Nursing Care Plan (NCP) for Osteoporosis
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Included In This Lesson
Study Tools For Nursing Care Plan (NCP) for Osteoporosis
Osteoporosis Pathochart (Cheatsheet)
Osteoporosis Interventions (Picmonic)
Osteoporosis Assessment (Picmonic)
Outline
Lesson Objective for Osteoporosis
By the end of this lesson, nursing students will be able to formulate a comprehensive Nursing Care Plan (NCP) for individuals diagnosed with Osteoporosis
- Understanding Osteoporosis:
- Gain knowledge about the pathophysiology and risk factors associated with Osteoporosis.
- Differentiate between primary and secondary Osteoporosis.
- Assessment and Bone Density Evaluation:
- Learn how to perform a thorough assessment to identify individuals at risk for Osteoporosis.
- Understand the role of bone density testing (DEXA scan) in diagnosing and staging Osteoporosis.
- Preventive Measures and Lifestyle Modification:
- Explore preventive measures to reduce the risk of Osteoporosis.
- Understand the importance of lifestyle modification, including nutrition, exercise, and fall prevention.
- Pharmacological Interventions:
- Learn about pharmacological interventions for Osteoporosis, including calcium and vitamin D supplementation, bisphosphonates, and other bone-strengthening medications.
- Understand the indications, side effects, and monitoring parameters for these medications.
- Patient Education and Empowerment:
- Emphasize the role of patient education in preventing Osteoporosis and fractures.
- Provide information on dietary considerations, exercise, and safety measures to empower individuals in managing Osteoporosis.
Pathophysiology for Osteoporosis
- Bone Resorption Exceeds Formation:
- Imbalance between bone resorption and formation.
- Osteoclast activity surpasses osteoblast activity.
- Decreased Bone Density:
- Gradual reduction in bone mineral density (BMD).
- Increased porosity and fragility of bones.
- Microarchitectural Changes:
- Disruption of the normal bone microarchitecture.
- Loss of trabecular and cortical bone.
- Increased Fracture Risk:
- Weakened bones prone to fractures, especially in weight-bearing areas.
- Common fractures include vertebral compression fractures, hip fractures, and wrist fractures.
- Contributing Factors:
- Hormonal changes, especially postmenopausal estrogen decline.
- Aging, sedentary lifestyle, inadequate nutrition, and certain medications contribute to Osteoporosis.
Etiology for Osteoporosis
- Aging:
- Aging is a primary risk factor for osteoporosis. As individuals age, bone mass decreases, and bone turnover slows down, increasing the susceptibility to bone density loss.
- Hormonal Changes:
- Postmenopausal women are particularly vulnerable to osteoporosis due to a decrease in estrogen levels. Estrogen plays a crucial role in maintaining bone density, and its decline after menopause contributes to bone loss.
- Genetic Factors:
- Genetic predisposition can influence an individual’s susceptibility to osteoporosis. A family history of the condition may increase the likelihood of developing osteoporosis.
- Nutritional Deficiencies:
- Inadequate intake of calcium and vitamin D, essential nutrients for bone health, can contribute to the development of osteoporosis. Poor nutrition over the long term may compromise bone density.
- Physical Inactivity:
- Lack of weight-bearing exercises and physical inactivity can lead to reduced bone mass and density. Weight-bearing exercises stimulate bone formation and help maintain bone strength.
- Medical Conditions and Medications:
- Certain medical conditions, such as rheumatoid arthritis and endocrine disorders, can increase the risk of osteoporosis. Additionally, long-term use of medications such as glucocorticoids can negatively impact bone density.
Desired Outcome for Osteoporosis
- Improved Bone Density:
- Increase or maintain bone mineral density.
- Decrease the risk of fractures.
- Pain Management:
- Alleviate pain associated with fractures or musculoskeletal complications.
- Enhance overall quality of life.
- Prevention of Fractures:
- Prevent fractures through preventive measures and lifestyle modifications.
- Improve safety awareness to reduce the risk of falls.
- Optimized Nutrition:
- Achieve optimal nutritional status, especially calcium and vitamin D intake.
- Implement dietary modifications for bone health.
- Enhanced Patient Education:
- Increase patient knowledge about Osteoporosis and preventive measures.
- Empower individuals to actively participate in managing their bone health.
Osteoporosis Nursing Care Plan
Subjective Data:
- Bone Pain
There are typically no symptoms in the early stages of bone loss
Objective Data:
- Loss of height over time
- Stooped posture
- Kyphosis of the spine
- Bone fractures, especially hip/pelvis
- Pathologic fractures
- Occur without trauma
Nursing Assessment for Osteoporosis
- Fracture History:
- Gather information on the patient’s history of fractures, especially fragility fractures, as they can be indicative of compromised bone density. Document the circumstances surrounding the fractures, including the affected bones and severity.
- Medical History:
- Obtain a detailed medical history, focusing on conditions and medications that may contribute to bone density loss, such as rheumatoid arthritis, endocrine disorders, or long-term corticosteroid use.
- Nutritional Assessment:
- Assess the patient’s nutritional status, paying particular attention to calcium and vitamin D intake. Identify any dietary deficiencies that may contribute to poor bone health.
- Physical Activity Level:
- Evaluate the patient’s level of physical activity, including weight-bearing exercises. Lack of weight-bearing activities can contribute to reduced bone mass, while regular exercise can promote bone health.
- Menstrual History:
- For female patients, gather information on menstrual history and menopausal status. Postmenopausal women are at increased risk for osteoporosis due to hormonal changes, specifically the decline in estrogen levels.
- Family History:
- Explore the patient’s family history, focusing on the occurrence of osteoporosis or fragility fractures. Genetic factors can contribute to an individual’s susceptibility to bone density loss.
- Medication Review:
- Review the patient’s current medications, paying attention to those known to impact bone health, such as glucocorticoids. Identify any medications that may increase the risk of osteoporosis or contribute to bone loss.
- Fall Risk Assessment:
- Evaluate the patient’s risk of falls by assessing factors such as balance, gait, and environmental hazards. Falls can significantly increase the risk of fractures in individuals with osteoporosis.
- Bone Density Testing:
- Consider the need for bone density testing (Dual-Energy X-ray Absorptiometry – DXA scan), especially in postmenopausal women and older adults with risk factors for osteoporosis. Bone density testing helps diagnose osteoporosis and assess fracture risk.
Implementation of Nursing Care Plan (NCP) for Osteoporosis
- Pharmacological Interventions:
- Administer prescribed medications, including calcium and vitamin D supplements, bisphosphonates, and other bone-strengthening drugs.
- Monitor for side effects and assess the effectiveness of pharmacological interventions.
- Fall Prevention Strategies:
- Implement fall prevention strategies, including environmental modifications and assistive devices.
- Educate patients and caregivers on fall risks and prevention.
- Nutritional Interventions:
- Collaborate with dietitians to develop personalized nutrition plans.
- Encourage a diet rich in calcium and vitamin D.
- Exercise Programs:
- Collaborate with physical therapists to design individualized exercise programs.
- Emphasize weight-bearing and muscle-strengthening exercises.
- Patient Education:
- Provide comprehensive education on Osteoporosis, its progression, and preventive measures.
- Empower patients to actively participate in managing their bone health.
Nursing Interventions and Rationales for Osteoporosis
- Assess and manage pain
Patients often complain of back pain as the vertebra collapse or pain from a fracture. Pain control is essential for the patient to participate in rehab.
- Initiate fall precautions to prevent injury
Falls and injuries are more difficult to heal with osteoporosis as the bone takes longer to regenerate. Provide assistance with ambulation, remove rugs or fall hazards and maintain a clear and well-lit path.
- Support fracture stabilization
If patient is in cast or splint, make sure the device fits properly and assess for skin integrity and circulation.
- Administer medications appropriately
- Bisphosphonates (alendronate, ibandronate)
- Hormone therapy
- Biologic drugs (denosumab)
Medications to slow bone loss may be given as an oral medication daily, weekly or monthly. Some medications require weekly, monthly or quarterly injections.
- Monitor respiratory status and signs of fat embolism
Fat embolism is a complication of fractures and can lead to respiratory insufficiency.
- Assist with repositioning
Pain and injury make positioning difficult for some patients. Assist in repositioning every 2 hours as needed to prevent skin breakdown and assist with mobility.
- Assist with ROM activities
Immobility can cause atrophy of muscles. Assist as necessary with ROM activities to prevent injury.
- Consult physical and occupational therapy as appropriate
Consult with PT/OT for evaluation and rehab to maintain functionality and mobility.
- Nutrition and lifestyle education
- A healthy diet, increase calcium intake
- Exercise as tolerable in a safe environment
- Quit smoking
- Limit or avoid alcohol
- A healthy diet high in calcium and vitamin D can help prevent skin breakdown and exercise promotes circulation and healing.
- Weight-bearing exercises can improve the strength of muscles around weak bones/joints as well as increase bone density to reduce the risk of fractures.
- Smoking increases the rate of bone loss.
- Limit alcohol to two drinks per day as it can decrease bone formation and increase the risk of falls.
Evaluation of Nursing Care Plan (NCP) for Osteoporosis
- Bone Density Monitoring:
- Regularly assess bone density through follow-up DEXA scans.
- Evaluate changes and adjust interventions accordingly.
- Fall Incidence:
- Monitor the incidence of falls and related injuries.
- Adjust fall prevention strategies based on outcomes.
- Pain Assessment:
- Regularly assess pain levels using standardized tools.
- Modify pain management strategies based on assessment findings.
- Nutritional Status:
- Evaluate changes in nutritional status, especially calcium and vitamin D levels.
- Adjust nutritional interventions as needed.
- Patient Empowerment:
- Assess the patient’s knowledge and application of preventive measures.
- Measure the level of patient empowerment and active participation in managing Osteoporosis.
References
- https://www.mayoclinic.org/diseases-conditions/osteoporosis/diagnosis-treatment/drc-20351974
- https://www.webmd.com/osteoporosis/guide/strong-bones#1
- https://online.epocrates.com/diseases/8544/Osteoporosis/Prevention
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Transcript
Hey guys, in this care plan, we will explore osteoporosis. So in this osteoporosis care plan, we will cover the desired outcome, the subjective and objective data along with the nursing interventions and rationales.
Bone is a living tissue that is constantly being broken down and replaced. Osteoporosis happens when the growth of new bone does not keep up with the breaking down of the old bone, making the bones very brittle and fragile. Primary osteoporosis is the result of the normal aging process, while secondary osteoporosis is the result of another disease process. Osteoporosis is the most common in older women due to the decreased estrogen levels. It’s also very likely to occur in people taking corticosteroids or with decreased calcium intake. The goal of treatment is to address the underlying causes and prevent fractures. The patient with osteoporosis might experience bone pain, but it’s really important to notice that many patients don’t have any symptoms at all.
Let’s look at the possible objective data. The patient might experience some loss of height over time, and that’s because of the loss of bone mass. Their posture might be really stooped like this woman in this picture here, and they could have that kyphosis of the spine due to the bone breakdown. Bone fractures are really common, especially in the hip and pelvis area and the elderly because they fall with those weakened bones. Pathologic fractures might even occur without any trauma at all.
Let’s discuss the nursing interventions for osteoporosis. You will assess and manage the patient’s pain. Patients often complain of back pain because the vertebrae collapse, or from pain from fractures. Pain control is essential for this person to participate in any rehab activities that you have planned for them. You should make sure you initiate fall precautions because you want to prevent any injuries from occurring falls, and injuries are the most difficult to heal with osteoporosis because their bone takes longer to regenerate. Provide assistance with ambulation, remove any hazards and maintain a clear open path. Support fracture stabilization to allow for healing. If the patient isn’t a cast or a splint, just make sure the device fits properly and assess the skin for good skin integrity and circulation.
Administer medications appropriately, such as by phosphonates hormone therapy or biologic drugs. These drugs are going to help slow bone loss and promote new bone growth. Some indications require weekly, monthly or quarterly injections. You should monitor the patient’s respiratory status for a fat embolism. So, let’s draw our lungs here. What a fat embolism is, is when a fracture occurs in a bone, it’s possible for some of that fat from the inside of the bone to travel out into the circulation and end up in the vessels that are supplying the lungs, which creates an embolism. So, just make sure you monitor for shortness of breath, rapid breathing, and just make sure that everything is okay with the respiratory status, and initiate any precautions as necessary. Assist with repositioning the patient. Pain and injury can make it kind of hard for them to move around, so just help them make sure they’re turning every two hours at least, and just as needed to prevent any skin breakdown, and just assist with any mobility, like getting up to the chair or getting up for a small walk. Make sure you consult physical therapy and occupational therapy as appropriate to work with them because you want them to maintain their functionality and mobility. You should assist with range of motion activities. Immobility can cause atrophy of the muscles, so you need to help them to prevent any injury and keep them moving.
Our last intervention is to educate the patient on lifestyle and nutrition practices. You want to encourage a high intake of calcium and vitamin D because those are going to help with bone growth. Light exercises are great like walking and swimming. Those are just really great ways to stay active and strengthen the muscles around the bones. Smoking cessation should definitely be encouraged if they do smoke because smoking has been shown to affect bone density. Alcohol should be limited because drinking alcohol puts a person more at risk for falls and injuries, and it affects the hormone and vitamin levels in the body.
We love you guys. Now, go out and 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
