Diagnosis of carpal tunnel syndrome. 

/in /by
  1. Brief pathophysiological description (at the cellular level) of the primary diagnosis of carpal tunnel syndrome. 
  2. Explain carpal tunnel syndrome in laymans terms.

 

  1. Discuss at least 5 concepts of health promotion to teach to your patient about this disease of carpal tunnel syndrome.
  2. Complete the chart below identifying the signs/symptoms of the medical diagnosis and the potential risks from the medical diagnosis and use of medications.
  3. For these medications, ASA, aspirin, Ancef, LR IV infusion, Narcan, Zofran, Oxycodone, Vitamin C. gabapentin, senekot’s, cozaar, crestor, pepcid, claritin, zyrtec.
  4. Which body system do they belong to.
  5. What are the potential risks/complications from carpal tunnel syndrome and the medications. what are the interventions for preventions for the all body systems for carpal tunnel syndrome. What are some side effects from these medications.
Anticipated signs and symptoms from disease process 

(Choose 7 of the 10 body systems):

Patient Assessment (complete all after caring for the client):Potential Risks/Complications from the disease and/or meds 

(specify-complete all):

Neurosensory-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

CV/Hematology-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

Immune-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

Integumentary-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

M/S-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

Respiratory-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

GI-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

Endocrine-  

 

 

 

 

Nursing Action:

 

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

GU/Reproductive-

 

 

 

 

Nursing Action:

 

Assessment Findings:

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

Mental Health/Psycho Social-

 

 

 

Nursing Action:

 

Assessment Findings:

 

 

Risks/complications from the disease:

Possible side effects from meds:

Interventions for prevention of complications:

 

Gordon’s Functional assessment: Please the attached tool to help you complete a Gordon’s assessment.

 

Health Perception- Health Management –

 

Nutritional Metabolic-

 

Elimination-

 

Activity/Exercise-

 

Sleep/Rest-

 

Cognitive/Perceptual-

 

Self-perception-

 

Role/Relationship-

 

Sexuality/Sexual functioning-

 

Coping/Stress management-

 

Value/Belief system-

 

 

Please help fill out this table below for all meds scheduled during your shift.

Medication Sheet

Med/Dosage/Route

Frequency

(Trade/Generic)

Action of Drug

(Pathophysiology)

Why is YOUR Pt. taking this med?Nursing Implications

1.Teaching statement in quotes

2. Nursing Actions taken

Evaluation Data

(Proof of meds effectiveness for your pt, use real client specific data)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Diagnostic studies (lab & radiology) used to assess the primary dx of carpal tunnel syndrome. List all lab and diagnostic tests that are pertinent to the primary diagnosis with carpal tunnel syndrome patient.

Laboratory Findings and Diagnostic Tests

Date/TestNormsPt. ResultsWhat is the significance of this lab/diagnostic test to YOUR client?
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If labs/diagnostic tests are not complete, which diagnostics do you think would be important to monitor for a patient with carpal tunnel syndrome.

 

 

 

 

  1. What were the psychosocial concerns for a patient with carpal tunnel syndrome.  Please also address cultural, spiritual/religious considerations.

 

 

  1. Write your nursing notes for the day:
Date TimeNursing notes

 

 

 

 

 

 

  1. Nursing Plan of Care: Diagnostic Problem List- Minimum of 3 problems, at least 1 is psychosocial in nature.  Please only include one “at risk for” nursing diagnosis.
  2. For a patient with carpal tunnel syndrome.
Nursing DiagnosesSubjective Data: (What the pt. tells you)Objective Data: (What you observe)
 

 

 

 

 

 

 

Nursing Plan of Care Help create a 

Nursing Care Plan for your patient using the above problems.

*Put list in priority order. 

Nursing Diagnosis Statement

(Write Complete Dx statement)

*Include the NANDA prefix, R/T section and the AMB section (as appropriate)

Nursing Outcomes (NOC)- OR Nursing GOAL

(Complete, specific, & measureable)

*Use only those from the book

*Write only one goal for each diagnosis

Nursing Interventions (NIC) 

*Minimum of 5 for each

*At least one for each level of nursing, (RN, LPN, NA)

*Base your NICs on the book

*Relate interventions to evidence base practice guidelines (highlight in yellow)

 

Delegation 

   of care

RN/LPN/NA

(Specify which level for each NIC)

Evaluation

*Should measure the NOC or nursing GOAL.  Use real client specific data.

 

 

  1. Describe one error (real or fictional) that would need to be reported promptly and what appropriate corrective actions should be taken.

 

  1. Give one example of abnormal assessment data (real or fictional) that you would need to report to your instructor/primary nurse/charge nurse.

 

  1. What appropriate corrective actions were taken (or would need to be taken) related to the abnormal assessment data?

 

  1. What complications could have occurred if the data was not reported and acted upon in a timely manner?

 

  1. Give 2 examples of when you would perform a focused assessment based on the health needs of the patient.

 

  1. Discuss how you be demonstrate effective use of strategies to reduce risk of harm to self (ex: physical harm to self, due to unsafe practices or hazards in the environment).

 

  1. Discuss how you would demonstrate effective use of strategies to reduce risk of harm to others, especially patients.  Give at least 3 examples.

Include Bibliography