Decreased Intracranial Adaptive Capacity Care Plan Writing Services
Intracranial refers to something relating to the skull. Decreased Intracranial Adaptive Capacity Care Plan Writing Services is about a condition that causes a compromise to the intracranial fluid dynamic that usually compensates an increase in intracranial volumes. It results in a disproportionate increase in intracranial pressure as a response to various noxious and non-noxious stimuli. Nursing Writing Services has the required capacity to offer the best Decreased Intracranial Adaptive Capacity Care Plan Writing Services
Decreased Intracranial Adaptive Capacity Diagnosis
It is essential for a nurse to carefully check defining characteristics that confirm that a patient is suffering from decreased intracranial adaptive capacity and not another relating condition. The signs and symptoms point to its presence.
- Disproportionate increase in the ICP after a single maneuver
- Baseline ICP of 10mmHg
- Elevation of P2 ICP waveform
- Volume-pressure ration of more than 2
- Wide amplitude ICP waveform
- Repeated increase of 10 mm Hg lasting more than after external stimuli
Other factors relating to decreased intracranial adaptive capacity are:
- Brain injuries
- Sustained hypotension with- a. Sustained increased ICP b. Decreases cerebral perfusion intracranial hypertension
Decreased Intracranial Adaptive Capacity Care Plan Goals and outcomes
A good care plan will have the result in mind. A nurse should work to help a patient in realizing these outcomes at the end of therapy:
- Maintain a steady and efficient breathing pattern
- Maintain normal ABG levels
- Show no signs of fever
- Maintain regular bodily functions
- Develop an environment to eliminate the noxious stimuli
- Maintain skin integrity
- Stay free of any infections
- Show no signs of neurological disorders
- Medical and care giving teams also have goals to attain after diagnosis and treatment.
- Fluid balance
- Balanced Electrolyte and Acid-Base
- Total consciousness
- Fast wound healing
Decreased Intracranial Adaptive Capacity Care Plan Assessment
Decreased intracranial adaptive capacity will require attention by a specialist nut a nurse should be able to perform these assessments to have a clear picture of the likely cause of patient complaints but assessing these vital signs:
- Heart rate and sounds
- Response to pain
- Response to light
- Respiratory rate, patterns, and depth
- Distension of jugular vein
- History of hypertension
It is also necessary to perform an assessment and monitoring of the following:
- ICP waveforms over time for determining trends
- Assessment of cerebral perfusion pressure
All the information a nurse obtains independently or in collaboration with other health care professionals is essential in the identification of the most appropriate interventions.
Decreased Intracranial Adaptive Capacity Care Plan Interventions and rationales
Maintain any ICP monitoring systems in use
It is essential; to pay attention to ensure that the systems function right for the provision of accurate information.
A nurse should see to it that the dressing changes or other forms of care take place and use a sterile technique to prevent contamination.
Maintain patent airway and suction when needed
Suction stimulates coughing as well Valsalva maneuver which in turn increases intrathoracic pressure. The three actions decrease cerebral venous drainage, increase cerebral blood volume which in turn results to increases ICP efficiently sorting the problem of decrease.
Position the patient in the appropriate position
Patients with decreased intracranial adaptive capacity need to have their head in 15-30 degrees or as per physician's orders. A nurse has to elevate the head. It may also require the use of rolled towels, sandbags or small pillows to help in maintaining the head in a neutral position.
Provide a calming environment
A nurse should provide calming conditions and reassure the patient. Prevent the patient from engaging in upsetting topics to prevent an emotional upset and increase ICP. Encourage the patient and those around him to discuss treatment and recovery positively. Expressions of positive feelings help the patient to cope better with treatment.
Before the patient leaves the hospital, inform the family on the appropriate care and refer the patient to support groups that help in dealing with recovery. A caregiver should if possible follow up the progress of the patient personally or through other forms of communication.
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