Example Nursing Care Plan?

  1. 1
    Does anyone have an example of a care plan for a pt with Carbuncle?
    NFPNN7 likes this.
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  4. 0
    carbuncle? is that a barnacle stuck to your car? i'm intrigued and of no help at all.

    dan
  5. 0
    Quote from danger
    carbuncle? is that a barnacle stuck to your car? i'm intrigued and of no help at all.

    dan
    close but no cigar dan

    a carbuncle is an abscess larger than a boil, usually with one or more openings draining pus onto the skin. it is usually caused by bacterial infection.
    most carbuncles are caused by the bacteria staphylococcus aureus. the infection is contagious and may spread to other areas of the body or other people.
    a carbuncle is made up of several skin boils. the infected mass is filled with fluid, pus, and dead tissue. fluid may drain out of the carbuncle, but sometimes the mass is so deep that it cannot drain on its own. carbuncles may develop anywhere, but they are most common on the back and the nape of the neck. men get carbuncles more often than women. because the condition is contagious, family members may develop carbuncles at the same time. often, the direct cause of a carbuncle cannot be determined. things that make carbuncle infections more likely include friction from clothing or shaving, generally poor hygiene and weakening of immunity. for example, persons with diabetes and immune system diseases are more likely to develop staphylococcal infections.
    the carbuncle may be the size of a pea or as large as a golf ball. it may be red and irritated and might hurt when you touch it. it may also grow very fast and have a white or yellow center. it may crust or spread to other skin areas. sometimes, other symptoms may occur. these may include fatigue, fever and general discomfort or sick feeling. sometimes an itching occurs before the carbuncle develops.
  6. 0
    Quote from Dabighawk79
    Does anyone have an example of a care plan for a pt with Carbuncle?
    How about these Nursing Dx's to start off with and build upon with goals and interventions:
    Disturbed body image (I imagine these are very unsightly and could cause a person to have a disturbed body image)

    Impaired skin integrity (r/t openings in the skin)

    Infection (from the bacteria that caused the carbuncle)

    Pain (acute)

    Ineffective protection (r/t the impaired skin integrity and infection)
  7. 0
    Quote from CT Pixie
    How about these Nursing Dx's to start off with and build upon with goals and interventions:
    Disturbed body image (I imagine these are very unsightly and could cause a person to have a disturbed body image)

    Impaired skin integrity (r/t openings in the skin)

    Infection (from the bacteria that caused the carbuncle)

    Pain (acute)

    Ineffective protection (r/t the impaired skin integrity and infection)
    I have never heard of Ineffective protection or Infection, are these new ones from NANDA?
  8. 1
    Quote from psychnursewannabe
    i have never heard of ineffective protection or infection, are these new ones from nanda?
    mosby's dictionary of medicine, nursing & health professions 7th edition (2006) has it listed as approved nanda for both.

    however, i, mistakenly left out risk for with the infection.

    the ineffective protection is described as decrease in the ability to guard the self from internal or external threats, such as illness or injury

    here is a list of 2003-2004 nanda approved diagnoses:
    [color=#231f20]
    activity intolerance
    activity intolerance, risk for
    adaptive capacity: intracranial, decreased
    adjustment, impaired
    airway clearance, ineffective
    anxiety
    anxiety, death
    aspiration, risk for
    attachment, parent/infant/child, risk for impaired
    body image, disturbed
    body temperature: imbalanced, risk for
    bowel incontinence
    breastfeeding, effective
    breastfeeding, ineffective
    breastfeeding, interrupted
    breathing pattern, ineffective
    cardiac output, decreased
    caregiver role strain
    caregiver role strain, risk for
    communication, readiness for enhanced
    communication: verbal, impaired
    confusion, acute
    confusion, chronic
    constipation
    constipation, perceived
    constipation, risk for
    coping: community, ineffective
    coping: community, readiness for enhanced
    coping, defensive
    coping: family, compromised
    coping: family, disabled
    coping: family, readiness for enhanced
    coping (individual), readiness for enhanced
    coping, ineffective
    decisional conflict (specify)
    denial, ineffective
    dentition, impaired
    development: delayed, risk for
    diarrhea
    disuse syndrome, risk for
    diversional activity, deficient
    dysreflexia, autonomic
    dysreflexia, autonomic, risk for
    energy field, disturbed
    environmental interpretation syndrome, impaired
    failure to thrive, adult
    falls, risk for
    family processes, dysfunctional: alcoholism
    family processes, interrupted
    family processes, readiness for enhanced
    fatigue
    fear
    fluid balance, readiness for enhanced
    fluid volume, deficient
    fluid volume, deficient, risk for
    fluid volume, excess
    fluid volume, imbalanced, risk for
    gas exchange, impaired
    grieving, anticipatory
    grieving, dysfunctional
    growth, disproportionate, risk for
    growth and development, delayed
    health maintenance, ineffective
    health-seeking behaviors (specify)
    home maintenance, impaired
    hopelessness
    hyperthermia
    hypothermia
    identity: personal, disturbed
    infant behavior, disorganized
    infant behavior: disorganized, risk for
    infant behavior: organized, readiness for
    enhanced
    infant feeding pattern, ineffective
    infection, risk for
    injury, risk for
    knowledge, deficient (specify)
    knowledge (specify), readiness for enhanced
    latex allergy response
    latex allergy response, risk for
    loneliness, risk for
    memory, impaired
    mobility: bed, impaired
    mobility: physical, impaired
    mobility: wheelchair, impaired
    nausea
    neurovascular dysfunction: peripheral, risk for
    noncompliance (specify)
    nutrition, imbalanced: less than body
    requirements
    nutrition, imbalanced: more than body
    requirements
    nutrition, imbalanced: more than body
    requirements, risk for
    nutrition, readiness for enhanced
    oral mucous membrane, impaired
    pain, acute
    pain, chronic
    parenting, impaired
    parenting, readiness for enhanced
    parenting, risk for impaired
    perioperative positioning injury, risk for
    poisoning, risk for
    posttrauma syndrome
    posttrauma syndrome, risk for
    powerlessness
    powerlessness, risk for
    protection, ineffective
    rape-trauma syndrome
    rape-trauma syndrome: compound reaction
    rape-trauma syndrome: silent reaction
    relocation stress syndrome
    relocation stress syndrome, risk for
    role conflict, parental
    role performance, ineffective
    self-care deficit: bathing/hygiene
    self-care deficit: dressing/grooming
    self-care deficit: feeding
    self-care deficit: toileting
    self-concept, readiness for enhanced
    self-esteem, chronic low
    self-esteem, situational low
    self-esteem, risk for situational low
    self-mutilation
    self-mutilation, risk for
    sensory perception, disturbed (specify: visual,
    auditory, kinesthetic, gustatory, tactile,
    olfactory)
    sexual dysfunction
    sexuality patterns, ineffective
    skin integrity, impaired
    skin integrity, risk for impaired
    sleep deprivation
    sleep pattern disturbed
    sleep, readiness for enhanced
    social interaction, impaired
    social isolation
    sorrow, chronic
    spiritual distress
    spiritual distress, risk for
    spiritual well-being, readiness for enhanced
    spontaneous ventilation, impaired
    sudden infant death syndrome, risk for
    suffocation, risk for
    suicide, risk for
    surgical recovery, delayed
    swallowing, impaired
    therapeutic regimen management: community,
    ineffective
    therapeutic regimen management, effective
    therapeutic regimen management: family,
    ineffective
    therapeutic regimen management, ineffective
    therapeutic regimen management, readiness for
    enhanced
    thermoregulation, ineffective
    thought processes, disturbed
    tissue integrity, impaired
    tissue perfusion, ineffective (specify: renal,
    cerebral, cardiopulmonary, gastrointestinal,
    peripheral)
    transfer ability, impaired
    trauma, risk for
    unilateral neglect
    urinary elimination, impaired
    urinary elimination, readiness for enhanced
    urinary incontinence, functional
    urinary incontinence, reflex
    urinary incontinence, stress
    urinary incontinence, total
    urinary incontinence, urge
    urinary incontinence, risk for urge
    urinary retention
    ventilatory weaning response, dysfunctional
    violence: other-directed, risk for
    violence: self-directed, risk for
    walking, impaired
    wandering

    [color=#231f20]
    source. nanda nursing diagnoses: definitions
    and classification, 2003–2004.
    [color=#231f20]philadelphia:
    north american nursing diagnosis association.


    PsychNurseWannaBe likes this.
  9. 0
    Quote from dabighawk79
    does anyone have an example of a care plan for a pt with carbuncle?
    it is not likely that you are going to find one. you are going to have to write your own care plan for this. is this your first care plan? a care plan is nothing more than writing down your problem solving process. in order to do that you follow the steps of the nursing process which are:
    1. assessment (collect data from the medical record and by doing a physical assessment of the patient)
    2. nursing diagnosis (separate out the abnormal assessment data and match it with likely nursing diagnoses, decide on the nursing diagnosis to use)
    3. planning (write measurable goals/outcomes and nursing interventions based upon the patient's signs and symptoms)
    4. implementation (initiate the care plan)
    5. evaluation (determine if goals/outcomes have been met)
    your assessment of the patient and the signs and symptoms that you find during your assessment form the foundation of the care plan. ct pixie gave you some good information about a carbuncle, but you should also look up the information yourself. you will find plenty of weblinks in which to do this if you cannot find any information in your textbooks at home in the weblinks listed on post #1 on this sticky thread along with the common medical treatments:
    list out any of the signs and symptoms your patient had, especially if you discover you missed any after you've looked at some references. this is how you will learn about this condition. those signs and symptoms then become the defining characteristics that form the basis of any nursing diagnoses that you end up using, as well as the basis of any goals and nursing interventions. just saying that a patient has a carbuncle is not enough information to pick a nursing diagnosis.

    a nursing diagnosis is nothing more than a label that you attach to a problem that you discover the patient has. a diagnosis is the resulting decision or opinion you make after your perform an examination or investigation of the facts. doctors do the same thing. you cannot put a nursing diagnosis on anyone's nursing problems until you have done this assessment and determined the facts (signs and symptoms that they have).

    you can find more information on writing a care plan on these two sticky threads on allnurses:
    if you still need help after doing all that, post a list of your patient's signs and symptoms and ask and i will help you.


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