Deep Nurse

Deep Nurse

Clipboard, Search History, and several other advanced features are temporarily unavailable.

Dashboard
Publications
Account settings
Log out

Advanced

Clipboard

Format

Abstract

PubMed

PMID

Format:

Summary (text)
PubMed
PMID
Abstract (text)
CSV

Subject:

1 selected item: 28357960 - PubMed

Format:

Summary
Summary (text)
Abstract
Abstract (text)

Create a new collection

Add to an existing collection

Name must be less than 100 characters

Unable to load your collection due to an error
Please try again

Unable to load your delegates due to an error
Please try again

Would you like email updates of new search results?

Saved Search Alert Radio Buttons

Yes

No

Frequency:

Monthly
Weekly
Daily

Which day?

The first Sunday
The first Monday
The first Tuesday
The first Wednesday
The first Thursday
The first Friday
The first Saturday
The first day
The first weekday

Which day?

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Report format:

Summary
Summary (text)
Abstract
Abstract (text)
PubMed

Send at most:

1 item
5 items
10 items
20 items
50 items
100 items
200 items

Send even when there aren't any new results

Number of items displayed:

5
10
15
20
50
100

Page navigation

Title & authors

Abstract

Similar articles

Cited by

MeSH terms

LinkOut - more resources

Affiliation

1 School of Nursing and Midwifery, University of Dublin Trinity College, Ireland.

Colin Griffiths .

Nurs Manag (Harrow) .

2017 .

Format

Abstract

PubMed

PMID

Affiliation

1 School of Nursing and Midwifery, University of Dublin Trinity College, Ireland.

Andrews M, Gidman J, Humphreys A.
Andrews M, et al.
Br J Nurs. 1998 Apr 9-22;7(7):413-7. doi: 10.12968/bjon.1998.7.7.413.
Br J Nurs. 1998.

PMID: 9668758

Sweeney J, Mitchell D.
Sweeney J, et al.
J Clin Nurs. 2009 Oct;18(19):2754-63. doi: 10.1111/j.1365-2702.2009.02889.x.
J Clin Nurs. 2009.

PMID: 19744028

Fealy GM.
Fealy GM.
J Adv Nurs. 2004 Jun;46(6):649-56. doi: 10.1111/j.1365-2648.2004.03056.x.
J Adv Nurs. 2004.

PMID: 15154906

McEvoy P.
McEvoy P.
Prof Nurse. 2004 May;19(9):508-11.
Prof Nurse. 2004.

PMID: 15152409

Review.

Henry D.
Henry D.
Nurs Sci Q. 2018 Jan;31(1):47-54. doi: 10.1177/0894318417741117.
Nurs Sci Q. 2018.

PMID: 29235959

Review.

Doody O, Bailey ME, Hennessy T.
Doody O, et al.
BMJ Open. 2021 Oct 6;11(10):e051858. doi: 10.1136/bmjopen-2021-051858.
BMJ Open. 2021.

PMID: 34615681
Free PMC article.

LinkOut - more resources

Other Literature Sources
scite Smart Citations

Format:

AMA

APA

MLA

NLM

Send To

Clipboard

Email
Save

My Bibliography
Collections

Citation Manager

[x]

NLM

NIH

HHS

USA.gov

An official website of the United States government

The .gov means it’s official.

Federal government websites often end in .gov or .mil. Before
sharing sensitive information, make sure you’re on a federal
government site.

The site is secure.

The https:// ensures that you are connecting to the
official website and that any information you provide is encrypted
and transmitted securely.

This article examines some of the challenges in nursing practice experienced by patients and nurses in the UK and Ireland, and considers some of the associated stressors in the system. Nurses must respond to these challenges by crafting their own practice, and the article offers a blueprint for developing personal nursing practice through acceptance, paying detailed attention to patients, taking time with patients and personal reflection. It draws on innovations in learning disability practice to suggest that care should be jointly thought through and co-created by patients and nurses, and that this process of thoughtful engagement constitutes 'deep nursing'.

Keywords:

co-created nursing; intellectual disability; learning disability; nursing management; patient empowerment; reflection.

MeSH
PMC
Bookshelf
Disclaimer

Help
Accessibility
Careers

Home » Nursing Care Plans » 5 Deep Vein Thrombosis Nursing Care Plans

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.

© 2022 Nurseslabs | Ut in Omnibus Glorificetur Deus!

Thrombophlebitis is the inflammation of the vein wall resulting in the formation of a thrombosis ( blood clot) that may interfere the normal blood flow through the vessel.
Typically, venous thrombophlebitis occurs in the lower extremities. It may also occur in superficial veins such as cephalic, basilic, and greater saphenous veins, which usually is not life threatening and does not necessitate hospitalization, or it may happen in a deep vein, which can be life-threatening because clots may travel to the bloodstream and cause a pulmonary embolism .
Three contributing factors (known as Virchow’s triad) can lead to the development of deep vein thrombosis (DVT) which includes venous stasis, hypercoagulability, and a vessel wall injury .
Venous stasis occurs when blood flow is decreased, as in immobility, medication therapies and in heart failure . Hypercoagulability occurs most commonly in clients with deficient fluid volume , pregnancy, oral contraceptive use, smoking, and some blood dyscrasias. Venous wall damage may occur secondary to venipuncture, certain medications, trauma, and surgery . The objective of treatment of DVT involves preventing the clot from dislodgement (risking pulmonary embolism ) and reducing the risk of post-thrombotic syndrome.
The nursing care plan for the client with deep vein thrombosis include: providing information regarding disease condition, treatment, and prevention; assessing and monitoring anticoagulant therapy; providing comfort measures; positioning the body and encouraging exercise; maintaining adequate tissue perfusion ; and preventing complications.
Here are five (5) nursing care plans (NCP) and nursing diagnosis for patients with deep vein thrombosis (DVT):
Recommended nursing diagnosis and nursing care plan books and resources.
Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy .
Other recommended site resources for this nursing care plan:
Other care plans for hematologic and lymphatic system disorders:
hi can thanks for the sharing platform. medics sound similar and the familiarity in terminologies demand higher reading and keen observation.Ok i am a medical student curently on my clinicals . This page comes has a relief to my occupation.
Please log in again.
The login page will open in a new tab. After logging in you can close it and return to this page.
Assess level of consciousness and changes in mentation.
Initial signs of systemic hypoxemia include restlessness and irritability, followed by progressively decreased mentation.
Auscultate lungs for areas of decreased and absent breath sounds and the presence of adventitious sounds (crackles).
Non-ventilated areas may be identified by the absence of breath sounds. Crackles may be seen in fluid-filled tissues and airway or may indicate cardiac decompensation.
Monitor vital signs. Observe changes in cardiac rhythm.
Tachycardia, tachypnea, and BP changes are associated with progressing hypoxemia and acidosis. Alterations in heart rhythm and extra heart sounds may indicate increased cardiac workload related to worsening ventilation imbalance.
Assess respiratory rate and rhythm. Observe for use of accessory muscles, nasal flaring, and pursed lip breathing.
Tachypnea and dyspnea indicative of pulmonary obstruction. Dyspnea and increased work of breathing may be first or only sign of subacute pulmonary embolism. Severe respiratory distress and failure accompany moderate to severe loss of functional lung units.
Observe for generalized duskiness and cyanosis in the earlobes, lips, tongue, and buccal membranes.
Assess activity tolerance, such as reports of weakness and fatigue , vital sign changes, or increased dyspnea during exertion. Encourage rest periods, and limit activities to client tolerance.
These guidelines help in determining the response of the client to resume activities and ability to engage in self-care.
Monitor the client frequently and arrange for someone to stay with the client, as indicated.
Provides assurance that changes in condition will be noted and that assistance is readily available.
Provide brief explanations of what is happening and expected effects of an intervention.
Relieves anxiety related to unknown and may help decrease fears regarding personal safety.
Encourage expression of feelings and inform the client and significant others of normalcy of anxious feelings and sense of impending doom.
Understanding basis of feelings may help the client regain some sense of control over emotions.
Assist with frequent changes of position, and encourage ambulation as tolerated.
Turning and ambulation enhance aeration of different lung segments, thereby improving oxygenation.
Encourage coughing, deep breathing exercises, and suctioning as indicated.
Increases oxygen delivery to the lungs by mobilizing secretions and enhancing ventilation.
Assist client to deal with the fear and anxiety that may be present.
Inability to breathe properly increases oxygen consumption and demand, therefore, worsening the anxiety level.
Promotes maximal chest expansion, making it easier to breathe and enhancing physiological and psychological comfort.
Hypoxemia is present in varying degrees, depending on the degree of airway obstruction, cardiopulmonary status, and presence and degree of shock. Respiratory alkalosis and metabolic acidosis may also be present.
Prepare the client for a lung scan.
May reveal the pattern of abnormal perfusion in areas of ventilation, reflecting ventilation and perfusion mismatch, confirming the diagnosis of pulmonary embolism and degree of obstruction. Absence of both ventilation and perfusion reflects alveolar congestion or airway obstruction.
Assist with chest physiotherapy , such as postural drainage and percussion of the non-affected area and incentive spirometer.
Facilitates deeper respiratory effort and promotes drainage of secretions from lung segments into bronchi , where they may more readily be removed by coughing or suctioning.
Provide supplemental humidification, such as ultrasonic nebulizers.
Nebulization gives moisture to mucous membranes and helps liquefy secretions to facilitate airway clearance.
Provide oxygen therapy with an appropriate method as ordered.
Maximizes available oxygen for gas exchange, reducing work of breathing.
Provide adequate hydration either oral (PO) or IV as indicated.
Increased fluids may be given to decrease hyperviscosity of blood, which can potentiate thrombus formation, or support circulating volume and tissue perfusion.
Administer medications, as indicated:

Thrombolytic agents, such as alteplase (Activase, tPA), anistreplase (APSAC, Eminase), reteplase (Retavase), streptokinase (Kabikinase, Streptase), tenecteplase (TNKase) and urokinase (Abbokinase)

These agents intended to bring about clot lysis (breakdown of the clot) and immediate normalization of venous blood flow.

Morphine sulfate and anti-anxiety agents

These are given to decrease pain or anxiety and improve work of breathing., maximizing gas exchange.
Prepare for and assist with bronchoscopy .
The purpose of this procedure is to remove blood clots and clear the airway.
Prepare for surgical intervention, if indicated.
Vena caval ligation or insertion of an intracaval umbrella is intended for clients with recurrent emboli despite adequate anticoagulation, when anticoagulation is contraindicated, or when septic emboli arising from below the renal veins unresponsive to treatment; Pulmonary embolectomy is often done as a last resort treatment of PE.

If playback doesn't begin shortly, try restarting your device.
Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer.
An error occurred while retrieving sharing information. Please try again later.
0:02 / 10:15 • Watch full video Live
Watch ads now so you can enjoy fewer interruptions

Возможно, сайт временно недоступен или перегружен запросами. Подождите некоторое время и попробуйте снова.
Если вы не можете загрузить ни одну страницу – проверьте настройки соединения с Интернетом.
Если ваш компьютер или сеть защищены межсетевым экраном или прокси-сервером – убедитесь, что Firefox разрешён выход в Интернет.

Firefox не может установить соединение с сервером simplenursing.com.

Отправка сообщений о подобных ошибках поможет Mozilla обнаружить и заблокировать вредоносные сайты

Сообщить
Попробовать снова
Отправка сообщения
Сообщение отправлено

использует защитную технологию, которая является устаревшей и уязвимой для атаки. Злоумышленник может легко выявить информацию, которая, как вы думали, находится в безопасности.

Mommy Makeover
Kare Hole
Horny Granny Net

Deep Nurse

Report Page