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

1. 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.

2. Medication Management

   • Administer medications as ordered, such as iron supplements, vitamin B12, folic acid, or erythropoiesis-stimulating agents.

3. 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.

4. Assistance with Activities of Daily Living (ADLs)

   • Assist with ADLs as needed to ensure patient safety and promote participation despite fatigue or dizziness.

5. 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

1. 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.

2. Medication Management

   • Administering medications as prescribed helps correct the underlying causes of anemia and improve the patient’s hemoglobin levels.

3. 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.

4. 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.

5. Patient and Family Education

   • Educating the patient and family promotes understanding and compliance with the care plan, enhancing overall management of the condition.

Actions

1. 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.

2. 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.

3. 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.

4. 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.

5. 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.