[email protected]

New Order

Nursing Diagnoses And Pain Management Assignment Paper

Nursing Diagnoses And Pain Management Assignment Paper

Professional Practice Develop a standardized care map for three NANDA nursing diagnosis of your choice using ANA recognized terminologies and data element sets. fully identifies two Data Element Sets , (identifying two specific examples from personal practice from the ANA that are important for the care map to provide high quality and safe patient care Includes 3 appropriate nursing outcomes from NOC Resources: Preform a Google search to pull up a detailed list of the ANA recognized Data Element Sets. Data Element Sets: PCDS NANDA ICNP NIC SNOMED CT NOC LOINC® NMDS CCC NMMDS OMAHA ABCCodes 1. All submissions should have a title page and reference page. 2. Utilize a minimum of three scholarly resources. 3. Adhere to grammar, spelling, and punctuation criteria. 4. Adhere to APA compliance guidelines.  Nursing Diagnoses And Pain Management Assignment Paper

ORDER A PLAGIARISM-FREE PAPER HERE

The three NANDA nursing diagnoses I have chosen are;

 

  • Acute Pain
  1. Assess pain using a standardized pain assessment tool at least every 4 hours.
  2. Administer analgesics as prescribed and document pain relief and adverse effects.
  • Encourage the use of non-pharmacologic pain relief measures such as relaxation techniques, imagery, and position changes.
  1. Reassess pain after interventions and document pain relief and adverse effects.
  2. Educate the patient and family about pain management.

 

ABCCodes are important in nursing diagnoses of Acute pain because they provide a way to standardize the care that is provided to patients (Silva et al., 2019). By using these codes, nurses ensure that they are providing the best possible care to their patients and that they are following the most up-to-date evidence-based guidelines. The three possible interventions for a patient with the nursing diagnosis of Acute pain based on ABCCodes are; the administration of pain medication as prescribed, application of heat or cold therapy to the affected area, and encouraging the patient to participate in relaxation techniques or other forms of distraction. Nursing Diagnoses And Pain Management Assignment Paper

  • Risk for Falls
  1. Assess the patient’s risk factors for falls, including age, mobility, medications, and vision.
  2. Develop a plan to reduce the patient’s risk factors for falls.
  • Educate the patient and family about fall prevention.
  1. Implement fall prevention strategies, such as handrails and grab bars in the home, as needed.
  2. Monitor the patient for signs and symptoms of falls.
  3. Evaluate the effectiveness of fall prevention strategies.

The Nursing Management Minimum Data Set (NMDS) can play a role in fall prevention by providing data that can help to assess a patient’s risk factors for falls and develop a plan to reduce those risk factors. The NMDS can also help to monitor the patient for signs and symptoms of falls and evaluate the effectiveness of fall prevention strategies. Nursing Diagnoses And Pain Management Assignment Paper

  • Impaired Skin Integrity

The care map for Impaired Skin Integrity would include the following interventions:

  1. Assess the client’s skin for integrity and inflammation.
  2. Inspect the client’s skin for any signs of infection.
  • Cleanse the client’s skin with a mild soap and water solution.
  1. Apply a barrier cream or ointment to the client’s skin.
  2. Keep the client’s skin clean and dry.
  3. Monitor the client’s skin for any further signs of inflammation or infection.
  • Refer the client to a dermatologist or other skin specialist if necessary. Nursing Diagnoses And Pain Management Assignment Paper

SNOMED CT can be used to code the care map for Impaired Skin Integrity in a number of ways. First, it can be used to code the diagnosis (e.g., skin breakdown, pressure ulcer, etc.), which will help to ensure that the correct care is provided. Second, it can be used to code the interventions that are being carried out (e.g., wound dressing, skincare, etc.), which will help to ensure that the care plan is followed. Finally, it can be used to code the outcomes of the care (e.g., healed wound, improved skin condition, etc.), which will help to evaluate the effectiveness of the care.

 

Full Identification of ABCCodes and SNOMED CT Data Element Sets

ABCCodes are a type of medical code used to classify and describe medical diagnoses and treatments. The codes are used by healthcare providers to record and exchange electronic health information. The codes are based on the World Health Organization’s International Classification of Diseases (ICD) and the American Medical Association’s Current Procedural Terminology (CPT) codes. SNOMED CT Data Element Sets are a standardized vocabulary of clinical terms that can be used to record and exchange electronic health information (Taghavi Larijani and Saatchi, 2019). The data element sets are based on the International Organization for Standardization’s (ISO) 11179 standard and the Health Level Seven (HL7) Reference Information Model (RIM)Nursing Diagnoses And Pain Management Assignment Paper. The data element sets include terms from a variety of clinical domains, such as anatomy, physiology, and pathology.

On the one hand, Acute pain is a common problem experienced by patients in a variety of healthcare settings. Pain is a subjective experience, and therefore can be difficult to measure. However, it is important to assess a patient’s pain in order to provide adequate pain relief (Silva et al., 2020). The ANA’s Standards for Nursing Care in Acute Care Settings recommends that nurses use a variety of methods to assess a patient’s pain, including self-report, behavioral observations, and physiologic measures. On the other hand, impaired skin integrity is a common problem in healthcare settings. It is often caused by a variety of factors, including medical conditions, treatments, and medications. Skin integrity is important to protect patients from infection, dehydration, and other complications. The ANA’s Standards for Nursing Care in Acute Care Settings suggests that nurses should assess a patient’s skin for integrity and moisture, and take steps to prevent and treat skin breakdown Nursing Diagnoses And Pain Management Assignment Paper.

References

Silva, C. G. D., Vega, E. A. U., Cordova, F. P., Carneiro, F. A., Azzolin, K. D. O., Rosso, L. H. D., … & Almeida, M. D. A. (2020). SNOMED-CT as a standardized language system model for nursing: an integrative review. Revista Gaúcha de Enfermagem, 41. https://doi.org/10.1590/1983-1447.2020.20190281

ORDER TODAY

Silva, D. V. A., Sousa, I. N. M., Rodrigues, C. A. O., Pereira, F. A. F., Gusmão, R. O. M., & Araújo, D. D. D. (2019). Nursing diagnoses in a home-based program: cross-mapping and NANDA-I Taxonomy. Revista Brasileira de Enfermagem, 72, 584-591. https://doi.org/10.1590/0034-7167-2018-0323

Taghavi Larijani, T., & Saatchi, B. (2019). Training of NANDA‐I nursing diagnoses (NDs), nursing interventions classification (NIC) and nursing outcomes classification (NOC), in psychiatric wards: A randomized controlled trial. Nursing Open, 6(2), 612-619. https://doi.org/10.1002/nop2.244 Nursing Diagnoses And Pain Management Assignment Paper