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Nursing Care Plan and Diagnosis for Activity Intolerance, Anemia, Low Hemoglobin, Sickle Cell Anemia, Iron Deficiency, Pernicious, Aplastic Anemia, Folic Acid Deficiency, and Thalassemia

This free nursing care plan and diagnosis template  is for the following condition: Activity Intolerance, Anemia, Low Hemoglobin, Sickle Cell Anemia, Iron Deficiency, Pernicious, Aplastic Anemia, Folic Acid Deficiency, and Thalassemia

What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?

This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.

Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.

Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.

Nursing Care Plan for: Activity Intolerance, Anemia, Low Hemoglobin, Sickle Cell Anemia, Iron Deficiency, Pernicious, Aplastic Anemia, Folic Acid Deficiency, and Thalassemia.

If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.

Scenario:

A 45 year old female presents to the ER. Patient states she has been “so weak and just plain tried” for the past week. She states she can’t even climb the stairs to her bedroom and has been sleeping downstairs because she is so weak. Her mother has been having to do everything for her lately. She also complains of cold/numb feet and hands constantly,  intermittent chest pain/shortness of breath on exertion, and dizziness. During your history assessment, the patient states she had this “same thing” 1 years ago and the doctor told her she was anemic. On assessment, you note that  the patient’s skin is pale and cool to the touch. Vital signs: HR 116 (normal sinus rhythm), BP 92/58, O2 Sat 94% on RA, and Temperature 98.0’F. Medications include: Multivitamin 1 TAB PO daily, Lortab 5-325mg PO prn for back pain. Labs values: Hgb 7.5, Hct 22.9, Troponins 0.01, ABGs normal.

Nursing Diagnosis:

Activity Intolerance related to verbal report of fatigue or weakness as evidence by imbalance between oxygen supply and demand.

Subjective Data:

Patient states she has been “so weak and just plain tried” for the past week. She states she can’t even climb the stairs to her bedroom and has been sleeping downstairs because she is so weak. Her mother has been having to do everything for her lately. She also complains of cold/numb feet and hands constantly,  intermittent chest pain/shortness of breath on exertion, and dizziness. During your history assessment, the patient states she had this “same thing” 1 years ago and the doctor told her she was anemic.

Objective Data:

On assessment, you note that  the patient’s skin is pale and cool to the touch. Vital signs: HR 116 regular, BP 92/58, O2 Sat 94% on RA, and Temperature 98.0’F. Medications include: Multivitamin 1 TAB PO daily, Lortab 5-325mg PO prn for back pain. Labs values: Hgb 7.5, Hct 22.9, Troponins 0.01, ABGs normal

Nursing Outcomes:

-Pt will be able to walk approximately 300 feet without verbalizing complaints of fatigue or exhibiting signs of fatigue by discharge. -Patient’s hgb will be greater than 10 within 24 hours.

-Patient will verbalize two signs and symptoms of anemia by discharge.

-Pt will verbalize 2 energy conserving techniques within 12 hours.

Nursing Interventions:

-The nurse will ambulate with the patient in the hallway approximately 300 feet and assess for any signs of fatigue during ambulation before discharge.-The nurse will administer 2 units of PRBCs and recheck a HGB within 10 hours per md order.

-The nurse will verbalize and provide printed education material  on 4 signs and symptoms of anemia by discharge.

-The nurse will demonstrate and verbalized 4 energy conserving techniques within 12 hours.

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