Concept Map – text alternative
· Patient info:
· J. M., 33 year-old female, complaint of irregular menstrual cycle, acne, weight gain, difficulty sleeping, and facial hair growth
· Most Urgent Nursing Diagnosis:
· Metabolic Disorder related to irregular menstrual cycles, hormonal imbalance, and weight gain
· Treatments:
· Education on disease process (Ackley, et al., 2020)
· Counseling on nutrition and lifestyle changes
· Blood and ultrasound tests: confirmed diagnosis (Newland, 2019)
· Refer to endocrinologist for progesterone hormone
· Outcomes:
· Patient will: Maintain weight within normal range for height and age
· Improve dietary intake and physical activity(Ackley, et al., 2020)
· Nursing Diagnosis 2:
· Disturbed Body Image related to weight gain, acne, and facial hair growth (Ackley, et al., 2020)
· Treatments:
· Referral to Endocrinologist- Medication to reduce facial hair growth (Maduro, 2018)
· Nutrition and lifestyle changes: exercise promotion and nutrition counseling
· Referral to Dermatologist- acne treatment
· Outcomes:
· Patient will: Verbalize ways to enhance appearance
· Adhere to treatments that will promote health
· Improve dietary intake and physical activity (Ackley, et al., 2020)
· Nursing Diagnosis 3:
· Depression related to weight gain of 12 lbs. and interrupted sleep
· Treatments:
· Encourage 7-9 hours of sleep each night (Beboodi & Saffari, 2012)
· Encourage sleep routine and ways to decrease stimuli – meditation
· Encourage physical activity and nutrition counseling (Melnyk)
· Outcomes:
· Patient will: Verbalize techniques to reduce stimuli at bedtime
· Patient will: Maintain a daily journal to better recognize emotions
· Patient will: Make an appointment to conduct a sleep study
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