nursing care plan for people with pancytopenia?

Question

BabyRn really helped alot! thanks~yea im a nursing student. having problems with my onco posting right now. cant really find any info on pancytopenia except for the definition :/
thanks again!

Answer 1

I really don't like to answer these because no one but a nursing student would ask these, and doing care plans is important. Oh they're horrible, redundant and seem pointless but the concept behind them is important.

You need to think about what pancytopenia is first. Start here, http://en.wikipedia.org/wiki/Pancytopenia. That means that all blood counts are low, meaning patient is neutropenic (vulnerable to infection), leukopenic (immune suppressed) anemia (possible bleeding issues), just to name a few.

Then you must develop one or more nursing diagnoses based on the latest NANDA diagnoses (you should have these). An example for a patient with pantcytopenia might be: Risk for Infection r/t inadequate secondary defenses 2nd to pancytopenia. Nursing diagnoses should be rated in order of importance. For example, problems involving the patient's airway (such as Ineffective Airway Clearance) are going to be more important than Risk for Skin Breakdown.

Now that you've developed your diagnosis or diagnoses, you must have interventions for each problem. And the first nursing intervention is to assess the problem stated in the nursing diagnosis, it should contain an action verb and specify a time frame, when, how, why, how often. For example, the first diagnosis might be: Assess lab values per MD order in am qshift. Each subsequent intervention must also be specific and quantifiable.

That's all the help I can give you I'm afraid. A care plan is hours of work with references so I'm not going to do that for you! Good luck!

Answer 2

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Hi there, they really aren't so bad. Do you know the dx of your client or is it a fictional client? Do you have a nursing care plan book or a nursing dx book? They don't take long at all to do. If you have a nursing dx book, you can look up the dx, and there will be goals, how to implement them, and the outcome you can expect. Remember to keep it simple, concrete, measurable, and include a time frame for your goal to be met. Don't forget to state your goal in terms of "Client will...".