Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Watch More! Unlock the full videos with a FREE trial
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz
Included In This Lesson
Study Tools For Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Addison’s Disease Intervention (Picmonic)
Addison’s Disease Assessment (Picmonic)
Addisons Pathochart (Cheatsheet)
Addison’s vs. Cushing’s (Cheatsheet)
Example Care Plan_Addison’s Disease (Primary Adrenal Insufficiency) (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
Outline
Lesson Objectives for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Understanding Pathophysiology:
- Comprehend the pathophysiological mechanisms underlying Addison’s disease, including the insufficient production of adrenal hormones and its impact on systemic function.
- Recognition of Clinical Manifestations:
- Identify and recognize the clinical manifestations associated with Addison’s disease, such as fatigue, hypotension, electrolyte imbalances, and hyperpigmentation, to facilitate early detection and intervention.
- Medication Management:
- Gain proficiency in the administration and monitoring of medications, particularly glucocorticoids and mineralocorticoids, essential for hormone replacement therapy in individuals with Addison’s disease.
- Balancing Fluid and Electrolytes:
- Develop skills in assessing and maintaining fluid and electrolyte balance, recognizing the potential for hyponatremia and hyperkalemia in individuals with adrenal insufficiency.
- Patient Education and Lifestyle Management:
- Educate patients on the importance of medication adherence, symptom recognition, and lifestyle modifications, including stress management and dietary considerations, to optimize their quality of life while living with Addison’s disease.
Pathophysiology of Addison’s Disease (Primary Adrenal Insufficiency):
- Adrenal Cortex Dysfunction:
- Addison’s disease primarily results from dysfunction of the adrenal cortex, leading to insufficient production of cortisol (glucocorticoids) and aldosterone (mineralocorticoids).
- Autoimmune Destruction:
- In the majority of cases, Addison’s disease is caused by autoimmune destruction of the adrenal cortex. Autoantibodies target and damage the adrenal cells, impairing hormone synthesis.
- Tuberculosis and Infections:
- In some instances, adrenal insufficiency may result from infections, particularly tuberculosis, affecting the adrenal glands and disrupting normal hormonal production.
- Genetic Factors:
- Rarely, genetic factors may contribute to adrenal insufficiency. Inherited conditions affecting adrenal function can lead to deficient cortisol and aldosterone synthesis.
- Hemorrhage or Infarction:
- Adrenal hemorrhage or infarction, often associated with severe bacterial infections or bleeding disorders, can compromise blood supply to the adrenal glands, causing adrenal insufficiency.
Etiology of Addison’s Disease (Primary Adrenal Insufficiency):
- Autoimmune Adrenalitis:
- The most common cause of Addison’s disease is autoimmune adrenalitis, where the body’s immune system mistakenly attacks and damages the adrenal glands, leading to a gradual loss of function.
- Infections, Especially Tuberculosis:
- Infections, particularly tuberculosis, can contribute to adrenal insufficiency by causing inflammation and damage to the adrenal glands, impairing their ability to produce hormones.
- Genetic Factors:
- Genetic predisposition plays a role in some cases of Addison’s disease. Specific genetic mutations or familial patterns may increase the risk of developing adrenal insufficiency.
- Hemorrhage or Infarction:
- Adrenal hemorrhage or infarction, often associated with severe bacterial infections or bleeding disorders, can compromise blood supply to the adrenal glands, resulting in adrenal insufficiency.
- Medication-Induced Adrenal Suppression:
- Prolonged use of certain medications, such as glucocorticoids, can suppress the adrenal glands over time, leading to a state of adrenal insufficiency when the medication is discontinued abruptly.
Desired Outcome for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Stabilized Hormone Levels:
- Achieve and maintain stable cortisol and aldosterone levels within the normal range, optimizing metabolic functions and electrolyte balance.
- Symptom Management:
- Effectively manage and alleviate symptoms associated with adrenal insufficiency, such as fatigue, hypotension, weight loss, and hyperpigmentation, enhancing the patient’s overall well-being.
- Prevention of Adrenal Crisis:
- Minimize the risk of adrenal crisis by ensuring adequate hormone replacement therapy adherence, patient education, and prompt recognition of potential stressors that may precipitate crisis situations.
- Optimal Fluid and Electrolyte Balance:
- Attain and maintain optimal fluid and electrolyte balance, preventing complications such as hyponatremia and hyperkalemia commonly associated with adrenal insufficiency.
- Enhanced Quality of Life:
- Improve the patient’s quality of life by providing comprehensive care, addressing psychological aspects, and supporting lifestyle modifications, promoting independence and a sense of well-being.
Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care Plan
Subjective Data:
- Fatigue
- Lower back / leg pain
- Abdominal pain
- Irritability / depression
- Reports significant weight loss
Objective Data:
- Decreased blood pressure
- Electrolyte imbalance
- Decreased sodium
- Increased potassium
- Severe vomiting, diarrhea
- Dehydration
- Loss of consciousness
Nursing Assessment for Addison’s Disease (Primary Adrenal Insufficiency):
- Medical History:
- Collect a detailed medical history, with a focus on autoimmune conditions, infections, genetic factors, and medication use, to identify potential causes and contributing factors.
- Symptom Assessment:
- Assess the patient for symptoms of adrenal insufficiency, including fatigue, weakness, weight loss, hypotension, hyperpigmentation, gastrointestinal disturbances, and salt cravings.
- Vital Signs Monitoring:
- Monitor vital signs regularly, paying close attention to blood pressure, heart rate, and temperature, as fluctuations may indicate adrenal dysfunction.
- Electrolyte Levels:
- Obtain and monitor electrolyte levels, especially sodium and potassium, to assess for imbalances that commonly occur in adrenal insufficiency.
- Blood Glucose Monitoring:
- Monitor blood glucose levels, as adrenal insufficiency can impact glucose regulation. Assess for signs of hypoglycemia or hyperglycemia.
- Stressors and Triggers:
- Identify potential stressors and triggers that may precipitate adrenal crises, such as infections, trauma, surgery, or emotional stress, to implement preventive measures.
- Skin Examination:
- Perform a thorough skin examination to assess for hyperpigmentation, a characteristic sign of adrenal insufficiency, which may indicate increased melanin production.
- Patient Education Needs:
- Assess the patient’s understanding of the condition, medication adherence, and ability to manage stress. Identify educational needs and provide information on self-care, medication management, and recognizing signs of adrenal crisis.
Outcomes for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Stable Hormonal Levels:
- Achieve and maintain stable cortisol and aldosterone levels within the normal range to support metabolic functions, blood pressure regulation, and electrolyte balance.
- Symptom Improvement:
- Witness improvement in symptoms associated with adrenal insufficiency, such as fatigue, weakness, hypotension, and gastrointestinal disturbances, contributing to enhanced patient well-being.
- Prevention of Adrenal Crisis:
- Successfully prevent adrenal crises through patient education, early recognition of stressors, and adherence to hormone replacement therapy, ensuring the avoidance of life-threatening complications.
- Optimal Fluid and Electrolyte Balance:
- Attain and sustain optimal fluid and electrolyte balance, preventing complications like hyponatremia and hyperkalemia, which are common in adrenal insufficiency.
- Enhanced Quality of Life:
- Improve the overall quality of life for individuals with Addison’s disease by addressing psychological aspects, providing ongoing support, and promoting patient empowerment and independence in managing their condition.
Nursing Interventions and Rationales
- Monitor weight
Lack of appetite due to decreased levels of cortisol may cause a significant decrease in body weight
- Encourage oral fluids
Deficiency of cortisol may lead to anorexia and impaired GI function. Encourage oral fluids to help maintain adequate sodium levels and avoid dehydration.
- Minimize stress and assist with activities / provide rest periods
Simple stress and overexertion can cause a life-threatening Addisonian crisis due to the lack of corticosteroids that help the body react to and manage stress.
- Monitor nutrition
Aldosterone deficiency causes the kidneys to excrete sodium which may result in salt cravings. Encourage patients to increase salt intake and supplements as necessary to prevent hyponatremia. Encourage patients to eat high protein / low carb snacks and meals as tolerated followed by rest periods to prevent fatigue due to hypoglycemia and to facilitate digestion.
- I & O – monitor intake and output
Monitor urine for decreased output (desired >30ml/hr), concentration, and color which may be darker
- Assess vitals; temperature, blood pressure, and heart rate – watching for orthostatic changes and hyperpyrexia
- A decrease of 15 mm Hg or more and an increase in heart rate (normal <100bpm) may indicate reduced circulation of fluids such as with dehydration
- Increased temperature may be a sign of an Addisonian crisis due to hormonal and fluid imbalance
- Monitor EKG for signs of hyperkalemia
- Lack of Aldosterone means increased sodium excretion and increased potassium retention.
- Signs of hyperkalemia will include peaked T waves and prolonged QRS complex.
- Monitor for signs of dehydration by noting mucus membranes and skin turgor
Tenting of the skin and dry mucous membranes indicate dehydration., which is common due to vomiting and anorexia.
- Administer Medications
- Kayexalate
- Cortef or Cortone
- Prednisone
- Florinef
- Kayexalate – Can be given orally or by enema to reduce potassium levels
- Cortef or Cortone and prednisone may be given orally or IV to increase cortisol levels
- Florinef – Given orally to promote replacement and retention of sodium and water
Evaluation for Addison’s Disease (Primary Adrenal Insufficiency) Nursing Care:
- Hormonal Levels:
- Monitor and evaluate cortisol and aldosterone levels regularly to ensure they remain within the target range, indicating effective hormone replacement therapy and metabolic stability.
- Symptom Resolution:
- Assess the resolution or improvement of symptoms associated with adrenal insufficiency, such as fatigue, weakness, and hypotension, indicating successful management of the condition.
- Adherence to Medication Regimen:
- Evaluate the patient’s adherence to the prescribed medication regimen, emphasizing consistent and timely administration, to ensure hormonal replacement therapy’s ongoing effectiveness.
- Prevention of Adrenal Crises:
- Review the patient’s ability to recognize and manage stressors, evaluating the effectiveness of preventive measures in avoiding adrenal crises and associated complications.
- Quality of Life Improvement:
- Assess the overall quality of life, considering physical and psychological aspects, to determine the impact of nursing interventions on enhancing the patient’s well-being and independence.
References
- https://www.mayoclinic.org/diseases-conditions/addisons-disease/symptoms-causes/syc-20350293
- https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease
- https://www.webmd.com/a-to-z-guides/understanding-addisons-disease-treatments
View the FULL Outline
When you start a FREE trial you gain access to the full outline as well as:
- SIMCLEX (NCLEX Simulator)
- 6,500+ Practice NCLEX Questions
- 2,000+ HD Videos
- 300+ Nursing Cheatsheets
Transcript
We are going to make a care plan for Addison’s disease. Addison’s disease is when the adrenal glands, which are located above the kidneys, fail to produce an adequate amount of cortisol, aldosterone, or androgens. Some things that we want to be mindful of with taking care of these patients are EKG monitoring. We want to get frequent vital signs. We want to assess these patients for what’s called an Addisonian crisis. We would like to monitor I’s and O’s and we want to assess for dehydration. The desired outcome with Addison’s patients is to make sure we maintain adequate hormone levels for optimized ability to create energy and respond to stress. And, we want to keep those electrolytes balanced and help regulate their blood pressure. When these patients come in to see you, they are going to have a list of complaints. One of the things that they are going to tell you, some of the objective things that they’re going to say is they are going to complain about being fatigued or tired.
Okay. They’re also going to complain of pain. So they’re going to have lower back pain, leg pain, abdominal pain, or they are going to be in pain. They’re also going to be, you’re going to notice they’re going to be irritable. They are going to, uh, complain of being depressed and they are going to, uh, report significant weight loss. These patients are going to be thin. Um, these patients, when you see them and you’re going to observe them. Some of the objective things that you’re going to notice is you’re going to notice that on their vital signs, they are going to have low BP. They’re going to have decreased blood pressure. Their electrolytes are going to be way out. So you may see them with hyponatremia or low sodium, or hyperkalemia. Uh, they’re going to have high potassium. They’re also going to have severe vomiting and diarrhea.
They’re going to be losing those electrolytes that way. They’re also going to have some dehydration as well as it’s possible that they’ll have some, uh, loss of consciousness. So when, uh, caring for these patients, some things that we want to focus on, the first thing that we want to do is we want to get them hooked up to an EKG, and we want to monitor for signs of high potassium or hyperkalemia. And the reason why is because they have low aldosterone levels. And aldosterone is just a hormone that regulates sodium and potassium. It retains potassium and it loses sodium. So if aldosterone is low because of Addison’s, that means potassium is high. So low aldosterone equals high K. The next thing we want to do is we want to monitor for signs of dehydration. We want to take a look at their mucus membranes, their skin turgor.
Remember, if a patient is tense, when you assess the skin turgor, that means that they are dehydrated. And this is very common when the patient has severe diarrhea and vomiting. Following that, we want to encourage oral fluids when necessary. And we want to make sure that we monitor their ins and outs, and we want to make sure we let them know that we will need to institute some IV fluids if they are not able to take PO because of the vomiting. The low cortisol levels, uh, create a space where they’re not able to drink. Uh, they are not able to maintain their adequate sodium level and, uh, they have decreased urine output. So, their urine output is decreased. Okay. The urine will be concentrated and much darker as well. We want to make sure we administer appropriate medication. So, there’s three medications off the top that we want to think of if we want to think about Kayexalate, which is something that’s given to reduce potassium levels.
Okay, excellent. And just in K exit K exit. So the K is going out. Cortef or any type of steroid prednisone, that’s going to increase cortisol levels. And then, also Florinef. That’s also going to, uh, promote replacement and retention of sodium. So we want to make sure we keep that sodium in water. Finally, we want to keep their vitals in the front and an increased temperature can indicate an Addisonian crisis, uh, in the decreased BP can indicate dehydration. Some key points that we want to focus on when taking care of these patients. Uh, first thing, the adrenal glands, when they fail to produce an adequate amount of, uh, hormones, cortisol, aldosterone, and androgens, that’s when a patient can develop Addison’s disease. Some things that they’re going to tell you, pain, think pain, abdominal pain, leg pain, back pain. They’re going to be irritable, uh, weight loss. We’re going to notice some, uh, low BP, some hypotension, low sodium increased, uh, potassium levels. Also, they’re going to have some vomiting and diarrhea. They’re going to be dehydrated, Medications that we’re going to administer, Kayexalate to lower that K uh, Cortef have to increase that cortisol level and Florinef, enough to increase their sodium levels. We want to do EKG and frequent vitals because the EKG is going to show any arrhythmias because of the hyperkalemia, the increased potassium and a fever may indicate Addisonian crisis.
We love you guys, and we want you to go out and be your best self today. And as always, happy nursing.
View the FULL Transcript
When you start a FREE trial you gain access to the full outline as well as:
- SIMCLEX (NCLEX Simulator)
- 6,500+ Practice NCLEX Questions
- 2,000+ HD Videos
- 300+ Nursing Cheatsheets
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
