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Activity intolerance nursing care plan goals12/14/2023 People with a variety of food allergies and sensitivities also have increased risk for latex allergy. Evidence indicates a high incidence of latex allergy in people with spina bifida who have had multiple surgeries in childhood. Another group of people at risk are those who undergo repeated surgeries, especially if the surgeries begin in childhood. People employed in industries that manufacture latex rubber products are at risk, too. The people at highest risk for latex allergy include those who wear latex gloves as part of their jobs, such as health care workers, food service workers, housekeepers, and hairdressers. Soft rubber products such as gloves have the highest content of latex protein and the most potential to cause an allergic response. The incidence of latex allergy increased after 1985 with the introduction of standard precautions to prevent the spread of bloodborne pathogens such as the human immunodeficiency virus. Products made from synthetic rubber may be called latex but do not contain the proteins known to cause an allergic response. Latex allergy is a hypersensitivity reaction to the proteins in natural rubber latex derived from the sap of the rubber tree, Hevea brasiliensis. Older patients, who have an increased incidence of emphysema and a higher prevalence of chronic cough or sputum production, are at high risk.ĭefinition: A hypersensitive reaction to natural latex rubber products Ineffective airway clearance can be an acute (e.g., postoperative recovery) or chronic (e.g., from cerebrovascular accident or spinal cord injury) problem. Likewise, conditions that cause increased production of secretions (e.g., pneumonia, bronchitis, chemical irritants) can overtax these mechanisms. Factors such as anesthesia and dehydration can affect function of the mucociliary system. Other mechanisms that exist in the lower bronchioles and alveoli to maintain the airway include the mucociliary system, macrophages, and the lymphatics. However, the cough may be ineffective in both normal and disease states secondary to factors such as pain from surgical incisions or trauma, respiratory muscle fatigue, or neuromuscular weakness. Coughing is the main mechanism for clearing the airway. Maintaining a patent airway is vital to life. Decreased activity intolerance puts patientsĪt higher risk for falls, medical alert jewelryĬan be especially helpful to those who liveįluid and food intake.Definition: Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway.Health and there are activities that can be Daily exercise is still important to overall.Boots can help keep the foot in the normalĪnatomical alignment to prevent foot dropĪnd prevent pressure ulcer formation on the.(Ackley &Īnd reduces orthostatic hypotension as wellĪs reducing risk of muscle atrophy, and jointĬlients because of decreased activity andįluid and food intake. When changing positions and exercising toĭecrease the risk for falls. Orthostatic hypotension is important to note.Ulcer/other skin issues (Ackley & Ladwig). Predict the risk of developing a pressure Use of a risk assessment tool is effective to. Level of assistance acts as a guideline on.Educate client about medical alert necklaces Prevent pressure ulcers on the heels and footĮxercises/activities that should be able to beĩ. Teach client the use of specialized boots to Increased fluids, fiber, and laxatives prn)ħ. Help the client out of bed and ambulating as Assess the client for orthostatic hypotension.ĭo: 4. Assess skin condition daily using the Badenģ. Assess the level of assistance needed by theĮffort needed from the person assisting theĢ. (Measurable evidence that will demonstrate As evidenced by: SOB, fatigue Outcome Criteria Torrie Bell Priority THE NURSING PROCESS: NURSING CARE PLAN NURSING DIAGNOSIS PLANNING (Problem Etiology Signs and Symptoms) Client Goal: WIMC client will demonstrate increased Activity Tolerance Activity Intolerance Related to: Right-sided HF.
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