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Nursing Care Plan Jaundise

The document outlines four potential issues for a neonatal patient receiving phototherapy - deficient fluid volume, hyperthermia, impaired skin integrity, and parental anxiety. Interventions for each include monitoring intake/output, maintaining normal temperature, frequent skin assessment and positioning, and providing family education on the treatment process and home care. The overall goal is to ensure the baby's fluid levels, temperature, skin health, and parents' understanding of the medical treatment.

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arif aiman
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1K views1 page

Nursing Care Plan Jaundise

The document outlines four potential issues for a neonatal patient receiving phototherapy - deficient fluid volume, hyperthermia, impaired skin integrity, and parental anxiety. Interventions for each include monitoring intake/output, maintaining normal temperature, frequent skin assessment and positioning, and providing family education on the treatment process and home care. The overall goal is to ensure the baby's fluid levels, temperature, skin health, and parents' understanding of the medical treatment.

Uploaded by

arif aiman
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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1. Deficient Fluid Volume related to inadequate fluid intake, photo-therapy, and diarrhea.

Goal: Adequate neonatal body fluids Intervention: Record the number and quality of stools, Monitor skin turgor, Monitor intake output, Give water between breast-feeding or give bottle.

2. Hyperthermia related to the effects of phototherapy Goal: The stability of the baby's body temperature can be maintained Intervention: Give a neutral ambient temperature, Keep the temperature between 35.5 - 37 C, Check vital signs every 2 hours.

3. Impaired skin integrity related to hyperbilirubinemia and diarrhea Goal: The integrity of the baby's skin can be maintained Intervention: Assess skin color every 8 hours, Monitor direct and indirect bilirubin, Change position every two hours, Massage the area that stands out, Keep skin clean and moisture.

4. Anxiety related to medical therapy given to the baby. Goal: Parents know about treatment, symptoms can be identified to deliver the health care team. Intervention: Review knowledge of the client's family, Give the cause of yellow health education, therapy and treatment process. Give health education on infant care to home.

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