Nursing Care Plan for Anemia - Deficient Knowledge

ADS
Nursing Diagnosis for Anemia : Deficient Knowledge Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs

May be related to :

  • Lack of exposure/recall
  • Information misinterpretation
  • Unfamiliarity with information resources
evidenced by
  • Questions; request for information; statement of misconception
  • Inaccurate follow-through of instructions, development of preventable complications

Outcomes :

Knowledge: Illness Care (NOC)
  • Verbalize understanding of the nature of the disease process, diagnostic procedures, and potential complications.
  • Identify causative factors.
  • Verbalize understanding of therapeutic needs.
  • Initiate necessary behaviors/lifestyle changes.


Interventions and Rationale :

Teaching: Disease Process (NIC)

Independent

1. Provide information about specific anemia and explain that therapy depends on the type and severity of the anemia.
R/: Provides knowledge base from which client can make informed choices. Allays anxiety and may promote cooperation with therapeutic regimen.

2. Discuss effects of anemias on preexisting conditions.
R/: Anemias aggravate heart, lung, and cerebrovascular disease.

3. Review purpose and preparations for diagnostic studies.
R/ : Anxiety/fear of the unknown increases stress level, which in turn increases the cardiac workload. Knowledge of what to expect can diminish anxiety.

4. Explain that blood taken for laboratory studies will not worsen anemia.
R/: This is often an unspoken concern that can potentiate client’s anxiety.

5. Review required diet alterations to meet specific dietary needs (determined by type of anemia/deficiency).
R/: Red meat, liver, seafood, green leafy vegetables, whole wheat bread, and dried fruits are sources of iron. Green vegetables, whole grains, liver, and citrus fruits are sources of folic acid and vitamin C (enhances absorption of iron).

6. Discuss foods to avoid (e.g., coffee, tea, egg yolks, milk, fiber, and soy protein) at the time when client is eating high-iron foods.
R/: These foods block absorption of iron and should be taken at a different meal. For example, red meat and milk taken at the same time can block absorption of the iron from the meat.

7. Assess resources (e.g., financial) and ability to obtain/prepare food).
R/: Inadequate resources may affect ability to purchase/prepare appropriate food items.

8. Encourage cessation of smoking.
R/: Smoking decreases available oxygen and causes vasonstriction.

9. Provide information about purpose, dosage, schedule, precautions, and potential side effects, interactions, and adverse reactions to all prescribed medications.
R/: Information enhances cooperation with regimen. Recovery from anemias can be slow, requiring lengthy treatment and prevention of secondary complications.

10. Stress importance of reporting signs of fatigue, weakness, paresthesias, irritability, impaired memory.
R/: Indicates that anemia is progressing or failing to resolve, necessitating further evaluation/treatment changes.

Source : http://nursing-diagnosis-care-plans.blogspot.com/2014/02/deficient-knowledge-related-to-anemia.html

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