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Tag Archives: NCP Chirosis
NURSING DIAGNOSIS: Knowledge Deficit
- Lack of exposure/recall; information misinterpretation
- Unfamiliarity with information resources
- Questions; request for information, statement of misconception
- Inaccurate follow-through of instructions/development of preventable complications
- Verbalize understanding of disease process/prognosis, potential complications.
- Correlate symptoms with causative factors.
- Identify/initiate necessary lifestyle changes and participate in care.
NURSING DIAGNOSIS: Self-Esteem/Body Image disturbed
- Biophysical changes/altered physical appearance
- Uncertainty of prognosis, changes in role function
- Personal vulnerability
- Self-destructive behavior (alcohol-induced disease)
- Verbalization of change/restriction in lifestyle
- Fear of rejection or reaction by others
- Negative feelings about body/abilities
- Feelings of helplessness, hopelessness, or powerlessness
- Verbalize understanding of changes and acceptance of self in the present situation.
- Identify feelings and methods for coping with negative perception of self.
NURSING DIAGNOSIS: Breathing Pattern, risk for ineffective
- Intra-abdominal fluid collection (ascites)
- Decreased lung expansion, accumulated secretions
- Decreased energy, fatigue
- Maintain effective respiratory pattern; be free of dyspnea and cyanosis, with ABGs and vital capacity within acceptable range.
NURSING DIAGNOSIS: Skin Integrity, risk for impaired
- Altered circulation/metabolic state
- Accumulation of bile salts in skin
- Poor skin turgor, skeletal prominence, presence of edema, ascites
- Maintain skin integrity.
- Identify individual risk factors and demonstrate behaviors/techniques to prevent skin breakdown.
Nursing Diagnosis: Nutrition: imbalanced, less than body requirements
- Inadequate diet; inability to process/digest nutrients
- Anorexia, nausea/vomiting, indigestion, early satiety (ascites)
- Abnormal bowel function
- Weight loss
- Changes in bowel sounds and function
- Poor muscle tone/wasting
- Imbalances in nutritional studies
- Demonstrate progressive weight gain toward goal with patient-appropriate normalization of laboratory values.
- Experience no further signs of malnutrition.
Cirrhosis is a chronic disease of the liver characterized by alteration in structure, degenerative changes and widespread destruction of hepatic cells, impairing cellular function and impeding blood flow through the liver. Causes include malnutrition, inflammation (bacterial or viral), and poisons (e.g., alcohol, carbon tetrachloride, acetaminophen). Cirrhosis is the fourth leading cause of death in the United States among people ages 35 to 55 and represents a serious threat to long-term health.
8 Liver Cirrhosis Nursing Care Plans
- Imbalanced Nutrition — Liver Cirrhosis
- Excess Fluid Volume — Liver Cirrhosis
- Impaired Skin Integrity — Liver Cirrhosis
- Ineffective Breathing Pattern — Liver Cirrhosis
- Risk for Injury — Liver Cirrhosis
- Risk for Acute Confusion — Liver Cirrhosis
- Disturbed Body Image/Self-Esteem — Liver Cirrhosis
- Knowledge Deficit — Liver Cirrhosis