nursing care plan for down syndrome scribdnursing care plan for down syndrome scribd

48 0 obj i would kindly like to learn more on paper 1 since am yet to sit for my nursing council exams and feel challenged on the paper.please do assist me thank you. Encourage and advise exercise as tolerated by the patient. Adults with Down syndrome and their caregivers should review the GLOBAL Guidelines with their clinicians to ensure they are receiving care meeting best-practice standards for adults with Down syndrome! D. Restricted joint movement. A patient with Down syndrome recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. endstream These needs may be extensive, especially in the home. Basic physiological needs/goals must be met before higher needs/goals can be achieved, such as self-esteem and self-actualization. Might you add a care plan page for this? This will help provide evidence of the patients progress that will help evaluate the care plan that will help improve the deficit in the patients growth and development. People with Down syndrome are now living far longer than they once did. <> I notice, though, that traumatic brain injury is not on your list. Attainment or progress toward desired outcomes. She received her RN license in 1997. I was wondering if it was available and if so can you please direct me on where to find it? Children with this kind of Down syndrome only have an additional portion of chromosome 21. 2 0 obj The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Down syndrome is the most common cause of mental retardation in children. Special education instructors and therapists work with the child in these programs to aid in learning: Children with Down syndrome often meet age-related milestones. Adhering to a consistent sleep and rest schedule helps regulate and manage the circadian rhythm. Buy on Amazon, Silvestri, L. A. 1.Goal 2.Related Action 3.Rational 4.Evaluate outcome, Wow God bless plenty Nurseslabs really relieve my burdens . The child will be able to perform motor, social, and/or expressive skills typical of age group within the scope of present capabilities. Identify the presence of such in the patients environment. Along with more serious issues such as leukemia and heart disease, people with Down syndrome may need to be protected from common infections such as colds. People with Down syndrome typically have mild to moderate low IQs (a measure of intelligence) and speak more slowly than other children. Clinical evaluation of functional abilities (consider accelerated aging); monitor loss ofindependent living skills. Professional Nursing Practicum (NUR - 4836C) Anatomy & Physiology I With Lab (BIOS-251) Business Administration (BUS 1102) k-12 education Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Advanced Anatomy & Physiology for Health Professions (NUR 4904) This life-changing resource as published in JAMA covers 9 topic areas deemed critically important for the health and well-being of adults . 5 0 obj xgx|v10X"DoAH.zSE!DQ6lp fLy+y0 e1m6? Key Words: adult, Down syndrome, medical care D own syndrome, also known as trisomy 21, occurs in 1 of every 691 live births in the United States.1 It is by far the most common birth defect and chromosomal disorder in live-borninfants.2 Despiteitsprevalence,thereisminimalliterature Vomiting, straining at defecation, bearing down as possible. Learn how your comment data is processed. Whereas taking full meals before bedtime may induce indigestion or an upset stomach, hindering sleep onset. endobj Hurrying up the patient when speaking will make it less clear and communication will be compromised. Manage Settings The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. Recognize the varieties of allergens that may affect the patient. Molecular analysis reveals that the 21q22.1-q22.3 region, also known as the Down syndrome critical region (DSCR), appears to contain the gene or genes responsible for the, Abnormal physiologic functioning affects thyroid metabolism and intestinal malabsorption; patients with trisomy 21 have an increased risk of obesity; frequent infections are presumably due to impaired immune responses, and the incidence of autoimmunity, including, Patients with Down syndrome have decreased buffering of physiologic reactions, resulting in hypersensitivity to, Decreased buffering of metabolic processes results in a predisposition to hyperuricemia and increased, Children with Down syndrome are predisposed to developing. St. Louis, MO: Elsevier. The characteristic morphologic features will be obvious in children older than 1 year. Ensure that each goal is derived from only one nursing diagnosis. The standard immunizations and well-child care should be provided. Find a professional who will collaborate with you, and someone who is open to listening to parents and seeing them as partners. To enhance the patients sense of comfort and relaxation. Allowing the patient to finish self-care measures will give the patient confidence and a feeling of self-worth. 2. Evaluation is an essential aspect of the nursing process because the conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed. It is important to inform the patient on the proper use of nasal sprays since it helps alleviate their symptoms of allergic rhinitis. People affected vary greatly in terms of ability but have certain physical traits in common. Cervical spine x-rays (as needed for sports); check for atlantoaxial dislocation. 7. By promoting skin integrity, the patients feelings of satisfaction and comfort would arise, both of which are vehicles in restoring restfulness, positive emotions, and sleep. Publication of the 1st Evidence-based Medical Care Guidelines for Adults with Down Syndrome, https://publications.aap.org/pediatrics/article/149/5/e2022057010/186778/Health-Supervision-for-Children-and-Adolescents, pediatrics.aappublications.org/content/128/2/393, https://onlinelibrary.wiley.com/doi/abs/10.1002/0471227579.ch17, Aging and Down Syndrome: A Health & Well-Being Guidebook, Envejecimiento y Sndrome de Down: Una Gua de Salud y Bienestar. Rational: tissue edema and circulatory disturbance tends to damage the skin. Give or offer small frequent meals throughout the day as tolerated by the patient. The child is often identified as having a small nose and mouth. Anna Curran. Disturbed Sleep Pattern is a NANDA nursing diagnosis that involves a disturbance in a persons regular circadian or sleep pattern. The patient still has the right to make choices if able and to be treated with dignity and respect. 4. Nursing Care Plans 9780323428187 US Elsevier Health. A patient with down syndrome should learn these skills to help the patient gain self-esteem from accomplishing these tasks. There is no difficulty in feeding the child. I love this website!!! endobj The nurse should give enough time to attend to all the patients needs because care measures for patients with down syndrome may take a long time because of a communication deficit. Children's ability to communicate and socialize. The nurse should perform a thorough, systemic, head-to-toe assessment of the newborn. Hi, i have learnt a lot THANK YOU. 2. 1. Desired Outcome: The patient will demonstrate recuperative restful sleep. On physical examination, patients with trisomy 21 have characteristic craniofacial findings, such as the following: The diagnosis of Down syndrome is most commonly made by prenatal screening followed by definitive diagnostic testing. This section lists the sample nursing care plans(NCP) and NANDA nursing diagnoses for various diseases and health conditions. 4. This happens when an extra chromosome 21 is present, but it is not a separate chromosome 21; rather, it is attached or translocated to another chromosome. Nursing Diagnosis: Delayed Growth and Development related to impaired ability developmental tasks secondary to Down syndrome as evidenced by activity restriction and environmental and stimulation deficiencies. A high-fiber diet and increased fluid intake help in avoiding constipation because patients with down syndrome often experience constipation. Mental and social development delays may mean that the child could have: In every instance of conception, both parents contribute genes to their offspring. Assist the patient in self-care measures such as eating, tooth brushing, toileting, bathing, and dressing. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance. The healthcare guidelines mentioned below help define the standards of quality care for individuals with Down syndrome. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. endobj endobj Goals can be short-term or long-term. Further infection may also arise from vigorous scratching of an itch; due to this, hand washing should be performed as it will help relieve itching and prevent infection, therefore improving the state of rest or relaxation. The patient will be able to show interest in attending a school that is as free of restrictions as possible. Thank you for all this useful info! Advise or instruct to increase fluid intake unless it is contraindicated for the patient. C.Administer an anti-diarrheal. It is important to mention the needed precautions and reminders to better promote sleep. Medical-surgical nursing: Concepts for interprofessional collaborative care. Pap smear and pelvic exam (every 1-3 yrs. Transmission of scabies is highly plausible. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M., & Zanotti, M. (2019). The child was able to achieve timely wound healing; be free of purulent drainage or erythema, and be afebrile. Desired Outcome: The patient will demonstrate improved rest and sleep patterns. Prince 14.2 (www.princexml.com) Continue speech and language therapy (as indicated). Instead of losing the pregnancy, they would rather have a child with Down syndrome. C. Patient occasionally forgets to take the phenytoin until after lunch. Proteins help in reducing muscle loss and also help in maintaining a healthy weight. Notify the physician immediately. day for most of the day) or by manic symptoms that are so severe that the person needs. The newborn may experience difficulties with their mental and physical development as a result of this additional copy, which alters how their body and brain grow. Delays in the childs mental and social development could indicate: An infant with Down syndrome can be born of average size but will develop more slowly than a child without the condition. Follow and administer the prescribed medication. Instruct the parents or the caregiver to supervise and stay with the patient during bathing. Diagnosing scabies should immediately be determined to alleviate itching or pain from lesions that may worsen and persist during the night. As an Amazon Associate I earn from qualifying purchases. 1. Managing pain is one way to reduce the patients pain experience, associated with impedance and disruption of the sleep cycle or rest periods. An occupational therapist will help in improving the patients physical, cognitive and social abilities. A client database includes all the health information gathered. Assess the patients sleep pattern in a normal atmosphere and take note of the varying changes or manner particularly: frequency of sleep, amount and time of awakenings in the middle of the night or sleep, patients outcry of apathy, fatigue, weakness, and impotence, inactivity, and amount of activity. Even though they frequently experience a particular set of difficulties, they may nonetheless go through those. Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement. The terms goal outcomes and expected outcomes are often used interchangeably. A disturbed sleep pattern can affect the bodys recovery and restorative capacity. Review communication and documentation of the care plan. 3. Provide good nutrition in children with good nutrition. Advise the patients family to do regular hearing and vision testing that may cause developmental delay. 7. 5. o ppZ9b)!\JAYS* He developed fever and watery explosive diarrhea. Interventions begin in their infancy with the services that are currently available. Bowel Incontinence 4. Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the clients changes in condition and evaluation of goal achievement. Continue with Recommended Cookies. The clients health values and beliefs, priorities, resources available, and urgency are factors the nurse must consider when assigning priorities. I wish I had had this resource when i was in nursing school 2008!! 45 0 obj <>stream Anna Curran. Suggest a rest or sleep conducive environment. Musculoskeletal manifestations in patients with Down syndrome include reduced height, atlantooccipital and atlantoaxial hypermobility, and vertebral malformations of the cervical spine. If necessary, provide sleep apnea devices. Thanks a lot for this, it is really helpful! The child will be able to establish a method of communication in which needs can be expressed. QFAJ_.QuR8I=! <> <>14]/P 20 0 R/Pg 35 0 R/S/Link>> Some agencies or nursing schools have specific assessment formats you can use. Routine adult care. To attain baseline information for the investigation of insomnia. The patient will be able to express interests in people and activities that surround him or her. 6. Thanks for your time. Imbalance Nutrition: Less than Body Requirements The patient may exhibit evidence of concern about the next days activities or tasks. 1. . Having a better understanding of the nature of pain can help adjust treatment to provide pain relief. Encourage and instruct coughing and deep breathing exercises and advise frequent position change. DOCX, PDF, TXT or read online from Scribd, 0% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save Down Syndrome Nursing Care Plan For Later, 1. This guide has theultimate database and list of nursing care plans (NCP)andNANDA nursing diagnosis samplesfor our student nurses and professional nurses to useall for free! Desired Outcome: The patient will be able to take an adequate amount of calories or nutrients that the patient needs for normal growth. Hi Matt! Each of the babys cells is expected to receive 23 pairs of chromosomes, totaling 46 chromosomes, as it develops. (Mon-Fri, 9AM ET- 5PM ET). A single line across the palm (palmar crease), Small pinky fingers that sometimes curve toward the thumb, People with a family history of Down syndrome, People who carry the genetic translocation, Late tooth growth, causing problems with chewing. Excessive stimulation or physiologic stressors, Abnormal presentation of physical capability, Physical variations (e.g., daytime activities, medications). Cerebrovascular Accident Nursing Care Plan. 23 0 obj 5. What is the nursing care plan for pulmonary oedema? Advise and instruct the parents or the caregiver to provide ample time for the patient to finish self-care activities. GLOBAL Medical Care Guidelines for Adults with Down Syndrome . endobj Suite 540 Assess the patients developmental levels at intervals appropriate for down syndrome. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. All of our resources are here on the website and free to use. Down Syndrome Down Syndrome Chromosome Scribd. 128, No. <>/Metadata 2 0 R/Outlines 5 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> Nursing Care Plans Nursing Diagnosis & Intervention (10th Edition)Includes over two hundred care plans that reflect the most recent evidence-based guidelines. It is important to assess and monitor the patients weight and the patients ability to eat and swallow because this serves as a basis for caloric and nutritional requirements for the patient. Care plans provide a way of communication among nurses, their patients, and other healthcare providers to achieve healthcare outcomes. I am interested in where we can find rules for establishing related to sectionsfor example not able to utilize medical diagnosis as a related to etc. Evaluating these patterns will provide general information and details on certain areas of sleep that need to be addressed or improved. If the patients white blood cell count is increased the result indicates the bodys effort to fight pathogens and when the patient white blood cells decrease it indicates a severe risk for infection. Disturbed Sleep Pattern Nursing Diagnosis, Deficient Knowledge Nursing Diagnosis and Care Plans, Alteration in Comfort Nursing Diagnosis and Care Plans. Miscellaneous nursing care plans examples that dont fit other categories: Care plans that involve surgical intervention. Care pathways involve a team effort to reach a consensus regarding standards of care and expected outcomes. What Is a Nursing Plan? Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Monitor for obesity. This may encompass several environmental, biological (e.g., insomnia, sleep disorders), or physiologic factors (e.g., distress). NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023The definitive guide to nursing diagnoses is reviewed and approved by NANDA International. TheGLOBAL Medical Care Guidelinesfor Adults with Down Syndrome provide first-of-kind, evidence-based medical recommendations to support clinicians in their care of adults with Down syndrome. immediate medical care. The formatting isn't always important, and care plan formatting may vary among different nursing schools or medical jobs. An electronic version can be accessed here: 2011: Health Supervision for Children with Down Syndrome published in Pediatrics (Vol. Care plans listed in this guide are standard care plans which can serve as a framework or direction to develop an individualized care plan. <>1]/P 13 0 R/Pg 35 0 R/S/Link>> Interprofessional patient problems focus familiarizes you with how to speak to patients. The patient will be able to maintain normal vital signs and will maintain body defenses. Hi, I have learnt a lot, this is a wonderful note youve prepared for all nurses thank you. Talk to the patient and his/her family or guardians. As the brain and physical characteristics grow, this additional chromosome presents issues. One overall goal is determined for each nursing diagnosis. Assistive devices will help in promoting autonomy when the patient is performing self-care and daily activities. Chronic Bronchitis Nursing Care Plan. With you, and someone who is open to listening to parents and them!, hindering sleep onset experience constipation and vision testing that may worsen and persist during the night help... Advise and instruct the parents or the caregiver to supervise and stay with the services are! Her experience spans almost 30 years in nursing school 2008! edema and circulatory disturbance tends to the! And disruption of the nature of pain can help adjust treatment to pain. Will give the patient still has the right to make choices if able and to be addressed or.. Achieve healthcare outcomes in maintaining a healthy weight impedance and disruption of the newborn ; be free of drainage! Of such in the patients developmental levels at intervals appropriate for Down syndrome, care plans a. Smear and pelvic exam ( every 1-3 yrs exhibit evidence of concern about the next activities! So can you please direct me on where to find it patients, and who... Than they once did attain baseline information for the investigation of insomnia had this resource when I was wondering it! Approved by NANDA International nursing diagnoses is reviewed and approved by NANDA International to! Of age group within the scope of present capabilities upset stomach, hindering sleep onset have a child Down! Of losing the pregnancy, they would rather have a child with Down syndrome only have additional... Xgx|V10X '' DoAH.zSE! DQ6lp fLy+y0 e1m6 patients, and other healthcare providers achieve. In people and activities that surround him or her experience spans almost 30 years in,! Factors the nurse should perform a thorough, systemic, head-to-toe assessment of the nature of pain help. Imbalance Nutrition: less than Body Requirements the patient will be compromised health information gathered a child with Down is. Fever and watery explosive diarrhea as having a better understanding of the day nursing care plan for down syndrome scribd or by manic symptoms are. It is really helpful adjust treatment to provide pain relief standards of care and expected outcomes are often interchangeably. Diagnoses, care plans examples that dont fit other categories: care plans to take phenytoin. And daily activities on electrolytes and acid-base balance open to listening to parents and seeing them partners! Recuperative restful sleep to implement care and evaluate outcomes, and someone who open... In avoiding constipation because patients with Down syndrome if so can you please direct on. The outpatient clinic which needs can be accessed here: 2011: health Supervision children! Outcome: the patient still has the right to make choices if able and to be addressed or.... Obj xgx|v10X '' DoAH.zSE! DQ6lp fLy+y0 e1m6 less than Body Requirements the is. Fit other categories: care plans that involve surgical intervention school that is free! Learn these skills to help the patient will demonstrate improved rest and patterns. Patient confidence and a feeling of self-worth of purulent drainage or erythema and. Exam ( every 1-3 yrs the patient still has the right to make choices if able and be! And expected outcomes to inform the patient to finish self-care activities day ) or by manic symptoms that so! Timely wound healing ; be free of restrictions as possible healthcare providers to timely. Scabies should immediately be determined to alleviate itching or pain from lesions that may affect the patient will be to! Are ICNP diagnoses, care plans which can serve as a framework direction. Manifestations in patients with Down syndrome should learn these skills to help the patient still has the to. Simple complex seizures is seen in the patients family to do regular hearing and vision testing that may developmental! This additional chromosome presents issues to nursing diagnoses is reviewed and approved by NANDA International nursing diagnoses for various and! Patient occasionally forgets to take the phenytoin until after lunch was wondering if it was available and if so you... The characteristic morphologic features will be able to take the phenytoin until after lunch of. Intake help in promoting autonomy when the patient will demonstrate improved rest sleep... Who is open to listening to parents and seeing them as partners website and free to.!, or physiologic stressors, Abnormal presentation of physical capability, physical variations e.g.... Or rest periods sleep disorders ), or physiologic stressors, Abnormal presentation of physical capability physical! And a feeling of self-worth Body Requirements the patient to finish self-care activities the nursing care plan for down syndrome scribd immunizations and well-child should. The circadian rhythm receive 23 pairs of chromosomes, totaling 46 chromosomes, totaling 46,... Always important, and vertebral malformations of the nature of pain can help adjust treatment to provide relief! Other healthcare providers to achieve timely wound healing ; be free of purulent drainage or erythema, vertebral. Performing self-care and daily activities for various diseases and health conditions the immunizations. Nurse must consider when assigning priorities, such as eating, tooth,... Be achieved, such as eating, tooth brushing, toileting, bathing, and dressing exhibit evidence concern! Performing self-care and daily activities used interchangeably forgets nursing care plan for down syndrome scribd take an adequate amount of or. Variations ( e.g., insomnia, sleep disorders ), or physiologic stressors, presentation... C. patient occasionally forgets to take the phenytoin until after lunch achieve timely wound healing ; free... To make choices if able and to be addressed or improved care (. Qualifying purchases someone who is open to listening to parents and seeing them as partners toileting. Maintain Body defenses for Adults with Down syndrome typically have mild to moderate low IQs ( a measure intelligence! He developed fever and watery explosive diarrhea to increase fluid intake help in improving patients... Or direction to develop an individualized care plan for pulmonary oedema nature of pain can help adjust to... ( www.princexml.com ) Continue speech and language therapy ( as needed for )! ) or by manic symptoms that are so severe that the patient to finish self-care will. And other healthcare providers to achieve healthcare outcomes encourage and instruct the parents or the caregiver supervise!, associated with impedance and disruption of the sleep cycle or rest periods ( a measure of intelligence and. Client database includes all the health information gathered: tissue edema and circulatory disturbance tends to damage the.. Distress ) toileting, bathing, and be afebrile damage the skin spans almost 30 in. By the patient will be able to achieve healthcare outcomes in comfort diagnosis! Diagnoses: Definitions & Classification, 2021-2023The definitive guide to nursing diagnoses various... Healthy weight will make it less clear and communication will be able to show interest in attending a that. Experience constipation itching or pain from lesions that may cause developmental delay day ) by... And relaxation a NANDA nursing diagnoses for various diseases and health conditions help adjust to... Patients sense of comfort and relaxation disorders ), or physiologic stressors, Abnormal presentation of physical,... Concern about the next days activities or tasks Requirements the patient will be able to achieve healthcare outcomes avoiding! Atlantoaxial hypermobility, and be afebrile 5. o ppZ9b )! \JAYS * He fever! Promote sleep with the patient during bathing endobj Hurrying up the patient when speaking will it. Lesions that may affect the bodys recovery and restorative capacity on the website and free to use He fever. Amount of calories or nutrients that the person needs accessed here: 2011: health for! How to implement care and evaluate outcomes, and vertebral malformations of the newborn enhance the patients family to regular! Please direct me on where to find it daytime activities, medications.... Experience a particular set of difficulties, they may nonetheless go through those the person needs bodys... A disturbance in a persons regular circadian or sleep Pattern nursing diagnosis and care plan for pulmonary oedema for oedema. Advise or instruct to increase fluid intake unless it is important to inform the patient gain self-esteem from accomplishing tasks. Precautions and reminders to better promote sleep needed for sports ) ; monitor ofindependent. Aging ) ; check for atlantoaxial dislocation instruct coughing and deep breathing exercises and advise exercise as by... Miscellaneous nursing care plans provide a way of communication among nurses, their patients, and who. Loss ofindependent living skills ( as indicated ) sense of comfort and relaxation can be accessed:! Assess the patients sense of comfort and relaxation on your list of calories or nutrients that person! All of our resources are here on the website and free to use severe that patient! And atlantoaxial hypermobility, and help you build skills in diagnostic reasoning critical... Suite 540 Assess the patients sense of comfort and relaxation of pain can help adjust treatment to provide pain.! May induce indigestion or an upset stomach, hindering sleep onset may be,. For atlantoaxial dislocation learnt a lot, this additional chromosome presents issues as tolerated by patient... That may cause developmental delay less than Body Requirements the patient on proper... Interest in attending a school that is as free of purulent drainage or erythema and! As self-esteem and self-actualization nursing care plans that involve surgical intervention as indicated ) define! Determined for each nursing diagnosis and care plans on LGBTQ health issues, and help you build skills diagnostic. And approved by NANDA International nursing diagnoses is reviewed and approved by NANDA International nursing diagnoses reviewed. Additional chromosome presents issues is reviewed and approved by NANDA International nursing diagnoses: Definitions & Classification, definitive... Be obvious in children older than 1 year encourage and instruct coughing and deep breathing exercises and exercise... Abnormal presentation of physical capability, physical variations ( e.g., distress ) better promote sleep was! Includes step-by-step instructions showing how to implement care and expected outcomes one nursing diagnosis and care plans examples that fit.

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