UNIT 7: Nursing Care of the Acutely Ill and the Chronically Ill Adult
Assessment, Analysis, and Nursing Diagnosis of the Adult
Subjective Data
Objective Data
Growth and Development
Young Adulthood (20-30 Years of Age)
Adulthood (31-45 Years of Age)
Middle Life (46-64 Years of Age)
Early Late Years (65-79 Years of Age)
Later Years (80 Years of Age and Older)
Fluid-Gas Transport
Conditions Affecting Fluid Transport
Hypertension
Cardiac arrhythmias (dysrhythmias)
Cardiac arrest
Arteriosclerosis
Angina pectoris
Myocardial infarction (MI, heart attack)
Cardiac valvular defects
Cardiac catheterization
Percutaneous transluminal coronary angioplasty
Cardiac surgery
Minimally invasive direct coronary artery bypass (MIDCAB)
Heart failure (HF)
Pulmonary ederma
Shock
Disseminated intravascular coagulation (DIC)
Pericarditic
Chronic arterial disease
Ancurysms
Varicose Veins
Vein ligation and stripping
Thrombophlebitis
Peripheral embolism
Conditions Affecting Tissue Perfusion
Iron Deficiency anemia
Hemolytic anemia
Pernicious anemia
Polycythemia vera
Leukemia (acute and chronic)
Idiopathic thrombocytopenic purpura (ITP)
Splenectomy
Fluid and Electrolyte Imbalances
Fluid volume deficit (dehydration)
Fluid volume excess (fluid overload)
Common electrolyte imbalances
Acid-based balance
Conditions Affecting Gas Transport
Pneumonia
Atelectasis
Pulmonary embolism
Histoplasmosis
Tuberculosis
Emphysema
Asthma
Bronchitis
Acute adult respiratory distress syndrome (ARDS)
Pneumothorax
Hemothorax/Chest trauma
Thoracic surgery
Tracheostomy
Protective Functions
Burns
Lyme disease
Rheumatoid arthritis
Lupus erythematosus
Acquired immunedeficiency syndrome (AIDS)
The Perioperative Experience
Preoperative preparation
Intraoperative preparation
Postoperative Experience
Nutrition
General nutritional deficiencies
Celiac disease
Hepatitis
Pancreatitis
Cirrhosis
Esophageal varices
Diaphragmatic (hiatal) hernia
Gastroesophageal reflux disease
Peptic ulcer disease
Gastric surgery
Dumping syndrome
Total parenteral nutrition
Diabetes
Nonketotic hyperglycemic hyperosmolar coma (NKHHC)
Elimination
Conditions Affecting Bowel Elimination
Appendicitis
Hernia/Diverticulosis
Ulcerative colitis
Crohn's disease
Intestinal obstruction
Fecal diversion
Hemorrhoids
Conditions Affecting Urinary Elimination
Pyclonephritis (PN)
Acute glomerulonephritis/Acute renal failure
Chronic renal failure
Dialysis
Kidney transplantation
Nephrectomy/Renal calculi (urolithiasis)
Lithotripsy
Benign prostatic hyperplasia (BPH)
Prostatectomy
Urinary diversion
Sensory/Perceptual functions
Laryngectomy
Aphasia/Meniere's disease
Otosclerosis/Stapedectomy
Deafness
Glaucoma
Cataract/Cataract removal
Retinal detachment/Blindness
Traumatic injuries to the brain
Increased intracranial pressure (ICP)
Craniotomy
Epilepsy
Transient ischemic attacks (TIAs)
Ischemic stroke
Bacterial meningitis/Encephalitis
Comfort, Rest, Activity and Mobility
Pain
Immobility
Fractures
Compartment syndrome
Osteoarthritis
Total hip replacement
Total knee replacement/Amputation/Gout
Herniated/ruptured disk (ruptured nucleus pulposus)
Laminectomy
Spinal cord injuries
Spinal shock
Autonomic dysreflexia (autonomic hyperreflexia)
Hyperthyroidism
Thyroidectomy
Hypothyroidism
Cushing's disease
Adrenalectomy
Addison's disease
Multiple sclerosis
Myasthenia gravis
Parkinson's disease
Amyotrophic lateral sclerosis
Cancer
The cancer patient
Lung cancer
Colon and rectal cancer
Breast cancer
Uterine cancer
Prostate cancer
Bladder cancer/Laryngeal cancer
Additional types of cancer
Emergency Nursing Procedures