Ascites

Anamnesis is done to identify the cause and physical examination, emphasizing the abdominal assessment

Diuretics are administered; determine the need for paracentesis; abdominal perimeter control; weight control, control of administered and disposed fluids; control blood pressure. It is important to promote the patient’s mobility and educate the family about resting positions

Assess implications for patient mobility; decreased abdominal perimeter and feeling of comfort

Intestinal obstruction

An Anamnesis focused on the gastrointestinal system is made: Intestinal habits, food, presence of abdominal pain and characteristics, irradiation, with what does the pain exacerbate or reduce, how long ago was the last deposition, characteristics, take medications

Identify the cause of the obstruction and depending on it, it is intervened in relation to the diet, drugs that could possibly cause the obstruction, pain management, if it decreased or disappeared or if it remains

It is assessed whether if the patient was able to perform depositions

Itching

Anamnesis and subjective findings of the patient, evidence of local redness, injury to the affected area

Pharmacological treatment taking into consideration the origin

Manifestation of the cessation of the symptom and indication of improvement in the affected area

Lymphedema

The students describe not having the necessary elements for the assessment of origin

Diuretics administered based on the pathology and the water balance

The students describe not having the necessary elements for the assessment of the intervention

Insomnia

Sleep patterns are evaluated: sleep time, if sleep is restful; the habits before bedtime are investigated; food consumed before bedtime; investigate about taking medication at night.

Activities of daily life that interfere with sleep

Education about sleep hygiene habits; assess and design a care plan and medication administration that does not affect sleep; resolve patient concerns that may interfere with sleep due to worries; remove the factors that may be predisposing to disrupt sleep

An investigation is made to the patient and the caregiver of post-intervention if the sleep was restful and positive or negative in changes of the sleeping patterns

Delirium

Assessment of guidance, time and space, bearing and attitude, judgment and reasoning, sleep pattern and investigate about what object or person is causing the anxiety

Perform an interdisciplinary work to recognize and act on the issues that affect their mental health. Intervene with drugs if necessary

A post-interventions assessment is made to observe the obtained achievements, assess whether the medication is the appropriate one, verify if every professional is fulfilling their duties

Anxiety

The reactions of the person to the situation are evaluated; presence of Insomnia conciliation, tachycardia, diaphoresis, verbiage and psychomotor agitation

Collaborate with the relaxation; identifying the cause; allow the expression of feelings; administer anxiolytics if required; educating the patient and his family, establish support networks with psychology

Gain control of the symptoms associated with anxiety; Improve mood, control insomnia, psychomotor agitation and vital signs

Depression

The isolation is assessed, crying easily, suicidal ideation, early awakening insomnia, hyporexia, weakness in judgment

Identify the cause, psycho-education, communication, Assertive, manage pharmacological treatment and search for family and institutional support networks

Improve the mood and the associated symptoms