Care Plan for Anemia
Care Plan for Anemia
Category / Primary Body System
- Hematological System
Problem
- Patient is at risk of complications due to anemia.
Goal
- Patient will not experience complications due to anemia (e.g., increased fatigue and dizziness), as evidenced by the ability to participate in ADLs as able for 90 days.
Plan/Approach
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Monitoring and Assessment
- Monitor patient for signs of fatigue and dizziness; notify MA/RNP if these symptoms are present.
- Monitor patient for signs and symptoms of bleeding (e.g., bruising, petechiae, hematuria); notify MD if any are observed.
- Monitor labs as ordered to track hemoglobin levels, hematocrit, and other relevant indicators.
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Medication Management
- Administer medications as ordered, such as iron supplements, vitamin B12, folic acid, or erythropoiesis-stimulating agents.
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Nutritional Support
- Implement diet as ordered; consult dietary services as needed to ensure the diet includes iron-rich foods and other nutrients necessary for managing anemia.
- Provide patient teaching on dietary choices that support anemia management.
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Assistance with Activities of Daily Living (ADLs)
- Assist with ADLs as needed to ensure patient safety and promote participation despite fatigue or dizziness.
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Patient and Family Education
- Educate the patient and family about anemia, its symptoms, and management strategies.
- Provide instructions on when to seek medical attention for symptoms such as severe fatigue, dizziness, or signs of bleeding.
Rationale
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Monitoring and Assessment
- Regular monitoring helps detect early signs of anemia-related complications, allowing for timely intervention and management.
- Monitoring for bleeding is crucial as it can exacerbate anemia and indicate an underlying condition.
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Medication Management
- Administering medications as prescribed helps correct the underlying causes of anemia and improve the patient’s hemoglobin levels.
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Nutritional Support
- A diet rich in iron and other essential nutrients supports the production of healthy red blood cells, aiding in the management of anemia.
- Dietary consultations ensure that the patient receives personalized nutritional guidance.
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Assistance with Activities of Daily Living (ADLs)
- Assisting with ADLs helps the patient conserve energy and maintain a level of independence, reducing the risk of injury due to fatigue or dizziness.
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Patient and Family Education
- Educating the patient and family promotes understanding and compliance with the care plan, enhancing overall management of the condition.
Actions
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Monitoring and Assessment
- Assess for fatigue and dizziness regularly, noting any changes and reporting them to the MA/RNP promptly.
- Monitor for signs of bleeding (e.g., gums, stool, urine) daily, documenting findings and notifying the MD if bleeding is detected.
- Perform lab tests as ordered, reviewing results and adjusting the care plan as necessary.
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Medication Management
- Administer prescribed medications according to the schedule, monitoring for effectiveness and any side effects.
- Educate the patient on the importance of medication adherence and possible side effects.
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Nutritional Support
- Follow dietary recommendations, incorporating iron-rich foods such as leafy greens, red meat, beans, and fortified cereals.
- Arrange dietary consultations to address any specific nutritional needs or preferences.
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Assistance with Activities of Daily Living (ADLs)
- Provide assistance with ADLs as needed, ensuring the patient remains safe and comfortable.
- Encourage gradual increase in activity levels as tolerated, promoting overall strength and endurance.
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Patient and Family Education
- Conduct educational sessions on anemia, including its causes, symptoms, and management.
- Provide written and verbal instructions on dietary choices, medication adherence, and recognizing symptoms that require medical attention.
- Offer resources and support for managing anemia at home, including tips for maintaining energy levels and preventing complications.
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