5. V-QJJ347)gMS-~{Gg0 b/mE BBpW gjag:g,ngV C(u[l34jI(C4ynQK3 AuGmm/8k . Achievable with the resources and time available. Langdon Down first described the condition in 1866, but its cause was a mystery for many years. 9 0 obj A single line across the palm (palmar crease), Small pinky fingers that sometimes curve toward the thumb, People with a family history of Down syndrome, People who carry the genetic translocation, Late tooth growth, causing problems with chewing. Nursing Care Plan looks great and helpful! Interventions begin in their infancy with the services that are currently available. endobj One chromosome fails to split properly in children with Down syndrome. Some of the key defining characteristics include: 1. The white blood cell count is 2300/mm3. A. Might you add a care plan page for this? This is the kind of step-by-step guidance that I needed. The patient will be able to participate and join speech therapy which will help him or her to have effective communication. Fear 11. option C (destruction of dopaminergic neurons) occurs in Parkinson's disease. The nurse should give enough time to attend to all the patients needs because care measures for patients with down syndrome may take a long time because of a communication deficit. View scribd.vpdfs.com_nursing-care-plan-fever.pdf from CYBR 4310 at Collin County Community College District. The children need opportunities to become important members of their families. Take note of the physical (e.g., background noise, discomfort, frequent urination during bedtime, pain) or physiologic factors (e.g., fear, anxiety) that hinders sleep. As an outpatient department nurse, she has honed her skills in delivering health education to her patients, making her a valuable resource and study guide writer for aspiring student nurses. The three-column plan has a column for nursing diagnosis, outcomes and evaluation, and interventions. Despite continued work, no notable medical treatments for intellectual disability associated with Down syndrome have been forthcoming. 3. Evaluating the patients capacity to do activities is important because a patient with down syndrome may only need minimal help with some self-care measures. 4. Care plans listed in this guide are standard care plans which can serve as a framework or direction to develop an individualized care plan. Apart from aging, disturbed sleep patterns may be due to the following instigative agents: The management of Disturbed Sleep Pattern may vary from managing secondary complications to active prevention of sleep interruption and disturbance. Which of the following assessment findings would lead the nurse to suspect Down syndrome in an infant? Im glad Ive met your website. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. The patient will report a better sleep cycle. Thanks a million! Basic physiological needs/goals must be met before higher needs/goals can be achieved, such as self-esteem and self-actualization. Regardless of intellectual aptitude, attending school is a crucial component of life for a child with Down syndrome. Determination of the patients alcohol intake, medication, or caffeine would help identify the problem causing sleep deprivation. Mosaic is a term for mixture or combination. Nursing Care Plans (NCP): Ultimate Guide and List, Step 3: Formulating Your Nursing Diagnoses, Step 5:Establishing Client Goals and Desired Outcomes, Printable Nursing Care Plan Templates and Formats, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing, End-of-Life Care (Hospice Care or Palliative), Angina Pectoris (Coronary Artery Disease), Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS), Eating Disorders: Anorexia & Bulimia Nervosa, Potassium (K) Imbalances: Hyperkalemia and Hypokalemia, Sodium (Na) Imbalances: Hypernatremia and Hyponatremia, Magnesium (Mg) Imbalances: Hypermagnesemia and Hypomagnesemia, Calcium (Ca) Imbalances: Hypercalcemia and Hypocalcemia, Fluid Imbalance: Hypervolemia & Hypovolemia, Acquired Immunodeficiency Syndrome (AIDS) (HIV Positive), Cervical Insufficiency (Premature Dilation of the Cervix), Labor Stages, Induced, Augmented, Dysfunctional, Precipitous Labor, Preeclampsia and Gestational Hypertension, Substance (Alcohol and Drug) Abuse in Pregnancy, Chronic Obstructive Pulmonary Disease (COPD), All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing diagnosis handbook e-book: an evidence-based guide to planning care, Fundamentals of nursing: Standards and practice, Maslows hierarchy of needs and student academic success, Evaluation of computerized nursing care plan: instrument development, Nurses perceptions of their documentation experiences in a computerized nursing care planning system, Critical thinking in nursing process and education, Over 30,000 Irish Nurses and Midwives Join 24-hour Strike, 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans, https://nurseslabs.com/nursing-diagnosis/. Medical-surgical nursing: Concepts for interprofessional collaborative care. Encourage and instruct coughing and deep breathing exercises and advise frequent position change. impaired gas exchange nursing care plan scribdstevenson high school grades impaired gas exchange nursing care plan scribd. 23 0 obj Imbalance Nutrition: Less than Body Requirements Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the clients changes in condition and evaluation of goal achievement. The nurse should set aside enough time to attend to all of the details of patient care. Beverages such as tea, chocolate, colas, and coffee contain caffeine that activates and energizes the nervous system. The terms goal outcomes and expected outcomes are often used interchangeably. B. Reposition the patient at least every two hours and as needed. uyF&)+C4{6e5@G63V6Lo LRIlMr/DAW/x^0HhXOch\N}~Dc/ 4bg ,IcOHOlaV"[#[c=D3Gk+-NBmJkR>K) ,|AczB=!G}NGIqMPPm@34LO.\8A-sHWwj1rcM+mO _VP(|,CCia^bvqlYk)MnKhGU2 Monitor the status of the patients skin. Down syndrome is the most common cause of mental retardation in children. General physical/neurological exam. 1155 15th Street NW The patient will report ease of breathing. 24 0 obj Thanks for your time. The cause of DS is not known, although several theories dominate. Participation of the patient in these activities will enhance growth and development and will provide needed stimulation for the patient. Plan interventions according to the developmental level of a 7-year-old child because thats the childs age. 2023-01-20T17:37:23-08:00 5. Now that you have information about the clients health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes. Children with DS often require more medical care since there are over 100 anomalies associated with DS (Phillips & Boyd, 2015). Desired Outcome: The patient will demonstrate reduced itching or scratching, especially at night. QFAJ_.QuR8I=! Instruct the parents or the caregiver to supervise and stay with the patient during bathing. Nursing . To successfully raise a child with Down syndrome, parents need to develop a close working relationship with medical experts who are familiar with the particular difficulties this disease presents. Children's ability to communicate and socialize. If not sexually active, single finger bimanual exam with finger-directed cytology exam. She found a passion in the ER and has stayed in this department for 30 years. Suggest a rest or sleep conducive environment. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. (Mon-Fri, 9AM ET- 5PM ET). endobj with AD. Washington, DC 20005, Telephone: 800-221-4602 <>20]/P 22 0 R/Pg 35 0 R/S/Link>> Further infection may also arise from vigorous scratching of an itch; due to this, hand washing should be performed as it will help relieve itching and prevent infection, therefore improving the state of rest or relaxation. Down Syndrome Down Syndrome Chromosome Scribd. Assess the patients sleep pattern and take note of the following: the amount of sleep, position, sleep routine, position, depth, extent, and interferences. 45 0 obj document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Refer the patient to an occupational therapist as needed and as appropriate. Ensure that goals are compatible with the therapies of other professionals. In some instances, if you find the patient frequently sleeping during the day, Sundowning syndrome is likely suspected. To aid with insomnia evaluation and help with its management. Identify the presence of such in the patients environment. Pap smear and pelvic exam (every 1-3 yrs. By ensuring the patients wakefulness during the day, the urge to sleep may return later. Disturbed Body Image 8. In contrast, care bundles are related to best practices concerning care for a specific disease. Deficient Fluid Volume 6. uuid:18d26757-b618-11b2-0a00-b07bda020000 I was wondering if it was available and if so can you please direct me on where to find it? (These findings are common in Hirschsprungs disease.). Down s syndrome NHS Choices Nursing Times. Molecular analysis reveals that the 21q22.1-q22.3 region, also known as the Down syndrome critical region (DSCR), appears to contain the gene or genes responsible for the, Abnormal physiologic functioning affects thyroid metabolism and intestinal malabsorption; patients with trisomy 21 have an increased risk of obesity; frequent infections are presumably due to impaired immune responses, and the incidence of autoimmunity, including, Patients with Down syndrome have decreased buffering of physiologic reactions, resulting in hypersensitivity to, Decreased buffering of metabolic processes results in a predisposition to hyperuricemia and increased, Children with Down syndrome are predisposed to developing. Improving care for children with Down Syndrome: Nursing interventions 7. Assess the familys feelings about the patients condition and the familys feelings about the required treatment for the patients condition. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. Below is a document containing sample templates for the different nursing care plan formats. 149, Issue 5, May 2022). down syndrome Nurseslabs For All Your Nursing Needs. Exploring these options (e.g., massage, guided imagery, progressive relaxation, heat, and cold applications) can provide adequate pain management. The patient will be able to show interest in attending a school that is as free of restrictions as possible. Ensure that each goal is derived from only one nursing diagnosis. Individualized care plans are tailored to meet a specific clients unique needs or needs that are not addressed by the standardized care plan. Nowadays, more than ever, people with Down syndrome lead longer, more fulfilling lives. 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