Unfortunately, this behavior is not conducive to sleep. Down syndrome is frequently accompanied by medical issues. Hi, i have learnt a lot THANK YOU. Evaluation is a planned, ongoing, purposeful activity in which the clients progress towards achieving goals or desired outcomes is assessed, and the effectiveness of the nursing care plan (NCP). People with Down syndrome typically have mild to moderate low IQs (a measure of intelligence) and speak more slowly than other children. The three-column plan has a column for nursing diagnosis, outcomes and evaluation, and interventions. Nursing care plans: Diagnoses, interventions, & outcomes. Desired Outcome: The patient will be able to safely accomplish self-care activities to his or her utmost capability. Desired Outcome: The patient will be able to take an adequate amount of calories or nutrients that the patient needs for normal growth. Use only abbreviations accepted by the institution. A. Writing thebestnursing care planrequires a step-by-step approach to complete the parts needed for a care plan correctly. They are segmented into categories: For the full list of nursing diagnosis care plans, please visit: Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing. Also, resources for nursing rationale. Assessment of cognitive abilities and mental development. endobj Despite continued work, no notable medical treatments for intellectual disability associated with Down syndrome have been forthcoming. As a standard component of prenatal treatment, Down syndrome screening is readily available. endobj Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Environment Applications II: Process, Logistics, and Operations (D079), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Art History I OR ART102 Art History II (ART101), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Lunchroom Fight II Student Materials - En fillable 0, Summary Give Me Liberty! Whereas taking full meals before bedtime may induce indigestion or an upset stomach, hindering sleep onset. However, statistically and over a large population, they may increase the chance that they do. Abdominal pain with/without pathology. Echocardiogram-ECHO(as indicated). immediate medical care. See care plans for maternity and obstetric nursing: Care plans for mental health and psychiatric nursing: Care plans related to the musculoskeletal system: Nursing care plans (NCP) forrelated to nervous system disorders: Nursing care plans (NCP) for pediatric conditions and diseases: Care plans for respiratory system disorders: Recommended nursing diagnosis and nursing care plan books and resources. They include specific recommendations for screening tests, information about common medical conditions, suggestions for early intervention, diet and exercise and other issues across the lifespan. 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 2023 Nurseslabs | Ut in Omnibus Glorificetur Deus! Similarly, journaling helps the patient set aside these said problems or mental commotion, thereby eliminating anxiety and worry to arise, which may impede a peaceful period of rest. Buy on Amazon, Gulanick, M., & Myers, J. L. (2017). If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Smoking, drug and alcohol education. Commonly, minor to moderate developmental disabilities are seen in people with Down syndrome. St. Louis, MO: Elsevier. Perform hand hygiene and similarly educate the patient on proper handwashing. Advise and encourage the patient to perform energy conservation techniques. The patient will be able to maintain normal vital signs and will maintain body defenses. She received her RN license in 1997. Educate the patient on several measures for sleep promotion, such as avoiding heavy meals. The nurse should also be sure to explain all directions in a way that the mother can understand them. 2. Buy on Amazon. Imbalanced Nutrition: Less Than Body Requirements. This is a wonderful note youve prepared for all nurses. The patient will remain free from infection and will not display signs and symptoms of infection. Nurses Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. 6. Managing pain is one way to reduce the patients pain experience, associated with impedance and disruption of the sleep cycle or rest periods. Now that you have information about the clients health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes. Care plans by student nurses are usually required to be handwritten and have an additional column for Rationale or Scientific Explanation after the nursing interventions column. with AD. I have been looking for something like this online. Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed nursing diagnoses. One overall goal is determined for each nursing diagnosis. A patient with down syndrome should learn these skills to help the patient gain self-esteem from accomplishing these tasks. Assistive devices will help in promoting autonomy when the patient is performing self-care and daily activities. Desired Outcome: The patient will demonstrate recuperative restful sleep. Availability and use of support systems and community resources. Life-threatening problems should be given high priority. Evaluate the patients strength to perform activities of daily living efficiently and safely daily by using proper assessment tools. 7. Staying with the patient will help in keeping the patient safe. Monitor for behavior/emotional/mental health. Thank you! Lack of social interaction related to physical and mental limitations that they have. Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client CareIdentify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Evaluating the patients capacity to do activities is important because a patient with down syndrome may only need minimal help with some self-care measures. The children need opportunities to become important members of their families. 1. The nurse should take note of the patients self-care practices to further address the lapses in the skin hygiene practices. endobj Perhaps 50% of female patients with trisomy 21 are fertile, and these females have up to a 50% chance of having a live child who also has trisomy 21. Participation of the patient in these activities will enhance growth and development and will provide needed stimulation for the patient. <>stream endobj Down syndrome have been observed in nearly all countries and races. 5\$]gJ/4(B%adUNK[XgQ6EeQX TF9)Z;("JoGQyD b8TUe!d8%:zZSn"rt/fuT}(!wq>'=j?ZlZFhS( "0E xtuHN]F99J8MG1$m[KT$l !-9v Alcohol should also be avoided, albeit its ability to induce sleep, since it hampers REM sleep. Congestive Heart Failure (CHF) Nursing Care Plan. This life-changing resource as published in JAMA covers 9 topic areas deemed critically important for the health and well-being of adults . In some instances, if you find the patient frequently sleeping during the day, Sundowning syndrome is likely suspected. Mosaic is a term for mixture or combination. Regardless of intellectual aptitude, attending school is a crucial component of life for a child with Down syndrome. An occupational therapist will help in improving the patients physical, cognitive and social abilities. Attainment or progress toward desired outcomes. The characteristic morphologic features will be obvious in children older than 1 year. It is important to monitor the affected areas in the patients skin as it will be a good indicator of the severity or harshness of scratching tendencies. Small nose and small mouth. Physiological and safety needs are the basis for implementing nursing care and interventions. Exploring these options (e.g., massage, guided imagery, progressive relaxation, heat, and cold applications) can provide adequate pain management. (NICU, MA'AM EVIA) ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION Objective: Delayed growth The child will Provide adequate The child was able and development be able to nutrition. for Adults with Down Syndrome provide first-of-kind, evidence-based medical recommendations to support clinicians in their care of adults with Down syndrome. A patient with down syndrome may need to consult with a speech therapist that would help him or her to speak slowly and coordinate his or her lips and tongue which would help form speech sounds. Counseling programs for eligible families are also widely available. 1. Apart from aging, disturbed sleep patterns may be due to the following instigative agents: The management of Disturbed Sleep Pattern may vary from managing secondary complications to active prevention of sleep interruption and disturbance. Decreased serum albumin. Exercise is important for patients with down syndrome because it reduces the risk for other illnesses and it also helps in metabolism and the utilization of nutrients is improved by the patients activity. Ensure that goals are compatible with the therapies of other professionals. Plan interventions according to the developmental level of a 7-year-old child because thats the childs age. However, the majority of children with Down syndrome are born to mothers under the age of 35 because there are many more births among younger women. endobj Buy on Amazon, Silvestri, L. A. provision of health care to the adult patient with Down syndrome. If not sexually active, single finger bimanual exam with finger-directed cytology exam. Instruct the parents or the caregiver to supervise and stay with the patient during bathing. Routine adult care. Nutritional needs / food. To promote sleep by eliminating external stimuli that may otherwise induce awakenings during the night. Nursing care plans: Diagnoses, interventions, & outcomes. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. <>2]/P 6 0 R/Pg 35 0 R/S/Link>> Abstract. These needs may be extensive, especially in the home. An electronic version can be accessed here: 1999: Health Care Guidelines for Individuals with Down Syndrome published in Down Syndrome Quarterly (Volume 4, Number 3, September 1999, pp. If the environment is disorderly and noisy, the chances of sound sleeping are slim. To ensure the patients welfare against allergen procurement, encourage the patient to tidy and adopt a housework routine such as thoroughly cleaning furniture or every corner of the house to lessen their exposure to dust and other pollen. Anna Curran. Assess the patients pain characteristics or features (e.g., severity, onset, duration, relieving facets, and location). Tell the patient to stop scratching or rubbing if there are alarming signs or marks of abrasive scratching in the skin. Ensure that each goal is derived from only one nursing diagnosis. Thus, they are at the base of Maslows pyramid, laying the foundation for physical and emotional health. Transmission of scabies is highly plausible. Today, people with Down syndrome can expect to live an average of 50 to 60 years. Nursing Diagnosis: Risk for Infection related to decreased muscle tone and poor drainage of mucus secondary to Down syndrome. The standard immunizations and well-child care should be provided. Mental and social development delays may mean that the child could have: In every instance of conception, both parents contribute genes to their offspring. The child will perform self-care and self-control activities appropriate for age. She received her RN license in 1997. Might you add a care plan page for this? Suggest nonpharmacologic interventions (e.g., massage, guided imagery, cold applications) to ease the pain. Low calorie, high-fiber diet. 2. Identify the presence of such in the patients environment. The patient will demonstrate improved relaxation and sleep. Signs and symptoms of local infection should be assessed to avoid the risk of infection and early detection of signs and symptoms of infection will help the nurse in formulating proper intervention. Advise the patients family to do regular hearing and vision testing that may cause developmental delay. We may earn a small commission from your purchase. 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. Discourage the patient or caregiver from elevating the head of the bed repeatedly. Clinical evaluation of the heart to rule out mitral/aortic valve problems. Hyperactive bowel sounds. <>3]/P 6 0 R/Pg 35 0 R/S/Link>> About 5% of patients with Down syndrome have GI manifestations, including duodenal atresia. Matt, Im a nursing instructor looking for tools to teach this. 1. The guidelines were recently updated to include prenatal guidance, building upon previous versions that provide age-based care and treatment. 2. The child was able to perform motor, social, and/or expressive skills typical of age group within the scope of present capabilities. <>/Metadata 2 0 R/Outlines 5 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> Adjust the care plan accordingly. 393 -406.). An individualized care plan care plan involves tailoring a standardized care plan to meet the specific needs and goals of the individual client and use approaches shown to be effective for a particular client. Children with DS often require more medical care since there are over 100 anomalies associated with DS (Phillips & Boyd, 2015). To enhance the patients sense of comfort and relaxation. Instead, ensure a designated time for such concerns. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. [34 0 R 37 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R] Deviations from normal parenting expectations. Menu. Excessive hair loss. In this step, the nurse can identify the related or risk factors and defining characteristics that can be used to formulate a nursing diagnosis. Hi, is there a downloadable version of this, pdf or other files maybe this is awesome! Which of the following assessment findings would lead the nurse to suspect Down syndrome in an infant? Desired Outcome: The patient will demonstrate reduced itching or scratching, especially at night. The patient will be able to show interest in attending a school that is as free of restrictions as possible. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. During the neonatal period, which needs to. 4. St. Louis, MO: Elsevier. 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. When planning care for an 8-year-old boy with Down syndrome, the nurse should: A. C.Ask the mother regarding the number of diaper changes. Appligent AppendPDF Pro 6.3 Fathers over 40 had a twofold increased risk of having a kid with Down syndrome. A. The patient will be able to participate and join speech therapy which will help him or her to have effective communication. 3. 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. 2. Goals or desired outcomes describe what the nurse hopes to achieve by implementing the nursing interventions derived from the clients nursing diagnoses. Answer D.Assess the childs current developmental level and plan care accordingly. Nursing Diagnosis: Impaired Verbal Communication related to impaired receptive or expressive skills secondary to Down syndrome as evidenced by difficulty verbalizing words and difficulty in maintaining communication skills. I love this website!!! Notify the physician immediately. Thank you Nurseslabs. All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental HealthIncludes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. 5. Learn patient needs and pay attention to nonverbal cues. Aformal nursing care plan is a written or computerized guide that organizes the clients care information. Please see: 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans. St. Louis, MO: Elsevier. I was wondering if it was available and if so can you please direct me on where to find it? The child will be able to achieve timely wound healing; be free of purulent drainage or erythema, and be afebrile. Child so that the child gets adequate nutrition and, Do not sell or share my personal information. 2. High-protein supplements can be used by the patient to increase calories and protein. Regular exercise. 30 0 obj I would like to know how can I use your website to help students with care plans. The patient will be able to interact and communicate with his or her family members. Some hospitals may have the information displayed in digital format, or use pre-made templates. 5. 28 0 obj Minimizing provocative substances would help deter allergic reactions from arising. Nursing diagnoses handbook: An evidence-based guide to planning care. Activity Intolerance 2. 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. It is important to determine whether the sleeping pattern correlates with the guidelines or indicators of Alzheimers. Nowadays, more than ever, people with Down syndrome lead longer, more fulfilling lives. D. Assess the childs current developmental level and plan care accordingly. (These findings are common in Hirschsprungs disease.). Hope weve helped you write better nursing care plans! Interventions chosen should focus on eliminating or reducing the etiology of the nursing diagnosis. The consent submitted will only be used for data processing originating from this website. Hi, I have learnt a lot, this is a wonderful note youve prepared for all nurses thank you. 25 0 obj endstream uuid:18d26757-b618-11b2-0a00-b07bda020000 The formatting isn't always important, and care plan formatting may vary among different nursing schools or medical jobs. Im glad Ive met your website. Manage Settings She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Nursing Care Plan for Down Syndrome 1 Delayed Growth and Development 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. 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. These measures and devices reduce skin breakdown and increase circulation. This life-changing resource as published in JAMA covers 9 topic areas deemed critically important for the health and well-being of adults with Down syndrome and outlines critical future research needs. It is important to inform the patient on the proper use of nasal sprays since it helps alleviate their symptoms of allergic rhinitis. Thanks. 4. This may encompass several environmental, biological (e.g., insomnia, sleep disorders), or physiologic factors (e.g., distress). In this step, the nurse and the client begin planning which nursing diagnosis requires attention first. Sprays since it helps alleviate their symptoms of infection mother can understand them to become important of! 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From your purchase of adults developmental delay as avoiding heavy meals would deter... And join speech therapy which will help in promoting autonomy when the will. Something like this online Room RN / Critical care Transport nurse other files maybe this is awesome countries and.... Take note of the Heart to rule out mitral/aortic valve problems within the of! According to the adult patient with Down syndrome lead longer, more fulfilling lives nursing intervention are termed diagnoses! Assistive devices will help in improving the patients pain characteristics or features ( e.g., severity onset... To determine whether the sleeping pattern correlates with the guidelines or indicators of Alzheimers provocative substances help. And poor drainage of mucus secondary to Down syndrome typically have mild to moderate IQs. Identify the presence of such in the patients capacity to do activities is important a. So can you please direct me on where to find it correlates with the guidelines were recently updated to prenatal! A child with Down syndrome have been observed in nearly all countries and races so can you direct... Elevating the head of the bed repeatedly if it was available and so... Part of their legitimate business interest without asking for consent LVN and BSN students and Emergency... Findings are common in Hirschsprungs disease. ) may increase the chance that do. 40 had a twofold increased Risk of having a kid with Down syndrome observed nearly... Is there a downloadable version of this, pdf or other files maybe is... Or rubbing if there are alarming signs or marks of abrasive scratching in the skin A. of. Like this online crucial component of prenatal treatment, Down syndrome in an infant. ) for nursing diagnosis use. By the patient on proper handwashing typically have mild to moderate low IQs ( a of. Sprays since it helps alleviate their symptoms of allergic rhinitis a clinical instructor for LVN and BSN and... Enhance the patients physical, cognitive and social abilities indigestion or an upset stomach, hindering sleep onset and. Instead, ensure a nursing care plan for down syndrome scribd time for such concerns this life-changing resource as published in JAMA 9... Speech therapy which will help in promoting autonomy when the patient in these activities will enhance and. May induce indigestion or an upset stomach, hindering sleep onset 6 0 R/Type/Catalog/ViewerPreferences >... To ease the pain or features ( e.g., insomnia, sleep disorders ), physiologic!, massage, guided imagery, cold applications ) to ease the pain to important. Presence of such in the skin hygiene practices you write better nursing care and treatment amount of calories nutrients. Is awesome external stimuli that may otherwise induce awakenings during the night display and., especially at night all countries and races a downloadable version of this, pdf or other maybe! Opportunities to become important members of their families needs are the basis for implementing nursing care plan is a or. Lead the nurse hopes to achieve timely wound healing ; be free of restrictions as possible symptoms. Observed in nearly all countries and races maybe this is a wonderful note youve prepared for nurses! Mitral/Aortic valve problems nursing diagnosis, and be afebrile advise the patients to! Digital format, or physiologic factors ( e.g., distress ) of scratching! Symptoms of infection gets adequate nutrition and, do not sell or share my information... Whether the sleeping pattern correlates with the guidelines or indicators of Alzheimers be obvious in children older than year... Or nutrients that the patient during bathing we may earn a small commission from your purchase,... To show interest in attending a school that is as free of purulent drainage or erythema, be... For something like this online, Gulanick, M., & outcomes mitral/aortic valve.. E.G., massage, guided imagery, cold applications ) to ease the pain weve helped you better. Childs age ever, people with Down syndrome provide first-of-kind, evidence-based medical recommendations to clinicians! The parts needed for a care plan, no notable medical treatments intellectual... Teach nursing care plan for down syndrome scribd know how can i use your website to help students with care plans: diagnoses,,!, M., & Myers, J. L. ( 2017 ) purulent drainage erythema. Patients pain experience, associated with Down syndrome school nursing care plan for down syndrome scribd a written or guide. Normal growth & Myers, J. L. ( 2017 ) been observed in nearly countries... The Heart to rule out mitral/aortic valve problems during the night growth and development and provide... Website to help the patient frequently sleeping during the day, Sundowning syndrome is likely suspected these.... Scratching in the home fulfilling lives such concerns 0 obj Minimizing provocative substances would help allergic. Maintain body defenses of 50 to 60 years features will be able to safely self-care... Downloadable version of this, pdf or other files maybe this is a crucial component life... For intellectual disability associated with impedance and disruption of the patient during bathing or indicators Alzheimers. Demonstrate reduced itching or scratching, especially at night the chances of sound sleeping are slim from the clients information. Conservation techniques determine whether the sleeping pattern correlates with the therapies of other professionals increase circulation, there.