Anemia
Care Plan for Anemia
Category / Primary Body System:
Hematologic System
Problem:
Patient is at risk of complications due to diagnosis of anemia.
Goal:
Patient will not have complications due to anemia (e.g., increased fatigue and dizziness) as evidenced by being able to participate in ADLs if able for 90 days.
Plan/Approach:
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Monitor for Symptoms:
- Step-by-Step Approach: Regularly assess for signs of fatigue, dizziness, and other symptoms of anemia.
- Technological Aids: Utilize electronic health records (EHR) for tracking symptoms and lab results.
- Educational Efforts: Educate the patient on recognizing symptoms and the importance of reporting them.
- Engagement in Diversional Activities: Encourage light activities to maintain physical engagement without overexertion.
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Lab Monitoring:
- Step-by-Step Approach: Schedule regular blood tests to monitor hemoglobin, hematocrit, and other relevant parameters.
- Technological Aids: Use EHR to schedule and track lab tests.
- Educational Efforts: Inform the patient about the importance of lab tests and how they help manage anemia.
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Medication Administration:
- Step-by-Step Approach: Administer iron supplements, erythropoietin, or other prescribed treatments.
- Technological Aids: Use medication administration records (MAR) to ensure timely administration.
- Educational Efforts: Educate the patient about their medications, potential side effects, and the importance of adherence.
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Diet and Nutrition:
- Step-by-Step Approach: Provide a diet plan focusing on iron-rich foods and arrange for a dietary consult if needed.
- Technological Aids: Utilize nutritional software for planning and monitoring dietary intake.
- Educational Efforts: Teach the patient about dietary sources of iron and how to incorporate them into meals.
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Monitor for Bleeding:
- Step-by-Step Approach: Regularly check for signs of bleeding such as bruising, bleeding gums, or blood in stool.
- Technological Aids: Use EHR for documentation and alerts.
- Educational Efforts: Educate the patient on signs of bleeding and when to seek help.
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Patient Education:
- Step-by-Step Approach: Provide comprehensive education about anemia, its management, and the importance of following the care plan.
- Educational Efforts: Use brochures, videos, and one-on-one teaching sessions.
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Assist with ADLs:
- Step-by-Step Approach: Provide support with activities of daily living to ensure the patient can participate without excessive fatigue.
- Technological Aids: Use assistive devices as needed.
- Educational Efforts: Teach energy conservation techniques.
Rationale:
- Monitoring Symptoms: Early detection of worsening symptoms can prevent complications.
- Lab Monitoring: Regular blood tests help in assessing the effectiveness of treatment.
- Medication Administration: Proper medication management can alleviate symptoms and improve patient outcomes.
- Diet and Nutrition: Adequate nutrition supports overall health and can improve anemia.
- Monitoring for Bleeding: Identifying and addressing bleeding promptly can prevent severe complications.
- Patient Education: Informed patients are better equipped to manage their health.
- Assisting with ADLs: Ensuring the patient can perform daily activities without excessive fatigue helps maintain their quality of life.
Actions:
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Monitor Symptoms:
- Check for signs of fatigue and dizziness daily.
- Document findings in EHR.
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Lab Monitoring:
- Schedule and perform blood tests as ordered.
- Review and report results to the physician.
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Medication Administration:
- Administer medications according to the physician's orders.
- Monitor for side effects and document adherence.
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Diet and Nutrition:
- Provide a diet plan focusing on iron-rich foods.
- Schedule a dietary consult if needed.
-
Monitor for Bleeding:
- Check for signs of bleeding daily.
- Notify the physician if any signs are observed.
-
Patient Education:
- Provide educational materials and sessions about anemia and its management.
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Assist with ADLs:
- Support the patient in daily activities and use assistive devices as needed.
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