NI is the process of nutritive delivery of arterial blood to a capillary bed in the biological tissue. When a lump or a mass occluded blood vessels or capillaries, these will result to ineffective nutrition of the affected part. The Frontal lobe is responsible for memory, emotion / behaviors, and motor function; damages to this area may result to behavioral changes, loss of memory, and paralysis.
Original Description:
Original Title
NCP - Ineffective Cerebral Tissue Perfusion r/t Space Occupying Lesion (Neuroblastoma on Frontal Lobe)
NI is the process of nutritive delivery of arterial blood to a capillary bed in the biological tissue. When a lump or a mass occluded blood vessels or capillaries, these will result to ineffective nutrition of the affected part. The Frontal lobe is responsible for memory, emotion / behaviors, and motor function; damages to this area may result to behavioral changes, loss of memory, and paralysis.
NI is the process of nutritive delivery of arterial blood to a capillary bed in the biological tissue. When a lump or a mass occluded blood vessels or capillaries, these will result to ineffective nutrition of the affected part. The Frontal lobe is responsible for memory, emotion / behaviors, and motor function; damages to this area may result to behavioral changes, loss of memory, and paralysis.
EXPLANATION OUTCOME S>Ø Ineffective Cerebral Perfusion is the process Short term: >Establish rapport >To gain the client and The client and the O> the pt. manifested Tissue Perfusion r/t of nutritive delivery of SO’s trust. SO shall have the ff. Space Occupying arterial blood to a After 4-5° of NI, the >Monitor VS. >To obtain data for verbalized Lesion (Neuroblastoma capillary bed in the client and the SO will >Reviewed laboratory comparison. understanding of Altered mental on Frontal Lobe) biological tissue. When a be able to verbalize results >To evaluate condition, therapy status lump or a mass occluded understanding of >Determine factors r/t underlying causes. regimens, and when Speech blood vessels or condition, therapy individual situation >To assess contributing to contact abnormalities capillaries, these will regimens, and when to >Assess mood changes, factor. healthcare provider. Restlessness result to ineffective contact healthcare memory and motor Changes in nutrition of the affected provider. changes >To note degree of The client shall have pupillary part thus, may result to >Provide information impairment demonstrated reaction AEB (-) loss of function of the Long term: regarding the client’s increased perfusion, pupil reaction said part and later on condition. >To increase the SO’s as individually to light. affect to body After 6-7 days of NI the knowledge about the appropriate AEB VS systematically. client will be able to >Note Hx. of dse. condition. are on client’s demonstrate increased brief/intermittent periods >To evaluate normal range, alert The Frontal lobe of the perfusion as of confusion/blackout. occurrence of TIA and oriented. brain is responsible for individually appropriate >Interview SO regarding memory, AEB VS are on client’s their perception of >To assist SO in emotion/behaviors, and normal range, alert and situation understanding the motor function; damages oriented. >Review medication. client’s condition. to this area may result to >To evaluate possible behavioral changes, loss >Elevate HOB and adverse effect to the of memory, and maintain head/neck in client’s condition. paralysis. In the event, midline/neutral position >To promote damages happen to the >Administer medications circulation/venous frontal lobe, it will lead to as ordered drainage restlessness, which may >Prepare pt. for surgery contribute to as indicated (Space >To pharmacologically susceptibility to injury, it Occupying Lesion) manage client’s may also result paralysis. >Refer to ND Decreased condition. Intracranial Adaptive >To maximize tissue When ineffective Capacity perfusion. perfusion to the frontal >Refer accordingly lobe occurs, this will lead to loss of function of the >To manage other frontal lobe that will actual client’s problem greatly affect the body, >To have a continuous which may lead to client’s care respiratory/cardiac arrest since motor function includes muscle contraction. SCIENTIFIC EXPECTED ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EXPLANATION OUTCOME S>Ø Ineffective Cerebral Perfusion is the process Short term: >Establish rapport >To gain the client and The client and the O> the pt. manifested Tissue Perfusion r/t of nutritive delivery of SO’s trust. SO shall have the ff. Space Occupying arterial blood to a After 4-5° of NI, the >Monitor VS. >To obtain data for verbalized Lesion (Neuroblastoma capillary bed in the client and the SO will >Reviewed laboratory comparison. understanding of Altered mental on Frontal Lobe) biological tissue. When a be able to verbalize results >To evaluate condition, therapy status lump or a mass occluded understanding of >Determine factors r/t underlying causes. regimens, and when Speech blood vessels or condition, therapy individual situation >To assess contributing to contact abnormalities capillaries, these will regimens, and when to >Assess mood changes, factor. healthcare provider. Restlessness result to ineffective contact healthcare memory and motor Changes in nutrition of the affected provider. changes >To note degree of The client shall have pupillary part thus, may result to >Provide information impairment demonstrated reaction AEB (-) loss of function of the Long term: regarding the client’s increased perfusion, pupil reaction said part and later on condition. >To increase the SO’s as individually to light. affect to body After 6-7 days of NI the knowledge about the appropriate AEB VS systematically. client will be able to >Note Hx. of dse. condition. are on client’s demonstrate increased brief/intermittent periods >To evaluate normal range, alert The Frontal lobe of the perfusion as of confusion/blackout. occurrence of TIA and oriented. brain is responsible for individually appropriate >Interview SO regarding memory, AEB VS are on client’s their perception of >To assist SO in emotion/behaviors, and normal range, alert and situation understanding the motor function; damages oriented. >Review medication. client’s condition. to this area may result to >To evaluate possible behavioral changes, loss >Elevate HOB and adverse effect to the of memory, and maintain head/neck in client’s condition. paralysis. In the event, midline/neutral position >To promote damages happen to the >Administer medications circulation/venous frontal lobe, it will lead to as ordered drainage restlessness, which may >Prepare pt. for surgery contribute to as indicated (Space >To pharmacologically susceptibility to injury, it Occupying Lesion) manage client’s may also result paralysis. >Refer to ND Decreased condition. Intracranial Adaptive >To maximize tissue When ineffective Capacity perfusion. perfusion to the frontal >Refer accordingly lobe occurs, this will lead to loss of function of the >To manage other frontal lobe that will actual client’s problem greatly affect the body, >To have a continuous which may lead to client’s care respiratory/cardiac arrest since motor function includes muscle contraction.
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