abdominal pain, uterine tenderness, and signs of fetal distress, to facilitate prompt assessment and intervention.
  • Knowledge of Pathophysiology:
    • Comprehend the pathophysiological mechanisms involved in abruptio placentae, particularly the premature separation of the placenta from the uterine wall, and its potential impact on maternal and fetal well-being.
  • Emergency Response and Immediate Interventions:
    • Acquire skills in the immediate response to abruptio placentae emergencies, including initiating emergency medical services, assessing maternal and fetal status, and implementing interventions such as fluid resuscitation and blood transfusions.
  • Collaborative Care and Monitoring:
    • Understand the importance of interdisciplinary collaboration in the care of individuals experiencing abruptio placentae, involving obstetricians, nurses, anesthesiologists, and other healthcare professionals. Learn about ongoing monitoring, maternal-fetal surveillance, and potential complications.

Pathophysiology of Abruptio Placentae/Placental Abruption:

  • Premature Separation:
    • Abruptio placentae involves the premature separation of the placenta from the uterine wall before delivery, leading to a disruption in the normal exchange of oxygen and nutrients between the mother and fetus.
  • Hematoma Formation:
    • The separation can create a hematoma between the placenta and the uterine wall, causing bleeding into the maternal compartment and reducing the blood supply to the fetus.
  • Uterine Ischemia:
    • The compromised blood flow to the uterus results in uterine ischemia, leading to intense uterine contractions, abdominal pain, and uterine tenderness.
  • Concealed or External Hemorrhage:
    • The bleeding may be concealed within the uterine cavity or manifest externally, contributing to the risk of maternal hemorrhage and hypovolemic shock.
  • Fetal Distress:
    • Decreased oxygen and nutrient supply to the fetus due to the placental separation can result in fetal distress, evidenced by non-reassuring fetal heart rate patterns and potential adverse perinatal outcomes.

Etiology of Abruptio Placentae/Placental Abruption:

 

  • Hypertension:
    • Chronic hypertension or pregnancy-induced hypertension (preeclampsia) increases the risk of abruptio placentae due to vascular changes affecting the placental circulation.
  • Trauma:
    • Trauma to the abdomen, such as from motor vehicle accidents or domestic violence, can lead to abruptio placentae, especially in the presence of a predisposing factor like hypertension.
  • Advanced Maternal Age:
    • Women of advanced maternal age have a higher risk of placental abruption, possibly due to age-related changes in blood vessels and increased incidence of hypertension.
  • Substance Abuse:
    • Substance abuse, including tobacco smoking, cocaine use, and certain medications, can contribute to abruptio placentae by affecting blood flow and increasing the risk of hypertension.
  • Uterine Overdistension:
    • Conditions that cause rapid uterine expansion, such as multiple gestations (twins or more) or polyhydramnios (excessive amniotic fluid), may predispose the uterus to abruptio placentae.

Desired Outcome of Nursing Care for Abruptio Placentae/Placental Abruption:

  • Stabilization of Maternal Vital Signs:
    • Ensure the mother’s vital signs, including blood pressure, heart rate, and respiratory rate, are within normal ranges to prevent maternal compromise.
  • Management of Hemorrhage:
    • Control and minimize hemorrhage to prevent hypovolemic shock and maintain adequate perfusion to vital organs.
  • Fetal Well-being:
    • Monitor fetal heart rate patterns to assess fetal well-being and intervene promptly if signs of fetal distress are present.
  • Prevention of Complications:
    • Prevent complications such as disseminated intravascular coagulation (DIC) and organ failure by closely monitoring laboratory values and providing appropriate interventions.
  • Psychosocial Support:
    • Offer emotional support and education to the mother and her family regarding the condition, potential outcomes, and the importance of compliance with medical recommendations.

Abruptio Placentae / Placental abruption Nursing Care Plan

Subjective Data:

  • Abdominal pain
  • Uterine tenderness 
  • Back pain
  • Constant uterine contractions

Objective Data:

  • Vaginal bleeding
  • Back-to-back uterine contractions 
  • Firmness of uterus on palpation 
  • Advanced abruption and severe blood loss may lead to shock
    • Tachycardia
    • Hypotension

Nursing Assessment for Abruptio Placentae/Placental Abruption:

 

  • Maternal Vital Signs:
    • Monitor blood pressure, heart rate, respiratory rate, and temperature regularly to detect signs of hypovolemic shock or maternal compromise.
  • Uterine Contractions:
    • Assess the frequency, duration, and intensity of uterine contractions to identify abnormalities that may contribute to placental separation.
  • Abdominal Examination:
    • Perform regular abdominal examinations to assess for uterine tenderness, rigidity, or distension, which may indicate abruptio placentae.
  • Vaginal Bleeding:
    • Monitor the amount, color, and consistency of vaginal bleeding to gauge the severity of hemorrhage and guide interventions.
  • Fetal Heart Rate Monitoring:
    • Continuously monitor the fetal heart rate to detect any signs of fetal distress or non-reassuring patterns.
  • Pain Assessment:
    • Evaluate the mother’s pain level and characteristics, as abruptio placentae is often associated with abdominal pain or back pain.
  • Laboratory Values:
    • Monitor laboratory values, including coagulation studies (PT, APTT), complete blood count (CBC), and fibrinogen levels, to assess for complications such as DIC.
  • Psychosocial Assessment:
    • Assess the emotional well-being of the mother and her support system, providing emotional support and addressing concerns.

 

Implementation for Abruptio Placentae/Placental Abruption:

 

  • Emergency Interventions:
    • Initiate emergency measures, including administering oxygen therapy, establishing intravenous access, and preparing for blood transfusions, to stabilize the mother and address immediate concerns.
  • Continuous Fetal Monitoring:
    • Maintain continuous fetal heart rate monitoring to promptly identify any signs of fetal distress and facilitate timely interventions.
  • Fluid Resuscitation:
    • Administer intravenous fluids judiciously to address hypovolemia and maintain adequate perfusion to vital organs, helping prevent maternal shock.
  • Blood Product Administration:
    • Administer blood products, such as packed red blood cells and clotting factors, as indicated by laboratory values, to manage and correct coagulation abnormalities.
  • Surgical Interventions:
    • Collaborate with the healthcare team for potential surgical interventions, such as an emergency cesarean section, if the condition warrants prompt delivery for maternal or fetal well-being.

Nursing Interventions and Rationales

Nursing Intervention (ADPIE) Rationale
Assess and monitor vaginal bleeding Excessive bleeding may result in shock. Amount of obvious blood may not fully indicate severity due to possible internal bleeding
Obtain history from patient Determine time bleeding began, any history of pregnancy complications or abdominal/uterine trauma
Place patient on bed rest in lateral position This position helps avoid pressure on the vena cava to avoid decreased cardiac output
Initiate IV access with large bore line IV fluids will be given to manage hypovolemia and blood transfusion may be required
Assess abdomen for uterine tenderness and contractions Uterus may be tender upon palpation, tense and rigid.

Fundal massage may help to slow bleeding from uterine wall.

Monitor maternal vitals for signs of shock Watch for signs of hypovolemia to include tachycardia, tachypnea and hypotension
Place and observe external fetal monitoring for signs of fetal distress This allows you to monitor fetal heart rate and contractions to observe for variability and responsiveness of the fetal heart rate. A lack of variability or decelerations indicate fetal distress.
Assess and manage pain Massage

Guided imagery

Cool compresses to the forehead

Deep breathing techniques

Abdominal, back and uterine pain may accompany bleeding and at times may be severe, especially with contractions.

Provide alternative options for pain relief if able

Administer medications Corticosteroids

Analgesics as appropriate

Oxytocin

In addition to IV fluids, corticosteroids may be given to speed up fetal lung development if delivery is necessary.

Oxytocin may be given after delivery to decrease hemorrhage.

Provide patient education Help patient to feel more informed and lessen anxiety and stress

Evaluation for Abruptio Placentae/Placental Abruption:

 

  • Maternal Stability:
    • Assess the stabilization of maternal vital signs and overall condition, ensuring that blood pressure, heart rate, and respiratory rate are within normal ranges.
  • Hemorrhage Control:
    • Evaluate the effectiveness of interventions in controlling hemorrhage, monitoring ongoing blood loss and adjusting treatment as needed.
  • Fetal Well-being:
    • Review fetal monitoring records to assess the baby’s well-being and response to interventions, ensuring that any signs of distress are promptly addressed.
  • Complication Prevention:
    • Monitor for and evaluate the prevention of complications such as disseminated intravascular coagulation (DIC) by regularly assessing laboratory values.
  • Psychosocial Support:
    • Evaluate the emotional well-being of the mother and family, ensuring they have received adequate support, information, and resources to cope with the traumatic event.

 


References

  • https://my.clevelandclinic.org/health/diseases/9435-placental-abruption
  • https://medlineplus.gov/ency/patientinstructions/000605.htm
  • https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/placental-abruption/

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Transcript

Hi everyone, today, we’re going to be creating a nursing care plan for abruptio placentae or placental abruption. So, let’s get started. First, we’re going to be going over the pathophysiology. So abruptio placentae or placental abruption is when the placenta partially or completely detaches prematurely from the uterus. Nursing considerations. We want to assess vaginal bleeding, bedrest, managing pain, administering medications, and fetal monitoring Desired outcomes: the patient will have no, or minimal bleeding, and pain will be controlled. Fetus will show no signs of his distress. And so here we have an image to show. So, you’re going to see all this bleeding all right here, because it’s separated from the uterus right here. And you can see over here, there’s this internal bleeding here and how it’s separated there from the uterus. 

So now we’re going to go over the care plan. We’re going to be writing down some subjective data and some objective data. So, what are we going to see with patients? They are going to have some abdominal pain. They’re going to have some uterine tenderness, possibly some back pain. Some objective data: they’re going to have some vaginal bleeding and some firmness of the uterus. So constant uterine contractions are another thing that these patients may have or an advanced abruption and severe loss. It may lead to tachycardia and hypotension. 

So, interventions, we want to make sure we’re going to assess and monitor vaginal bleeding, the maternal vital signs. We also want to make sure we’re getting a patient history. Excessive bleeding may result in shock. So, the amount of obvious blood may not fully indicate the severity due to possible internal bleeding. We want to watch for signs of hypovolemia to tachycardia, and hypotension. We want to determine time bleeding began and any history of pregnancy complications or abdominal uterine trauma that the mom may have. We also want to make sure we’re placing the patient on bedrest in a lateral position. So, we want to do bedrest and we want to make sure it’s lateral positioning. This position’s going to help avoid pressure on the vena cava to avoid any sort of decreased cardiac output. That is why we want them in the lateral position. We also want to make sure that we initiate any sort of IV access with a large bore line. We’re going to want to make sure we’re giving IV fluids and able to manage the hypovolemia and possibly give a blood transfusion. We want to make sure we’re assessing the abdomen for uterine tenderness and contractions. So, the abdomen we’re going to be assessing. The uterus may be tender upon palpation and tense and rigid. So, a massage may help to slow bleeding from the uterine wall. And we’re going to place and observe external fetal monitoring for signs of fetal distress. So, we’re going to want to make sure that we’re doing fetal monitoring. This allows you to monitor the fetal heart rate and contractions to observe for the variability and responsiveness of the fetal heart rate. A lack of variability or deceleration will indicate fetal distress. We want to make sure that we’re assessing and managing pain So we can do nonpharmacological: massage, guided imagery, cool compresses. Abdominal, back, and uterine pain can all accompany bleeding. And at times it may be severe, especially with contractions. So, you want to make sure we’re providing any sort of alternative options for pain relief, if available. Otherwise, you may end up giving them some by mouth pain medication. So other medications that we may be giving the patient corticosteroids, analgesics for the pain, and oxytocin. So, in addition to IV fluids, corticosteroids may be given to speed up the fetal lung development. If delivery is necessary oxytocin to is given after delivery to decrease hemorrhage. 

Alright, we’re going to move on to the key points. So, the placenta partially or completely will detach prematurely from the uterus. Risk factors will include abdominal trauma, vascular disorders, hypertension, and advanced maternal age. Some subjective and objective data that you’re going to see in these patients: they’ll complain of abdominal pain, uterine tenderness, bleeding, back-to-back uterine contractions, and firmness of the uterus. We want to make sure we’re assessing for that vaginal bleeding, getting a proper history, abdominal tenderness, fetal monitoring, and managing the pain. We want to make sure we’re administering the medications as needed, making sure we’re promoting bedrest. And there we have that completed care plan.

You guys did amazing. We love you guys. Go out, be your best self today and as always happy nursing.

 

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Nursing Care Plans

Concepts Covered:

  • Basics of NCLEX
  • Test Taking Strategies
  • Central Nervous System Disorders – Brain
  • Lower GI Disorders
  • Pregnancy Risks
  • Labor Complications
  • Immunological Disorders
  • Infectious Respiratory Disorder
  • Respiratory Disorders
  • Respiratory Emergencies
  • Disorders of the Adrenal Gland
  • Substance Abuse Disorders
  • Cognitive Disorders
  • Shock
  • Hematologic Disorders
  • Cardiac Disorders
  • Anxiety Disorders
  • Vascular Disorders
  • Gastrointestinal Disorders
  • Noninfectious Respiratory Disorder
  • Emergency Care of the Cardiac Patient
  • Neurologic and Cognitive Disorders
  • Peripheral Nervous System Disorders
  • Urinary Disorders
  • Oncology Disorders
  • Respiratory System
  • Integumentary Disorders
  • Integumentary Disorders
  • Liver & Gallbladder Disorders
  • Acute & Chronic Renal Disorders
  • EENT Disorders
  • Musculoskeletal Disorders
  • Cardiovascular Disorders
  • Endocrine and Metabolic Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Disorders of the Posterior Pituitary Gland
  • Personality Disorders
  • Eating Disorders
  • Renal and Urinary Disorders
  • Male Reproductive Disorders
  • Urinary System
  • Upper GI Disorders
  • EENT Disorders
  • Renal Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Hematologic Disorders
  • Disorders of Thermoregulation
  • Microbiology
  • Infectious Disease Disorders
  • Postpartum Care
  • Prenatal Concepts
  • Newborn Complications
  • Neurological
  • Bipolar Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Newborn Care
  • Female Reproductive Disorders
  • Trauma-Stress Disorders
  • Postpartum Complications
  • Labor and Delivery
  • Musculoskeletal Disorders
  • Sexually Transmitted Infections
  • Psychotic Disorders
  • Emergency Care of the Neurological Patient
  • Musculoskeletal Trauma
  • Somatoform Disorders
  • Neurological Trauma
  • Neurological Emergencies
  • Psychological Emergencies

Study Plan Lessons

Nursing Care Plans Course Introduction
Purpose of Nursing Care Plans
How to Write a Nursing Care Plan
Using Nursing Care Plans in Clinicals
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hemophilia
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Newborn Reflexes
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion