Shadow Health: Maternal | Focused Exam: Preeclampsia (Care Plan)

Model Answer - Explanation Status: is at risk for - The greatest risk to Naomi's health is a potential injury, not a current one, so the correct answer is "is at risk for". Diagnosis: injury - Naomi's preeclampsia has not yet resulted in an injury for her or her fetuses, but it is a serious risk that can be addressed by a nurse. While Naomi is experiencing daily headaches, a chronic pain diagnosis is less urgent to address compared to the risk for permanent and serious injury; in addition, addressing the risk for injury first through preeclampsia management education will ultimately reduce headaches. Etiologies: family history of high BP - Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. Etiologies: high-sodium diet - Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. Etiologies: poor fluid intake - Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. Etiologies: lack of BP monitoring - Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. Etiologies: strenuous activity - Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. Signs & Symptoms: N/A - For "at risk for" diagnoses, there are no signs or symptoms as the diagnosis has not yet occurred. "N/A" is the correct answer here as Naomi has not yet sustained an injury. Short-Term Goal: To have the patient, within her visit at the prenatal clinic, state back and agree to the preeclampsia management tips that you will provide. - Address a patient's insufficient knowledge as soon as possible (in this current visit), and give the patient the correct information yourself, as opposed to encouraging them to conduct their own research, which can lead to less evidence-based learning. Interventions: Instruct patient to drink 8 glasses of water a day - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to consume no more than 1500mg of sodium daily, less if possible - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to consume more protein, especially through nuts, beans, and poultry with the skin removed - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Instruct patient to reduce physical activity to one light chore a day - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to take blood pressure with arm at heart-level and both feet flat on the floor - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to make a record of all blood pressure readings - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to call physician if blood pressure reading is above 160/110 - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Interventions: Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes - While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Data Collections: Ask patient to state back and agree to her preeclampsia management instructions - A patient should be able to state back and agree to all of her instructions so that you can ensure there are no errors, omissions, or hesitations. Intervention & Evaluation: Fully - Naomi exhibits complete understanding of her preeclampsia management instructions: when stating them back, she does not make any errors or omissions, and verbally agrees to abide by them. Your goal is fully achieved!