Diseases : a nursing process approach to excellent care by Springhouse

By Springhouse

Still the definitive affliction reference for nurses, Diseases, Fourth Edition covers every thing nurses want to know approximately greater than 500 diseases—from explanations and evaluate via remedy, nursing interventions, and sufferer results. Entries contain the stairs of the nursing procedure and nursing care in a number of settings—acute and subacute care amenities, institution and group clinics, and the home.

This version covers rising infections resembling monkeypox and listeriosis and contains either complete entries and a quick-consult appendix on biologic guns. a brand new icon highlights gender transformations in ailment presentation and determination. A 16-page full-color insert illustrates the pathophysiology of significant disorders.

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The patient may also experience impaired social, academic, or occupational functioning because of rejection by others or anxiety about the tics in social situations. If enuresis persists into late childhood, treatment with imipramine (Tofranil) may help. Caution: Tofranil can cause schizophrenia-like symptoms in young children. Dry-bed therapy may include the use of an alarm apparatus (wet bell pad), social motivation, self-correction of accidents, and positive reinforcement. Functional encopresis Defined as evacuation of feces into the child’s clothes or inappropriate receptacles, functional encopresis is associated with low intelligence, cerebral dysfunction, or other developmental symptoms, such as a lag in language development.

With good support systems, many mentally retarded people become productive members of society. qxd 24 7/22/05 Ⅲ 4:29 PM Page 24 MENTAL AND EMOTIONAL DISORDERS leads to independent functioning and occupational skills for some and a sheltered environment for others. Nursing diagnoses Ⅲ Bathing or hygiene self-care deficit Ⅲ Delayed growth and development Ⅲ Dressing or grooming self-care deficit Ⅲ Ineffective health maintenance Ⅲ Powerlessness Ⅲ Readiness for enhanced family coping Ⅲ Risk for delayed development Ⅲ Risk for impaired parenting Key outcomes Ⅲ The patient will perform bathing and hygiene activities to the fullest extent possible.

In addition, selfinjection can sometimes cause cellulitis or abscesses, especially in patients who also are chronic alcoholics. Puffy hands can be a late sign of thrombophlebitis or of fascial infection caused by self-injection on the hands or arms. Auscultation may disclose bilateral crackles and wheezes caused by smoking and inhaling drugs or by opiate overdose. Other cardiopulmonary signs of overdose include pulmonary edema, respiratory depression, aspiration pneumonia, and hypotension. CNS stimulants and some hallucinogens may precipitate refractory acute-onset hypertension or cardiac arrhythmias.

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