Nursing Care Plan

Nursing Care Plan for Rheumatoid Arthritis

Rheumatoid arthritis is a disease which has long been known and spread throughout the world and involving all races and ethnic groups. Rheumatoid arthritis is often found in women, with the ratio of women to men is 3: 1. The tendency for women suffering from rheumatoid arthritis and remissions are common in women who are pregnant, this raises the suspicion of the presence of hormonal balance factor as one of the factors that affect this disease.

Most patients show symptoms of chronic intermittent disease, which if left untreated will cause damage to joints and progressive joint deformity that causes disability and even premature death.

Disturbed Body Image related to changes in the ability to perform the duties of a general, an increase in energy use, the imbalance of mobility.

Evidenced by:

• Changes in the function of diseased body parts.
• Focus on past strength and appearance.
• Changes in lifestyle / physical ability to continue the role, job loss, dependence on the nearest person.
• Changes in social engagement; a feeling of isolation. Feelings of helplessness, hopelessness.

Expected outcomes: The patient will :

• Expressing increased confidence in the ability to cope with illness, changes in lifestyle, and possible limitations.
• Develop a realistic plan for the future.

Intervention and Rationale

1. Encourage disclosure about the problem of the disease process, hope for the future.
R /: Give the opportunity to identify the fear / misconceptions and deal with it directly.

2. Discuss the meaning of loss / change in patients / people nearby. Ascertain how the patient's personal views on the functioning of day-to-day lifestyle.
R /: Identify how the disease affects self-perception and interaction with others will determine the need for intervention / counseling further.

3. Discuss the patient's perception of how the people closest to accept limitations.
R /: Gestures verbal / non-verbal people nearby can have a major influence on how the patient sees himself.

4. Acknowledge and accept the feelings of the bereaved, hostile, dependency.
R /: constant pain would be exhausting, and feelings of anger and hostility are common.

5. Pay attention to the behavior of withdrawing, denying use or too noticed a change.
R /: Can demonstrate emotional or maladaptive coping methods, requiring further intervention.

7. Involve patients in the treatment plan and schedule of activities.
R /: Increase the feeling of self-esteem, encourage independence, and encourage participation in therapy.

8. Assist in need of care required.
R /: Maintaining the appearance that can improve self-image.

9. Provide positive support when necessary.
R /: Allows patients to feel good about themselves. Reinforcing positive behavior. Increase confidence.

10. Collaboration: Refer to psychiatric counseling, eg specialist psychiatric nurse, psychologist.
R /: Patient / person nearby may need support for dealing with long-term process / incapacity.

11. Collaboration: Give medicines as directed, eg; antianxiety drugs and mood enhancer.
R /: It may be required at the time of the advent of the Great Depression, until the patient increases coping abilities more effectively.

Nursing Care Plan for Dermatitis

Dermatitis is inflammation of the skin. Dermatitis can have many causes and occurs in many forms. Dermatitis usually involves an itchy rash on swollen, reddened skin.

Dermatitis is a common condition that's not contagious and usually isn't life-threatening. Even so, it can make you feel uncomfortable and self-conscious.

Disturbed Body Image related to the appearance of the skin that is not good.

Goal: Development of an increase in self-acceptance.

Expected outcomes:

• Develop an increase in the willingness to accept a state of self.
• Follow and participate in self-care measures.
• Reported feeling in control of the situation.
• Reinforces the positive support of the self-governing.
• Express attention to self-healthier.
• Seemed not to notice the condition.
• Using a technique to hide flaws and emphasize techniques for improving the appearance.

Interventions :

1. Assess the patient's self-image disturbance in (avoiding eye contact, self-deprecating speech, expression sick state of the condition of the skin).
R /: Disturbed self-image will accompany any disease or condition were apparent to the patient. Impression of someone against itself will affect the self-concept.

2. Identify the psychosocial stages of development stages.
R /: On the relationship between the stages of development, as well as the self-image and understanding of the patient's reaction to the skin condition.

3. Provide an opportunity for disclosure. Listen (by way of an open, non-judgmental) to express mourning / anxiety about body image changes.
R /: Patients in need of the experience that must be listened to and understood.

4. The sense of concern and fear of patients. Help patients who are anxious to develop the ability to assess themselves and identify and resolve problems.
R /: This action provides an opportunity for health workers to neutralize unnecessary anxiety and restore the reality of the situation. Fear is a destructive element patient adaptations.

5. Encourage socialization with other people.
R /: Increase self-acceptance and socialization.