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Nursing Diagnosis and Interventions for Endocarditis


Nursing Diagnosis for Endocarditis
  1. Activity intolerance r / t decreased cardiac output due to endocarditis.
  2. Anxiety r / t threat to sudden death, lack of knowledge about the condition.
  3. Disturbed sleep pattern r/t chills (fever), sweats as a result of the infection.


Nursing Interventions for Endocarditis

1. Activity intolerance r / t decreased cardiac output due to endocarditis.

Goal: the patient is able to demonstrate the durability of the activity.

Plan of action:
  • Monitor tolerance for activity.
  • Check the pulse before and after the activity.
  • Plan activities that allow for a period of rest.
  • Reduce the patient's activity.
  • Help with daily activities as needed.
  • Instruct the patient to bedrest.
Rationalization:
  • Physical endurance can be improved when the activity is done growing.
  • This intervention as an indication that the patient has a limit of maximum activity.
  • Bedrest reduce the workload of the heart by reducing .The energy needed by the body.

2. Anxiety r / t threat to sudden death, lack of knowledge about the condition.

Goal: Anxiety is reduced by criteria relaxed facial expression, understanding of the condition.

Plan of action:
  • Explain to the patient about the situation.
  • Give a chance to the patient to express feelings.
  • Divert the attention of the patient.
  • Involve the family in nursing.
  • Create a quiet environment.
  • Consult your doctor if the patient remains anxious.
Rationalization:
  • Anxiety cause an additional stress to the heart condition.
  • The family is the closest of the patients who know about the state of the patient so that families are able to provide mental support to the patients.


3. Disturbed sleep pattern r/t chills (fever), sweats as a result of the infection.

Goal: The need for restful sleep enough, with the criteria; the patient is not shivering and sweating is reduced, the temperature 36 - 37ยบ C.

Action Plan:
  • Observation of body temperature.
  • Create a comfortable environment (bedding, clothing).
  • Instruct the patient to use a thin blanket.
  • Implement treatment from a doctor.

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