Nursing Diagnoses

5 Key Nursing Diagnoses for People with Hepatitis C

Nursing diagnosis	Plan and outcome	Nursing interventions
1.  Risk for infection r/t immunosuppression and secondary defenses	Reduce transfer of potentially harmful microbes to the patient from outside sources and from the patient to others	Encourage effective hand washing Implement appropriate isolation precautions according to facility policy Explain isolation precautions to the patient Restrict certain visitors, such as young children, to reduce the patient’s exposure to infectious agents Administer medications as indicated
2. Imbalanced nutrition: less than body requirement r/t altered absorption and metabolism	Initiate lifestyle changes to maintain appropriate weight Show signs of progressive weight gain Show no signs of malnutrition	Keep track of calories consumed each day Suggest eating for frequent small meals Suggest eating the largest meal for breakfast when appetite is the greatest Encourage good oral hygiene before and after meals to improve the taste of food Encourage the patient to sit upright, at a table if possible, for every meal Tailor the diet to each individual to meet their dietary needs and tolerance to fats and proteins Monitor blood glucose
3. Deficient fluid volume r/t excessive loss from vomiting/diarrhea	Maintain adequate hydration Patient shows no signs of deficient fluid volume including delayed capillary refill, abnormal vital signs, dry mucous membranes, poor skin turgor	Monitor patient intake and output Monitor patient weight daily Regularly assess blood pressure, heart rate, oxygen saturation, respiratory rate, and temperature Assess peripheral pulses, capillary refill, and skill turgor for signs of deficient fluid volume Assess for edema Provide fluids and electrolytes through oral intake and IV fluids Administer medications as ordered
4. Fatigue r/t change in metabolism and liver function	Patient is able to complete activities of daily living with little difficulty Patient reports feeling more energized	Promote rest and relaxation by providing a quiet environment, limiting activity and visitors, and “clustering” care Provide good skin care to reduce the risk of skin breakdown Turn and reposition a patient on bedrest with limited mobility every 2 hours to prevent skin breakdown Encourage rest during and in between activities of daily living Encourage activity as tolerated including active and passive range of motion exercises in bed
5. Risk for impaired skin integrity r/t bile salt accumulation in the tissue	Patient’s skin is dry, intact, and shows no redness or signs of excoriation Absence of excessive pruritus	Avoid using harsh soaps to prevent skin irritation Encourage cool showers and taking a bath with baking soda to prevent dry skin Provide distraction from itching Assess skin frequently for signs of skin breakdown Provide a pressure-redistribution surface for sleeping or bedrest patients Encourage mobilizing frequently Initiate turns and repositioning every 2 hours

Reference:

http://nurseslabs.com/7-hepatitis-nursing-care-plans/