Nursing Care Plan (NCP) for Aspiration
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Outline
Lesson Objectives for Aspiration
- Definition and Recognition:
- Define aspiration as the inhalation of foreign material (such as food, liquids, or gastric contents) into the airways, leading to potential respiratory complications.
- Risk Factors:
- Identify common risk factors for aspiration, including impaired swallowing function, altered consciousness, neurological disorders, and conditions affecting upper airway protection.
- Clinical Manifestations:
- Recognize the clinical manifestations associated with aspiration, such as coughing, choking, wheezing, dyspnea, and potential complications like pneumonia.
- Prevention Strategies:
- Understand preventive measures to minimize the risk of aspiration, including proper positioning during meals, modified diets, and interventions to improve swallowing safety.
- Immediate Response:
- Learn the immediate nursing response to aspiration events, including assessment, initiation of emergency protocols, and collaboration with the healthcare team to ensure prompt and appropriate interventions.
Pathophysiology of Aspiration
- Inhalation of Foreign Material:
- Aspiration occurs when foreign material, such as food particles, liquids, or gastric contents, is inhaled into the airways instead of being directed into the digestive system.
- Bronchial Entry:
- Aspirated material can enter the bronchi and lungs, leading to potential obstruction, inflammation, and infection in the respiratory system.
- Airway Irritation:
- Aspirated substances can irritate the delicate tissues of the airways, triggering a local inflammatory response. This irritation can contribute to coughing and increased secretions.
Etiology of Aspiration
- Impaired Swallowing Function:
- Conditions that affect swallowing function, such as dysphagia due to neurological disorders, stroke, or structural abnormalities, increase the risk of aspiration.
- Altered Consciousness:
- Individuals with altered levels of consciousness, such as those under the influence of sedatives, anesthetics, or alcohol, are more prone to aspiration due to reduced protective reflexes.
- Neurological Disorders:
- Neurological conditions, including Parkinson’s disease, dementia, and conditions affecting the cranial nerves or brainstem, can impair the coordination of swallowing and increase the risk of aspiration.
- Gastroesophageal Reflux Disease (GERD):
- GERD can contribute to aspiration by allowing gastric contents to flow back into the esophagus, increasing the likelihood of aspiration into the respiratory tract.
- Upper Airway Obstruction:
- Conditions that cause upper airway obstruction, such as tumors, foreign bodies, or anatomical abnormalities, can lead to difficulty in managing secretions and increase the risk of aspiration.
Desired Outcome for Aspiration
- Respiratory Stability:
- Maintain respiratory stability with clear breath sounds, absence of wheezing or stridor, and adequate oxygenation to prevent complications such as pneumonia.
- Effective Airway Clearance:
- Promote effective airway clearance to minimize the risk of respiratory distress, coughing, or further aspiration events.
- Improved Swallowing Safety:
- Enhance swallowing safety through interventions and strategies to reduce the risk of aspiration, especially in individuals with impaired swallowing function.
- Prevention of Complications:
- Prevent complications associated with aspiration, such as pneumonia or chronic respiratory conditions, through vigilant monitoring and prompt intervention.
- Patient Education:
- Educate the patient and caregivers on strategies to reduce the risk of aspiration, recognize early signs, and seek prompt medical attention when needed.
Nursing Care Plan (NCP) for Aspiration
Subjective Data:
- Shortness of breath
- Difficulty breathing
- Chest pain
Objective Data:
- Coughing
- Low oxygen saturation
- Tachypnea/dyspnea
- Blue lips/fingers
- Lung sounds (crackles and/or diminished
- Frothy sputum
Nursing Assessment for Aspiration
- Swallowing Assessment:
- Conduct a thorough swallowing assessment, including observation of the patient during meals, assessing the coordination of swallowing, and identifying any signs of difficulty or discomfort.
- Neurological Assessment:
- Perform a neurological assessment to identify conditions or impairments affecting consciousness, cranial nerves, and coordination, which may contribute to aspiration risk.
- Respiratory Assessment:
- Monitor respiratory status, including breath sounds, respiratory rate, and oxygen saturation, to detect signs of respiratory distress or compromise.
- Gastrointestinal Assessment:
- Assess for conditions such as GERD that may increase the risk of gastric contents entering the esophagus, contributing to aspiration risk.
- Cough Assessment:
- Evaluate the presence and characteristics of cough, as persistent or ineffective coughing may indicate a potential aspiration event.
- Nutritional Status:
- Assess the patient’s nutritional status and ability to tolerate oral intake, considering factors such as weight loss, dehydration, or signs of malnutrition.
- Speech and Language Assessment:
- Collaborate with speech and language therapists to assess speech and language function, as impairments in these areas may contribute to swallowing difficulties.
- Medication Review:
- Review the patient’s medication list to identify drugs that may affect consciousness, coordination, or increase the risk of aspiration.
Implementation for Aspiration
- Positioning:
- Position the patient upright during and after meals to facilitate gravity-assisted swallowing and reduce the risk of aspiration. Consider the use of specialized seating or positioning devices as needed.
- Modified Diet:
- Implement a modified diet based on the individual’s swallowing capabilities, including texture modifications (e.g., pureed, soft) and fluid consistency adjustments. Collaborate with a dietitian for personalized dietary plans.
- Swallowing Rehabilitation:
- Initiate swallowing rehabilitation exercises, working closely with speech and language therapists to improve swallowing coordination and strength. Encourage adherence to recommended exercises.
- Respiratory Support:
- Provide respiratory support as needed, including oxygen therapy and nebulization, to maintain adequate oxygenation and address respiratory symptoms. Monitor respiratory status closely.
- Education and Caregiver Training:
- Educate the patient and caregivers on strategies to reduce the risk of aspiration, proper swallowing techniques, and the importance of adhering to dietary modifications. Provide training on recognizing signs of aspiration and when to seek medical attention.
Nursing Interventions and Rationales
| Nursing Intervention (ADPIE) | Rationale |
| Assess respiratory function -lung sounds, O2 Sats, skin color, chest symmetry | will assess baseline for patient and whether their respiratory function is getting better or worse with interventions |
| maintain patent airway- NPO, HOB>30 Degrees, oral hygiene, suction equipment in room, O2 in case | Keep the airway protected. Maintain proper ventilation/oxygenation |
| Perform a swallow screen test | should be performed with thin liquids at bedside (if not NPO status) checks patients swallowing ability. If fails, patient goes to NPO status, and notify physician
Note: swallow study is done in radiology if they fail the screening test |
| Acquire a chest x-ray | this will see if a patient has aspirated, whether they have acquired pneumonia or not |
| Lab testing/ABG/sputum-blood cultures | blood gas- monitors PaCO2/PCO2 & PaO2/PO2
CBC- Monitors WBC count Sputum/Blood Cultures-may be needed an able to make sure the patient is receiving the right antibiotic therapy if needed |
| Antibiotic therapy-
Clindamycin & Metronidazole |
may be prophylaxis, or because patient developed pneumonia. Clindamycin is most commonly used for aspiration pneumonia. Metronidazole can be used in conjunction with Clindamycin for further coverage |
Evaluation for Aspiration
- Airway Patency:
- Evaluate airway patency by assessing breath sounds, monitoring for signs of airway obstruction, and ensuring effective coughing and airway clearance.
- Swallowing Function:
- Assess improvements in swallowing function through regular swallowing assessments, observing the patient’s ability to manage oral intake and identifying any ongoing difficulties.
- Respiratory Status:
- Monitor respiratory status for improvements or stabilization, including the absence of respiratory distress, decreased coughing, and improved oxygen saturation levels.
- Dietary Tolerance:
- Evaluate the patient’s tolerance of modified diets and adjustments, assessing weight stability, nutritional intake, and signs of dehydration or malnutrition.
- Patient and Caregiver Adherence:
- Assess patient and caregiver adherence to prescribed interventions, dietary modifications, and rehabilitation exercises. Identify any challenges or barriers to compliance and provide additional support or education as needed.
References
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/dysphagia-what-happens-during-a-bedside-swallow-exam
https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/aspiration-pneumonia
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Transcript
Hey everyone. Today, we are going to be putting together a nursing care plan for aspiration. So, let’s get started. So we’re going to go over the pathophysiology. So aspiration occurs when something enters into the lungs that is not air. If this ventilation progresses to infection, aspiration pneumonia can develop. Some nursing considerations. We want to make sure we’re doing a full respiratory assessment, maintaining a patent airway, performing a swallow screen test, doing some labs, ABGs, and administering medications. Desired outcomes. We want to make sure that the patient has a patent airway, oxygenation maintenance, and prevention of further complications, such as pneumonia.
So we’re going to go ahead and get started on the care plan. We’re going to have some subjective data and we’re going to have some objective data. So what are we going to see with the patients that are aspirating? They may have some shortness of breath and they may have some chest pain. Some objective data: coughing, maybe blue lips if they’re aspirating or some frothy sputum. Some other things: they may have difficulty breathing, some low oxygen saturation, adventitious lung sounds. You might hear some crackles or some diminished sounds.
So with our interventions, we’re going to assess their respiratory function. We’re going to look for their skin color. Is it blue? Is it pink? Are they oxygenating enough? You’re going to be looking for chest symmetry. So you want to make sure we’re assessing the entirety of the respiratory function. See what their baseline is. See when we do some interventions, if it’s improving or not. Another intervention we’re going to be doing is to make sure we’re maintaining their airway. So maintaining the patient’s airway. So we’re going to keep them NPO. Make sure they’re doing oral hygiene. Make sure we have suction equipment in the room. Always, always make sure we have suction equipment because you never know if you’re going to need it to help try to clear their airway if the patient’s not able to clear it themself. Also, any O2, in case you may need O2 for your patient. Another intervention we’re going to be doing, we’re going to perform a swallow screen test. Now the swallow screen test is done at the bedside. So this is going to be performed with thin liquids at the bedside. We’re going to check the patient’s swallowing ability. If the patient fails this test, the patient will go to NPO status and you’ll notify the physician. I do want to note a swallow study is done in radiology if they fail the screening test. Another intervention we’re going to be doing is acquiring a chest X-ray to see if the patient may have aspirated and whether they have acquired any sort of pneumonia. Another intervention we’re going to be doing are labs, ABGs, or sputum culture. So the blood gases, we’re going to monitor the PaCO2 and PaO2 levels. For the labs, we’re going to be looking for CBC, which is going to monitor their white blood cell counts. And for the sputum, we’re going to be checking to see if there’s any sort of pneumonias, the type of bacteria that we’re going to be treating, and making sure that the patient’s going to be on the right antibiotic therapy. So then we’re also going to be given the patient medication. So antibiotic therapy, such as clindamycin and metronidazole. So it may be prophylactic measures, or if the patient had developed pneumonia, clindamycin is commonly used for aspiration pneumonia, and metronidazole can be used in conjunction with the clindamycin for any further coverage that the patient needs.
Alright, so now we’re going to look at some of the key points for the care plan. So aspiration occurs when something enters into the lungs, that’s not air likely caused by someone losing their gag reflex, or the inability to clear secretions on their own. Some subjective and objective data. They’ll have some shortness of breath, chest pain, difficulty breathing, some coughing, low oxygen saturation, blue lips, or fingers, frothy sputum. You want to do a full respiratory assessment and perform a swallow screen test bedside. We’re going to give meds. We’re going to do labs. Make sure they have a patent airway. So we’ll be giving those meds, doing the labs, checking the white blood cells and ABGs. X-ray just to see if they have pneumonia. And once again, maintaining that airway is very, very important.
Alright, you guys did awesome. We love you guys 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
