Nursing Care Plan (NCP) for Restrictive Lung Diseases

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Included In This Lesson

Study Tools For Nursing Care Plan (NCP) for Restrictive Lung Diseases

Restrictive vs. Obstructive Lung Diseases (Picmonic)
Restrictive Lung Disease Pathochart (Cheatsheet)
Example Care Plan_Restrictive Lung Diseases (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
Restrictive Lung Disease Causes (Mnemonic)

Outline

Lesson Objectives for Restrictive Lung Diseases

  • Definition and Classification:
    • Understand the definition of restrictive lung diseases and differentiate them from obstructive lung diseases.
    • Classify different types of restrictive lung diseases, such as interstitial lung disease, pulmonary fibrosis, and chest wall disorders.
  • Pathophysiology:
    • Explore the underlying pathophysiology of restrictive lung diseases, focusing on mechanisms that limit lung expansion and reduce lung compliance.
    • Understand the role of inflammation, scarring, and structural changes in lung tissues.
  • Clinical Manifestations:
    • Recognize the common clinical manifestations of restrictive lung diseases, including dyspnea, reduced lung volumes, and impaired gas exchange.
    • Differentiate these symptoms from those seen in obstructive lung diseases.
  • Diagnostic Tools:
    • Learn about diagnostic tools used to assess and diagnose restrictive lung diseases, such as pulmonary function tests (PFTs), chest imaging, and arterial blood gases (ABGs).
    • Understand the significance of these tests in evaluating lung function and severity.
  • Management and Interventions:
    • Explore the management strategies for individuals with restrictive lung diseases, including pharmacological treatments, oxygen therapy, pulmonary rehabilitation, and surgical interventions.
    • Understand the importance of a multidisciplinary approach to care.

Pathophysiology for Restrictive Lung Diseases

 

  • Decreased Lung Compliance:
    • Restrictive lung diseases are characterized by decreased lung compliance, meaning that the lungs become stiff and less able to expand during inhalation. This reduced compliance makes it challenging for the lungs to adequately fill with air.
  • Interstitial Lung Involvement:
    • Many restrictive lung diseases primarily affect the lung interstitium, the tissue that surrounds the air sacs (alveoli) and supports the lung structure. Inflammation, scarring (fibrosis), or fluid accumulation in the interstitium can impair lung function.
  • Alveolar Wall Thickening:
    • Thickening of the alveolar walls is a common feature in restrictive lung diseases. This thickening can result from inflammation, fibrosis, or the deposition of substances such as collagen, impeding the efficient exchange of oxygen and carbon dioxide.
  • Reduced Total Lung Capacity:
    • Restrictive lung diseases lead to a reduction in total lung capacity, which is the maximum amount of air the lungs can hold. This decrease is primarily due to impaired expansion of the lungs and decreased compliance.
  • Impaired Gas Exchange:
    • The structural changes in the lungs associated with restrictive diseases compromise the ability of the alveoli to exchange oxygen and carbon dioxide efficiently. This can result in hypoxemia (low blood oxygen levels) and respiratory distress.
  • Increased Work of Breathing:
    • Due to the stiffening of lung tissue and reduced lung compliance, individuals with restrictive lung diseases may experience increased work of breathing. This can lead to fatigue and difficulty sustaining normal respiratory patterns.

Etiology for Restrictive Lung Diseases

  • Interstitial Lung Diseases (ILDs):
    • Various interstitial lung diseases, including idiopathic pulmonary fibrosis (IPF), sarcoidosis, and connective tissue diseases (e.g., rheumatoid arthritis, systemic sclerosis), can lead to restrictive lung patterns. These diseases involve inflammation and scarring of the lung tissue.
  • Occupational Exposures:
    • Prolonged exposure to occupational hazards, such as asbestos, silica, or coal dust, can contribute to the development of restrictive lung diseases. Individuals working in certain industries, like mining or construction, may be at an increased risk.
  • Environmental Exposures:
    • Exposure to environmental factors such as airborne pollutants, pollutants from biomass fuel combustion, and certain chemicals can contribute to the development of restrictive lung diseases. Individuals living in areas with poor air quality may be more susceptible.
  • Radiation Therapy:
    • Therapeutic radiation, particularly when used to treat cancers in the chest area, can lead to lung tissue damage and fibrosis, resulting in a restrictive lung pattern.
  • Drug-Induced Lung Disease:
    • Certain medications, such as chemotherapy drugs, anti-inflammatory medications (e.g., methotrexate), and some antibiotics, may cause lung damage and fibrosis, leading to restrictive lung diseases.
  • Inflammatory and Autoimmune Conditions:
    • Inflammatory conditions, including rheumatoid arthritis, systemic sclerosis, and sarcoidosis, can trigger an immune response that affects the lungs, leading to inflammation and fibrosis. These autoimmune processes can result in a restrictive lung pattern.

Desired Outcome for Restrictive Lung Diseases

  • Improved Gas Exchange:
    • Achieve and maintain optimal oxygen saturation levels.
    • Minimize hypoxemia and respiratory distress.
  • Enhanced Breathing Pattern:
    • Attain a more effective and efficient breathing pattern.
    • Reduce respiratory muscle fatigue and work of breathing.
  • Increased Exercise Tolerance:
    • Improve the individual’s ability to engage in activities of daily living without excessive breathlessness.
    • Enhance overall physical endurance and stamina.
  • Adherence to Medication Regimen:
    • Ensure consistent adherence to prescribed medications.
    • Optimize the therapeutic effects of bronchodilators, anti-inflammatory drugs, or immunosuppressants.
  • Improved Quality of Life:
    • Enhance the individual’s overall quality of life by minimizing respiratory symptoms and improving functional capacity.
    • Facilitate participation in social, recreational, and occupational activities.

Restrictive Lung Diseases Nursing Care Plan

 

Subjective Data:

  • Feeling SOB
  • “Can’t catch my breath”
  • Dyspnea on exertion

Objective Data:

  • Hypoxia
  • Hypercapnia 
  • Blue skin, lips, nail beds
  • Clubbing of fingers
  • Shallow breathing
  • Excess secretions
  • Accessory muscle use 
  • Decrease SpO2
  • Presence of physical disorder (ALS, MD, quadriplegia)

Nursing Assessment for Restrictive Lung Diseases:

 

  • Respiratory Assessment:
    • Monitor respiratory rate, depth, and effort.
    • Assess for signs of increased work of breathing and use of accessory muscles.
  • Oxygen Saturation Monitoring:
    • Continuously monitor oxygen saturation levels using pulse oximetry.
    • Evaluate the need for supplemental oxygen based on saturation levels.
  • Breath Sounds Evaluation:
    • Auscultate breath sounds to identify any abnormal sounds, such as crackles or decreased breath sounds.
    • Monitor for changes indicating worsening lung function.
  • Chest Assessment:
    • Evaluate chest movement and symmetry during respiration.
    • Assess for any visible signs of chest wall abnormalities or retractions.
  • Dyspnea Assessment:
    • Assess the individual’s perception of dyspnea using a scale or verbalization.
    • Explore factors that exacerbate or alleviate breathlessness.
  • Activity Tolerance:
    • Assess the individual’s ability to perform activities of daily living.
    • Explore any limitations or changes in functional capacity.
  • Psychosocial Assessment:
    • Evaluate the impact of restrictive lung diseases on the individual’s psychosocial well-being.
    • Assess coping mechanisms, emotional responses, and support systems.

 

Implementation for Restrictive Lung Diseases:

 

  • Oxygen Therapy:
    • Administer supplemental oxygen as prescribed to maintain adequate oxygen saturation.
  • Positioning and Respiratory Support:
    • Assist the individual in finding a comfortable position that optimizes lung expansion.
    • Provide respiratory support, such as non-invasive ventilation, as indicated.
  • Energy Conservation Techniques:
    • Educate the individual on energy conservation techniques to reduce respiratory fatigue.
    • Encourage the prioritization of activities to minimize breathlessness.
  • Medication Administration:
    • Administer prescribed medications, such as bronchodilators and anti-inflammatory drugs, as directed.
    • Monitor for side effects and assess the individual’s response to medications.
  • Pulmonary Rehabilitation Referral:
    • Facilitate a referral to pulmonary rehabilitation programs to enhance exercise tolerance and respiratory muscle strength.
    • Collaborate with the healthcare team to coordinate comprehensive care.

Nursing Interventions and Rationales for Restrictive Lung Diseases

 

Nursing Intervention (ADPIE) Rationale
Maintain patent airway-cough assist therapy, suctioning secretions ensures patient is getting adequate oxygen to the body/tissues 
Full respiratory assessment- baseline lung sounds, labs  you will notice when the condition has worsened or when an intervention has worked. ABG’s can show if interventions are working or if patient is decompensating 
Provide supplemental O2 as needed  supplemental O2 can help improve the patient’s overall oxygenation needs 
Cluster Care  helps decrease oxygen demands and patients rest is maximized
Patient sitting upright for optimal breathing  sitting up ensures appropriate lung expansion and allows for maximum inspiration/expiration which in turn gets better gas exchange 
Prevent pneumonia-oral hygiene, suctioning, trach care  most common cause of restrictive lung disease. Prevents any infection from occurring 
Appropriate nutrition  malnourishment is common with lung disease. Nutrition is essential to support healing 
Provide Oral Care  helps protect the mucous membrane and prevent infection 
Educating patient/families  if patient has any of the extrinsic causes, giving coping mechanisms and ways to help improve the patients state of mind and quality of life 

Evaluation for Restrictive Lung Diseases

 

  • Improved Gas Exchange:
    • Monitor for improvements in gas exchange, as evidenced by stable or improved oxygen saturation levels.
    • Assess changes in respiratory rate and effort.
  • Effective Breathing Pattern:
    • Evaluate the effectiveness of interventions in promoting an effective breathing pattern.
    • Monitor for a reduction in respiratory muscle fatigue and signs of improved respiratory function.
  • Adherence to Medication Regimen:
    • Assess the individual’s adherence to prescribed medications and any reported side effects.
    • Provide education and support for medication management.
  • Enhanced Exercise Tolerance:
    • Evaluate the impact of pulmonary rehabilitation on exercise tolerance and functional capacity.
    • Assess the individual’s ability to perform activities of daily living without excessive fatigue.
  • Multidisciplinary Collaboration:
    • Assess the effectiveness of collaboration with the healthcare team, including respiratory therapists, pulmonologists, and rehabilitation specialists.
    • Ensure that care is coordinated and individualized based on the specific needs of the person with restrictive lung disease.


References

  • https://my.clevelandclinic.org/health/diseases/17809-interstitial-lung-disease
  • https://www.hopkinsmedicine.org/health/conditions-and-diseases/restrictive-lung-disease

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Transcript

Hey everyone, Today, we’re going to be creating a nursing care plan for restrictive lung diseases. So, let’s get started. So first we’re going to go over the pathophysiology. So restrictive lung disease is a condition, either intrinsic or extrinsic, that causes the lungs to lose their ability to expand and contract. Some nursing considerations are respiratory status, supplemental O2, maintaining a patent airway, clustering care, giving appropriate nutrition and educating the patient and family. Some desired outcomes: we’re going to optimize oxygenation and ventilation, prevent pulmonary infections, and provide supportive care for the patient and family. 

So, we’re going to go ahead and get started on the care plan. Some subjective data, what are we going to see with these patients? So, a lot of patients will complain of having some shortness of breath. That is one of the most common ones. You’ll also see maybe possible clubbing of the fingers, some shallow breathing, or some accessory muscle use. Some other things you might see is dyspnea upon exertion hypoxia. Hypercapnia, some blue skin, lips, or nail beds, shallow breathing, clubbing of fingers, excess secretions, decreased SpO2, and the presence of a physical disorder, such as ALS, MD and, and quadriplegia. 

So, interventions, we want to make sure we’re doing a full respiratory assessment. So respiratory assessment. We also want to look at giving supplemental O2. We want to make sure we have a baseline lung sounds. We might want to get some ABGs. You’ll notice when this condition has worsened or when an intervention has worked. ABGs can show if interventions are working or if a patient is decompensating; it can tell if a patient is metabolic or respiratory acidosis. Another intervention we’re going to be doing we want to make sure we’re maintaining a patent airway. And we can help with cough assisting therapy, suctioning, secretions, ensuring that the patient’s getting an adequate amount of oxygen to the body and tissues want to make sure that we’re doing cluster care. This is going to help decrease oxygen demands and the patient’s rest is more maximized. So, the more that we can do in one time when we’re with the patient, the better. We want to make sure that the patient’s sitting upright for optimal breathing. So have the patient in like a high fowler’s position. So, like 90 degrees sitting upright ensures appropriate lung expansion, and it allows for maximum inspiration and expiration, which in turn gets better. gas exchange. Another invention we want to do is we want to make sure that we’re preventing pneumonia as it’s a complication. We want to make sure we’re performing good oral hygiene, making sure we’re suctioning the patient as needed and/or trach care. If they have a trach that’s placed, most common with a restrictive lung disease is pneumonia, and proper care prevents any infection from occurring. Another invention that we’re going to be doing is to make sure that the patient has proper nutrition. Malnourishment is common with lung disease. So, nutrition is essential to support healing. We want to make sure we’re educating the patient and families. So education. If a patient has any of the extrinsic causes, we want to make sure that we’re giving them coping mechanisms and ways to help improve their patient’s state of mind and quality of life. 

Okay, we’re going to go over some key points. So, this is a condition, either intrinsic or extrinsic, that causes the lungs to lose their ability to expand and contract. It can be caused by inflammation, sarcoidosis, ARDS, pulmonary fibrosis, and pneumonia. Some subjective and objective data: you’re going to see they’ll complain of some shortness of breath. Dyspnea upon exertion, hypoxemia, clubbing of the fingers, maybe some blue skin lips, nail beds, accessory, muscle use, shallow breathing and decreased SpO2. We’re going to do an assessment. We’re going to make sure we’re doing respiratory assessments, maintaining a patent airway, making sure the patient’s sitting upright, preventing complications, such as pneumonia. We’re going to make sure we’re providing supplemental O2, doing cluster care, giving appropriate nutrition and making sure we’re educating the patients. And there you have it, a completed care plan. 

Great job guys. We love you. 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