Scribd Logo
Upload

Welcome to Scribd!

  • 120 views

    Concept Map (SMA)

    Uploaded by

    Houda Hayek
    1. The patient has spinal muscular atrophy evidenced by nasally intubated on SIMV machine and NG feeding. 2. Nursing diagnoses include ineffective breathing pattern, altered nutrition, impaired physical mobility, and ineffective coping of parents. 3. Interventions focus on respiratory assessment and support, nutritional monitoring and supplementation, mobility exercises, and educating parents on coping with the disease.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Concept Map (SMA)

    Uploaded by

    Houda Hayek
    120 views2 pages
    1. The patient has spinal muscular atrophy evidenced by nasally intubated on SIMV machine and NG feeding. 2. Nursing diagnoses include ineffective breathing pattern, altered nutrition, impaired physical mobility, and ineffective coping of parents. 3. Interventions focus on respiratory assessment and support, nutritional monitoring and supplementation, mobility exercises, and educating parents on coping with the disease.

    Original Title

    concept map (SMA)

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. The patient has spinal muscular atrophy evidenced by nasally intubated on SIMV machine and NG feeding. 2. Nursing diagnoses include ineffective breathing pattern, altered nutrition, impaired physical mobility, and ineffective coping of parents. 3. Interventions focus on respiratory assessment and support, nutritional monitoring and supplementation, mobility exercises, and educating parents on coping with the disease.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    120 views2 pages

    Concept Map (SMA)

    Uploaded by

    Houda Hayek
    1. The patient has spinal muscular atrophy evidenced by nasally intubated on SIMV machine and NG feeding. 2. Nursing diagnoses include ineffective breathing pattern, altered nutrition, impaired physical mobility, and ineffective coping of parents. 3. Interventions focus on respiratory assessment and support, nutritional monitoring and supplementation, mobility exercises, and educating parents on coping with the disease.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 2

    Nursing Diagnosis (4pts NANDA) (2.5pts Nursing Diagnosis (4pts NANDA) (2.

    5pts Patient Data (6pts)


    etiology): ineffective breathing pattern 1 Hoda Hayek 2 etiology): Altered nutrition related to • Masaad Henry Del Saad
    related to spinal muscle atrophy mechanical ventilator and muscle • Premature baby
    Evidenced by (2.5pts): nasally intubated atrophy • Male
    on SIMV machine Evidenced by (2.5pts): NG feeding and • Twin birth
    • One month old born on
    Interventions (7.5pts): assess the respiratory vitamin supplements
    2/10/19
    rate Interventions (7.5pts): assess the baby for
    • Born with GA= 35 w
    • Assess the work of breathing signs of dehydration 
    • Monitor the breath sounds for any &5D
    • Assess the physical signs of poor nutritional
    Current Status and • Delivery by elective
    wheezing or crackles intake( pale and dry skin)
    • Monitor chest X-ray results Chief Complaint repeated C-section
    • Weigh the baby daily using the standard
    • W=2630g
    • Administer mechanical ventilator and weighing scale
    • H=50cm
    monitor it Spinal muscular • Administer NG tube 75ml of neosure
    • Head circumference=
    • Perform chest physiotherapy atrophy, premature • Administer medication as needed ( Pedavit,
    • Perform suction every 4 hours 31.5cm
    & Ferrous sulfate)
    • A+
    • Place patient with proper body alignment • Monitor lab results( serum albumin, Hgb,
    • Born with spinal
    for maximum breathing pattern Hct)
    • Document an episode of apnea
    History: C-section, muscular atrophy
    • NPO
    respiratory • APGAR score of 5& 7
    problems, twin Nursing Diagnosis (4pts NANDA) (2.5pts At 1 & 5 minutes respectively
    Nursing Diagnosis (4pts NANDA) (2.5pts etiology): Ineffective coping related the • Vitals: BP= 79/48
    etiology):Impaired physical mobility related
    birth, single T=36.6
    patient’s disease
    to reduction in muscle strength umbilical artery Evidenced by (2.5pts): The mother HR=151
    Evidenced by (2.5pts): absence of RR=35
    didn't visit the baby and didn’t ask the
    SPO2=100
    movement of all lower extremities doctor about her baby • Single umbilical artery
    Interventions (7.5pts): Assess the strength to Interventions (7.5pts): • PFO on echocardiography
    perform ROM to all joints. • Assess level of understanding and coping • Vital signs:
    • Assess input and output record and nutritional • Assess for the influence of cultural beliefs • Respiratory problem
    pattern. of the parents • On SIMV
    • Monitor nutritional needs as they relate to Prioritization (3pts) • Help parents determine and understand • NG feeding 75 ml of (Neos
    immobility. the disease of their baby • On ferrous sulfate,
    • Assess the skin integrity for any redness or • Facilitate modeling and role-playing to help biolane, pedavit, hypromellose
    pressure ulcer 3 4 family improve parenting skills
    • Positioning the baby every 2 hours • Teach them how to treat the baby’s
    • Provide foam to prevent pressure ulcer situation
    Explaining the relationship of clinical presentation to the underlying disease by providing scientific rationales (25pts)

    1- Ineffective breathing pattern is directly related to the spinal muscular atrophy since this disease affects all the muscles in the body and decrease its strength
    so it’s related to the weakness in the intercostal muscles( muscles that support the chest wall) leaving the diaphragm as a primarily breathing muscle. This
    will cause respiratory complications because the baby cannot be able to breath adequately or to cough normally which leads to a shortness of oxygen and a
    carbon dioxide build up , resulting in hypoventilation. Also, the impaired physical mobility lead to shallow and ineffective respirations. This will force to increase
    the accumulation of secretions leading to ineffective breathing pattern.

    2- Altered nutrition is directly related to the spinal muscular atrophy because the muscles in the mouth and throat are weak, so the baby is not able to
    swallow and suck. This causes a lack in vitamins and proteins because the baby is not breastfed and he cannot be able to get a good nutrition.

    3- Impaired physical mobility is directly related to the spinal muscular atrophy because weakness and atrophied muscles leads to hypotonia (low muscle tone)
    so the baby is hypoactive and he cannot able to move all of his extremities. It’s also related to altered nutrition because of low calcium and vitamin D that are
    important for the bone growth and muscle contraction. The insufficient calcium causes the body to take calcium from the bones to ensure normal cell function,
    which can lead to weakened bones and impaired physical mobility.

    4- Ineffective coping of the parents is related to all baby’s diagnosis and situation since it is a new situation for help and still has knowledge gap and anxiety to
    deal with the situation

    You might also like