Nursing Care Plan (NCP) for Parkinson’s Disease

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Study Tools For Nursing Care Plan (NCP) for Parkinson’s Disease

Parkinson’s Disease Interventions (Picmonic)
Parkinson’s Disease Assessment (Picmonic)
Parkinsons Pathochart (Cheatsheet)
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Outline

Lesson Objective for Nursing Care Plan (NCP) on Parkinson’s Disease

  • Understanding Parkinson’s Disease (PD):
    • Objective: Develop a comprehensive understanding of Parkinson’s Disease, including its etiology, pathophysiology, and the impact on the individual’s motor and non-motor functions.
    • Methods: Study medical literature, consult with healthcare providers, and engage in educational resources to gain insights into the complexities of PD.
  • Assessment of Individual Needs:
    • Objective: Perform a thorough assessment of the specific needs and challenges faced by the individual with Parkinson’s Disease.
    • Methods: Conduct a comprehensive nursing assessment, including a detailed medical history, physical examination, and collaboration with the healthcare team to identify both motor and non-motor symptoms affecting the patient.
  • Developing a Person-Centered Care Plan:
    • Objective: Formulate a person-centered care plan tailored to address the unique needs, goals, and preferences of the individual with Parkinson’s Disease.
    • Methods: Collaborate with the patient, their family, and interdisciplinary healthcare professionals to create a holistic care plan that considers both pharmacological and non-pharmacological interventions.
  • Implementation of Multidisciplinary Interventions:
    • Objective: Implement a multidisciplinary approach to managing Parkinson’s Disease, incorporating medications, physical therapy, occupational therapy, and psychosocial support.
    • Methods: Coordinate with various healthcare professionals, such as neurologists, physical therapists, and social workers, to ensure a comprehensive and coordinated approach to care.
  • Ongoing Evaluation and Adaptation:
    • Objective: Continuously evaluate the effectiveness of the care plan and make necessary adaptations to address evolving needs and optimize the individual’s quality of life.
    • Methods: Regularly assess motor and non-motor symptoms, monitor medication responses, and engage in open communication with the patient and their support system to gather feedback on the impact of interventions.

Pathophysiology of Parkinson’s Disease 

  • Dopaminergic Neuron Degeneration:
    • Primary Feature: Parkinson’s Disease is characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra, a region of the brain involved in movement control.
    • Consequence: Loss of dopamine-producing neurons leads to a deficiency of dopamine, a neurotransmitter critical for coordinating smooth and controlled movements.
  • Formation of Lewy Bodies:
    • Pathological Inclusions: Lewy bodies, abnormal protein aggregates primarily consisting of alpha-synuclein, accumulate within neurons.
    • Impact: Lewy bodies disrupt normal cellular function and are associated with the death of dopaminergic neurons, contributing to the development of motor symptoms.
  • Striatal Dopamine Deficiency:
    • Resultant Effect: With the progressive loss of dopaminergic input, there is a significant reduction in dopamine levels within the striatum, a brain region responsible for regulating voluntary movements.
    • Motor Impairments: Striatal dopamine deficiency leads to motor impairments, including tremors, rigidity, bradykinesia (slowness of movement), and postural instability.
  • Neurotransmitter Imbalance:
    • Dopamine-Acetylcholine Imbalance: The imbalance between dopamine and acetylcholine, another neurotransmitter, disrupts the normal signaling in the basal ganglia, influencing motor control and coordination.
    • Non-Motor Symptoms: Neurotransmitter dysregulation contributes to non-motor symptoms, such as cognitive impairment and psychiatric disturbances.
  • Spread of Pathology to Other Brain Regions:
    • Progressive Nature: The pathology of Parkinson’s Disease can extend beyond the substantia nigra, affecting other brain regions.
    • Non-Motor Manifestations: In addition to motor symptoms, PD can involve non-motor manifestations, including autonomic dysfunction, sleep disturbances, and mood disorders, reflecting the widespread impact of neurodegeneration.

Etiology of Parkinson’s Disease 

  • Idiopathic Nature:
    • Primary Cause: The majority of Parkinson’s Disease cases are idiopathic, meaning the exact cause is unknown.
    • Complex Interaction: Genetic and environmental factors likely interact in a complex manner, contributing to the development of the condition.
  • Genetic Factors:
    • Familial Links: Some cases of PD have a familial component, suggesting a genetic predisposition.
    • Genes Involved: Mutations in specific genes, such as SNCA (alpha-synuclein), LRRK2, and PARKIN, have been implicated in familial forms of the disease.
  • Environmental Factors:
    • Pesticide Exposure: Long-term exposure to certain pesticides and herbicides has been associated with an increased risk of developing PD.
    • Toxin Exposure: Exposure to environmental toxins, including heavy metals like manganese and certain industrial chemicals, may contribute to the risk.
  • Age as a Risk Factor:
    • Prevalence with Age: The incidence of Parkinson’s Disease increases with age, with the majority of cases diagnosed in individuals over the age of 60.
    • Age-Related Changes: Aging processes and cumulative cellular damage may contribute to the vulnerability of dopaminergic neurons.
  • Inflammatory and Neurodegenerative Processes:
    • Role of Inflammation: Chronic neuroinflammation and immune system dysfunction may play a role in the development and progression of PD.
    • Neurodegenerative Cascade: The interplay of inflammatory responses and neurodegenerative processes contributes to the selective loss of dopaminergic neurons.

Desired Outcome for Parkinson’s Disease 

  • Improved Motor Function:
    • Reduced Tremors: Aim for a significant reduction in tremors, allowing for improved motor control and coordination.
    • Enhanced Mobility: Increase the ability to perform daily activities, such as walking and reaching, with greater ease.
  • Enhanced Quality of Life:
    • Improved Independence: Foster independence in daily living activities, minimizing reliance on caregivers or assistive devices.
    • Emotional Well-being: Promote emotional and psychological well-being, addressing any mood disturbances and enhancing overall quality of life.
  • Optimized Medication Management:
    • Balanced Medication Effects: Achieve a balance in medication management to control symptoms effectively while minimizing side effects.
    • Consistent Symptom Control: Maintain a stable control of Parkinson’s symptoms, preventing fluctuations in motor function.
  • Cognitive and Emotional Stability:
    • Preserved Cognitive Function: Aim to preserve cognitive abilities and slow the progression of cognitive decline often associated with PD.
    • Emotional Stability: Address and manage emotional aspects, such as depression and anxiety, contributing to an overall stable mental state.
  • Patient and Caregiver Education:
    • Empowered Patients: Educate individuals with PD and their caregivers about the condition, empowering them to actively participate in their care.
    • Adaptive Strategies: Provide strategies and resources for adapting to the evolving challenges of living with Parkinson’s Disease.

Parkinson’s Disease Nursing Care Plan

 

Subjective Data:

  • Weakness
  • Fatigue
  • Feeling “heavy”
  • Feeling “stiff”
  • Difficulty swallowing

Objective Data:

  • Pill-rolling tremor
  • Shuffling gait
  • Lip smacking
  • Bradykinesia – slow movements
  • Akinesia – loss of voluntary movement
  • Blank facial expression
  • Drooling
  • Dysphagia

Nursing Assessment for Parkinson’s Disease 

 

  • Motor Function:
    • Observation of Tremors: Assess the presence, severity, and characteristics of tremors in various parts of the body.
    • Gait and Balance: Evaluate gait patterns and balance to identify any abnormalities or difficulties in walking.
  • Activities of Daily Living (ADLs):
    • Functional Independence: Assess the patient’s ability to perform ADLs independently, including dressing, grooming, and eating.
    • Fine Motor Skills: Evaluate fine motor skills, such as writing and handling small objects.
  • Medication Management:
    • Review of Medication Regimen: Assess the patient’s understanding and adherence to the prescribed medication regimen.
    • Identification of Side Effects: Monitor for any side effects or adverse reactions related to Parkinson’s medications.
  • Cognitive Function:
    • Memory and Cognitive Assessment: Evaluate memory, attention, and other cognitive functions to identify any signs of cognitive decline.
    • Mood and Emotional State: Assess the patient’s emotional well-being, including the presence of depression, anxiety, or mood swings.
  • Speech and Swallowing:
    • Speech Patterns: Evaluate speech patterns, looking for changes such as slurred speech or a softening of voice.
    • Swallowing Function: Assess swallowing function to identify any difficulties or risk of aspiration.
  • Orthostatic Hypotension:
    • Blood Pressure Monitoring: Monitor blood pressure in various positions to detect orthostatic hypotension, a common issue in Parkinson’s patients.
  • Sleep Patterns:
    • Sleep Quality: Assess the patient’s sleep patterns, including the presence of insomnia or disruptions in sleep.
  • Support System:
    • Family and Caregiver Involvement: Evaluate the level of support from family and caregivers and assess their understanding of the patient’s needs.

 

Implementation for Parkinson’s Disease 

 

  • Medication Administration:
    • Timely Administration: Ensure that Parkinson’s medications are administered on time as prescribed to maintain consistent symptom control.
    • Monitoring Effects: Regularly assess the patient for medication effectiveness and potential side effects, adjusting dosages as needed in collaboration with the healthcare team.
  • Mobility and Exercise:
    • Physical Therapy Referral: Collaborate with physical therapists to develop and implement exercise programs focused on maintaining and improving mobility and balance.
    • Assistive Devices: Provide and educate the patient on the use of assistive devices such as canes or walkers to enhance stability and prevent falls.
  • Speech and Swallowing Therapy:
    • Speech Therapy Referral: Facilitate referral to a speech therapist for exercises and strategies to improve speech clarity and swallowing function.
    • Dietary Modifications: Collaborate with a dietitian to modify the diet based on swallowing difficulties and nutritional needs.
  • Psychosocial Support:
    • Support Groups: Encourage participation in Parkinson’s support groups to provide emotional support, share experiences, and learn coping strategies.
    • Individual Counseling: Offer individual counseling services for patients experiencing emotional challenges, anxiety, or depression.
  • Fall Prevention Measures:
    • Home Safety Assessment: Conduct a home safety assessment to identify and address potential hazards that could contribute to falls.
    • Educate on Fall Prevention: Provide education to the patient and caregivers on strategies to prevent falls, including environmental modifications.

Nursing Interventions and Rationales

 

  • Assess swallow prior to giving anything by mouth – involve Speech Therapy as appropriate

 

Due to muscle weakness, patients may experience difficulty swallowing. It may be appropriate to have ST assess for appropriate interventions to prevent aspiration.

 

  • Encourage PT/OT and the use of assistive devices for ambulation multiple times a day

 

Improving range of motion and muscle strength can help patient to maintain independence. If they do not participate in these activities, muscle atrophy is likely.

 

  • Educate patient on activity and energy conservation options

 

Patients fatigue easily. Teach to cluster care and provide for periods of rest.

 

  • Use rocking motion to initiate movement, especially from sit to stand

 

This momentum can help assist with initiating movements when weakness is present.

 

  • Encourage small, frequent, nutrient-dense meals to get proper caloric intake
    • Increase fluid intake
    • High protein
    • High fiber
    • Avoid foods high in Vit B6

 

As the disease progresses, weakness and dysphagia make preparing and eating meals more difficult. Smaller meals can be easier to consume before getting fatigued. Encourage nutrient dense foods.

Vitamin B6 can interfere with antiparkinsonian drugs.

 

  • Administer medications
    • Dopaminergics
    • Dopamine agonists
      • Levodopa-Carbidopa
    • Anticholinergics

 

The goal is to increase the levels of available dopamine within the central nervous system.

Anticholinergics are given to decrease drooling and secretions.

 

  • Encourage independence as long as possible

 

As the disease progresses, patients will lose their independence. Encourage them to remain an active participant in their care as long as possible.

 

  • Provide resources for community support (i.e. groups)

 

Progressive, degenerative diseases can take their toll on patients and their families emotionally. Having community support is helpful.

Evaluation for Parkinson’s Disease

 

  • Medication Efficacy:
    • Symptom Control: Assess the degree of symptom control achieved with prescribed medications, considering improvements in motor and non-motor symptoms.
    • Adverse Effects: Evaluate for any adverse effects or complications related to Parkinson’s medications.
  • Mobility and Functional Status:
    • Mobility Assessment: Measure changes in mobility, gait, and balance to determine the impact of interventions on the patient’s functional status.
    • Activity Levels: Assess the patient’s ability to perform activities of daily living independently and any changes in their overall activity levels.
  • Speech and Swallowing Function:
    • Speech Clarity: Evaluate improvements in speech clarity through follow-up assessments with a speech therapist.
    • Swallowing Ability: Monitor changes in swallowing function and adjustments to dietary modifications.
  • Psychosocial Well-being:
    • Emotional Well-being: Assess the patient’s emotional well-being, looking for improvements in mood, reduced anxiety, and overall psychological adjustment.
    • Social Interaction: Evaluate the patient’s participation in support groups or counseling sessions and the impact on their social interactions.
  • Fall Prevention Effectiveness:
    • Fall Incidence: Track the occurrence of falls post-implementation of fall prevention measures and assess their effectiveness.
    • Environmental Modifications: Evaluate the success of environmental modifications in reducing fall risks within the patient’s home.


References

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Transcript

Hey guys, in this care plan, we will explore Parkinson’s disease. In this Parkinson’s disease care plan, we will cover the desired outcome, the subjective and objective data along with the nursing interventions and rationales. 

 

Parkinson’s disease is a degenerative neurological disorder that’s characterized by the loss of controlled movement. This is caused by the depletion of circulating dopamine levels in the brain. Dopamine is a neurotransmitter that’s responsible for controlled muscle movements. A genetic component is suspected, but the true cause is unknown. Depletion of the dopamine happens because of the atrophy of a substantia nigra, which is the structure in the midbrain that’s responsible for the situation of dopamine. The desired outcome is to optimize independence in the ability for the patient to care for themselves for as long as possible. We want to improve the dopamine levels in the brain to minimize symptoms. Unfortunately, there is no cure for this disease. 

 

Let’s take a look at the care plan for Parkinson’s disease. Let’s start with the subjective data. So,  the patient is going to be experiencing some weakness, fatigue, difficulty swallowing, they might feel heavy or really stiff and this is all due to the lack of controlled movement because of the lack of dopamine in the brain. 

 

Now, let’s discuss the objective data. You might notice a pill rolling motion. It’s called a pill rolling tremor in the hands that looks like they’re really rolling pills between their thumb and their fingers. The patient with Parkinson’s, they look pretty stiff okay? They’re really stiff and when you get them up to walk, they kind of just shuffle. They don’t move their feet very much, so it’s really difficult for them, and it takes a long time to get them from point A to point B. They have really slowed movements or Brady Kenesha. They might have some lip-smacking, some drooling, a blank face, like a flat affect almost. These symptoms are all due to the loss of muscle control and they worsen as the disease progresses. 

 

You will assess the patient’s ability to swallow before you give them anything by mouth to avoid aspiration, because remember, their muscles are weak and it causes a difficult time swallowing. Involve speech therapy as appropriate for interventions and assessments pertaining to the patient’s abilities or inabilities regarding swallowing different foods and drinks. Encourage your patient to work with the PTO team and use assistive devices for ambulation multiple times a day. You want to keep them moving. You want to help them improve their range of motion by working with them. You want to encourage them to maintain independence for as long as possible. If they don’t participate in these activities, muscle atrophy is going to occur, and this is not fun. I mean, then they can’t really do as much in the end, so you want to guide these patients to do as much as they can and you want to encourage independence. Educate your patient on activity and energy conservation options because these patients are going to fatigue easily. Teach them how to cluster care and allow for periods of rest. It’s super helpful to teach your patients to try to use that rocking motion. If they’re sitting in a chair and you want to get them up, just have them rock back and forth a few times. Getting that momentum is going to help assist with getting up when weakness is present. 

 

You want to encourage small, frequent, nutrient dense meals. This is because you want to make sure they get the proper caloric intake. It’s harder for them to eat. They have weak muscles. It’s hard to chew and hard to swallow, so try to encourage high fluid intake. Encourage protein-rich foods and high fiber. They should avoid foods that are high in B6 because these can interfere with anti-Parkinsonian drugs. Administer medications as ordered by the doctor to help increase the levels of dopamine in the brain. Carbidopa levodopa is a super commonly used drug. Anticholinergics can also be used to decrease drooling and secretions. 

 

You want to provide resources for the patient and family for community support. This is a tough time that they’re going to be going through right? Progressive degenerative diseases can really take a toll on the patients and their family. Having community support is very helpful for them. 

 

We love you guys. Now, go out and be your best self today and as always, happy nursing!

 

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Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
Hygiene
Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension (HTN) Concept Map
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)
Hypoglycemia symptoms Nursing Mnemonic (DIRE)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
ICU Nurse Report to OR (Operating)Team
Immunology Module Intro
Impulse Transmission
Inflammatory Bowel Disease Case Study (45 min)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Mammogram
Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)
Management of Lyme Disease Nursing Mnemonic (BAR)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Mechanical Aids
Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)
Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Melanoma
Meniere’s Disease
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
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 Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
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 Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
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 Gastroesophageal Reflux Disease (GERD)
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 Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
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 Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
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 Meniere’s Disease
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 Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
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 Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
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 Rhabdomyolysis
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 Seizures
Nursing Care Plan (NCP) for Sepsis
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 Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
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 Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
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 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
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Ovarian Cancer
Oxygen Delivery Module Intro
Pacemakers
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient Positioning
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Post-Anesthesia Recovery
Postoperative (Postop) Complications
PPE Donning & Doffing
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pupil Reactions Nursing Mnemonic (PERRLA)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
Reactivation of Herpes Zoster Nursing Mnemonic (FICA)
Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)
Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Gloves
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Incisions & Drain Sites
Surgical Prep
Sympatholytics (Alpha & Beta Blockers)
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)
Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thrombin Inhibitors
Thrombocytopenia
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Seizure Documentation Nursing Mnemonic (TDOC)