NURS1020CareCard#3

HealthCondition(definition)

Signs&Symptoms

Cerebrovascularaccident
(CVA)
Morecommonlyknownasa
stroke,aCVAiscausedby
restrictedbloodflowtothe
brain,causingthetissueto
die.
Ischemicstrokesoccurwhen
aclotcausesablockage.
Hemorrhagicstrokesoccur
whenvesselsbreakresulting
inbleedinginthebrain.

weakness/numbness
oftheface/leg/arm
(typicallyoneside)
confusion,difficulty
speaking/understandin
gspeech
blurredvision
dizziness,lossof
coordinationor
balance,difficulty
walking
*allsudden

Hypertension
morecommonlyreferredtoas
highbloodpressurewhichis
anybloodpressureover140/90.
Canbecontrolledthrough
medicationand/orchangesin
lifestyle.

Dementia
doesnotrefertoaspecific
diseasebutanumbrellatermfor
agroupofsymptoms(causedby
disordersaffectingthebrain)
effects2+brainfunctions

NursingConsideration
Improvingmobility
Developexerciseplan
Rehabilitationof
damagedareas(face,
arms,legs)
Preventpain
Encouragepersonal
hygieneandselfcare
Assistwithnutrition
plan
Rehabilitationfor
bowel/bladdercontrol
Improvingthough
process/communicatio
n
Informfamily/friends
oftheirrolesinthe
recoveryprocess

Symptomsdonot
typicallyappearuntil
thereisdamagefrom
chronichighblood
pressure.
Uncontrolledhighblood
pressurecancause
stroke,heart&kidney
failure,orheartattack.

reducedabilityto
performeverydaytasks
memoryloss(extremely
common)
difficultywithlanguage
reducedabilityto
control
emotions/problemsolve
mayhallucinate
becomeagitated

monitorBPandother
vitalsandskincolour
encourage/assistwith
selfcare
environment:quiet,
calm
reducedactivity
physicianordered
medication
remindersand
discussionabout
recent/upcomingevents
createandmaintaina
schedule
reducestressful
situationand
environments
helpwithwordlossby
suggestingwords
assessabilitytoprovide
selfcare
bepatient
ignoreinconsistencyor

Osteoarthritis
aformofarthritisbreakdownof
cartilageinthejointstypically
affectingmajorjoints(hands,
hips,spine)

pain
swelling
reducedrangeofmotion

UrinaryIncontinence
Lossofbladdercontrolmild
leakingtouncontrollable
voiding.Morecommonin
womenthanmenand
increasedriskwithage

ChronicKidneyDisease
meansthekidneyshavebeen
damagedandcannolonger
filterbloodadequately.Itis
mostcommonlycausedby
hypertensionanddiabetes
andleadstoabuildupof
wasteinthebody.Itcanlead
tokidneyfailureandother
healthproblems

misinformation(allow
forpatienttoliveinthe
worldtheirmindhas
created)
encouragestimulating
activitiesaswellas
quiettime
removepotentially
harmfulobjects
adequatelightingand
otherenvironmental
factors
assess&reducepain
practicerangeofmotion
onnonaffectedbody
parts
jointprotectionex.the
useofwalkingassists
suchasacane
psychosocialsupport
physiotherapy
consideringsurgery

Leakingwhen:
Liftingheavy
items
Laughing
Sneezing
Urgetourinatewhen
thereislittleornourine
inbladder

excessivethirst
fatigue
increasedurination
increasedhunger
tingling/numbnessof
hands/feet
weightloss
frequentinfection
slowhealingwounds
lackofconcentration

monitoringurinary
outputandliquid
intake
medication/treatment
forrashes
maintainingnutrition
monitoring
neurological
competency
reducingriskoffalls

Ifpatientisawareof
whentheyneedto
urinate,toiletthem
beforetheyvoidand
haveanaccident
Changebriefswhen
needed
Choosepropersizebrief
Cleanpatientsproperly
whentheyvoidintheir
briefstoavoidskin
breakdownandirritation

 blurredvision
vomiting&stomach
pain
changesinurination
frequency
colour
pale
urine
&
more
dark
urine
&less
volume
pressure/diffic
ultyduring
maycontain
blood
maybefoamy
edema/swelling
fatigue(reduced
productionof
hormonesecretedby
thekidneys,EPO)
skinrash/itching
badbreath&changes
intaste
reducedappetite
SOB
N&V
dizziness&trouble
concentrating
ChronicAnxiety
(PanicDisorder)
Fastheartbeat
Ageneraltermforabunchof
disorderssuchaspanic
Chestorstomachpain
disorder,obsessive
Breathingdifficulty
compulsivedisorder.Itis
Weaknessordizziness
prolongedepisodesoffear
Sweating
andanxietythatinhibitan
individualfromlivingand
Feelinghotoracold
functioningnormalwithin
chill
society.
Tinglyornumbhands

bymonitoring
dizziness,fatigueand
mobility
maintainingfluid
levelsthrough
vomiting
monitoringoxygen
satsandrespiratory
abilities
monitorfor
progressionofthe
diseasetowardsrenal
failure

Beawareofpatients
triggers
Encouragedeepslow
breathingandother
relaxationtechniques
Removestressorsfrom
environment
Ensureasafe
comfortable
environment
Involvefamilyand
friendsintreatment

CarnitineUptake
Defect(prior)
Isaconditionaffectingthe
body'sabilityprocessfatsand
useenergy

GastrointestinalPerforation
(bowel)isaholethat
developsinpartofthe
gastrointestinaltractandisa
medicalemergencyas
leakageintotheabdominal
cavitycausesperitonitis.
PostmenopausalBleed
Isvaginalbleedingthat
occursatleast12months
afteryourregularmonthly
bleedinghasstopped

PeripheralVascularDisease
Isdamagetoorblockagein
thebloodvesselsdistantfrom
yourheart

Encephalopathy
Cardiomyopathy
Confusion
Vomiting
Muscleweakness
Hypoglycemia
*canbeasymptomatic

Severeabdominal
pain
Chills
Fever
Nausea
Vomiting

Bleedingby
Atrophic
vaginitis
Endometrial
atrophy
Cervicalor
wombpolyps
Endometrial
hyperplasia

Bloodclots
Inflammationofthe
vessels
Narrowingand
blockageorthe
vessels
Painwherethe
blockageis

Monitorhowmuchfood
apatientisconsuming
Monitorspecifically
theirfatintake
Monitorforsignsand
symptoms

Monitorforinfection
postop
Monitorforfever
Monitorforanypainor
swelling

Consultother
professionalsregarding
treatment
Informpatientonany
medicationstheymay
betaking

IfonHRTtherapy,
monitorlevelsof
hormonesbeingused
Monitorforsignsof
endometrialcancer
Monitorfrequencyof
bleeding
Monitorquantityof
bleeding
Monitortheeffectsof
drugtherapy
Teachcirculation
promotiontopatient
Monitorsurgicalsites
forbleeding,edema,
Monitoreffectsof
anticoagulants
Informfamilyon
homecare
Encouragebody
repositioning

References

MedlinePlushealthinformationfromthenationallibraryofmedicine.(2016,February12).
RetrievedFebruary12,2016,fromMedlinePlus,https://www.nlm.nih.gov/medlineplus/

NANDAinternationaldefiningtheknowledgeofnursing.(1997,September08).Retrieved
February12,2016,fromhttp://www.nanda.org/

Potter,P.A.,Perry,A.G.,Canadian,RossKerr,J.C.,&Wood,M.J.(2014).
Fundamentalsof
nursing(Canadianfundamentalsofnursing)
(5thed.).Toronto:ElsevierScienceHealthSciencediv.