Essay About Nursing Diagnosis

usual daily activities without exhaustion and maximum concentration on her activities. Finally, as related to impairments in tissue integrity, Ms. Lu will maintain her normal tissue integrity as evidenced by smooth skin and absence of irritation on the skin.

The first implementation action I will do to Ms. Lu will be helping her plan her meals well by avoiding any stressful procedures during meal time and maintain hygiene. These implementations and planning will reduce imbalance nutrition. Ms. Lu should also report pain as it develops than waiting until its level intense. Still, will encourage divisional activities such as reading as many materials as possible and encourage the expression of feelings. Apparently, above named implementations will help to reduce acute or chronic pain.

To reduce anxiety and fear, Ms. Lu should maintain frequent contact with the nurse; pull out from anger and unsuitable remarks to avoid depression and fear. Also, there should open environment to have a discussion with the Ms. Lu on her fillings. Fourth planning and implementations will be planning goals of establishing activity; Ms. Lu should increase her sleeping hours and lastly encourage nutrient intake to boost body energy. Last planning and implementation will be done to reduce impaired skin integrity. Ms. Lu should maintain good skin hygiene by washing her skin thoroughly, file nails regularly and apply medication as recommended by the doctor.

After implementations of actions, I would evaluate Ms. Lu progress by ensuring she followed all the provided solutions for the diagnosis. In the evaluation, a close look on Ms. Lu skin to ensure it is clean and dry as it will provide barrier to infections. Ms. Lu fear can be evaluated by

how she expresses herself and her feeling on the current conditions. Judging her feeling will encourage dignity and self-control (Armstrong-James at el., 2014). Also, will evaluate how Ms. Lu plans her activities as those energies which improve health and promote energy should be done more frequently.

There are several ways that Ms. Lu testing could have been done but the most common are antibody screening which was what happened in her case. The screening was done in the lab whereby her blood was tested (De Cock, Jaffe, & Curran, 2012). The rapid test was ordered since it produces results faster and it can detect the HIV antibodies even during the window period. Ms. Lu had to undergo the test since she has been exposed to HIV risky conditions like having unprotected sex.

The most probable cause of the HIV infection in Ms. Lu is a sexual transmission from her fiancée. She contracted the HIV virus through sexual intercourse without using protection. Reducing the chances of contracting the disease through sexual activities is possible. The best way is abstaining from sex until one is married. In case one cannot abstain, protection is the best recommendation. The chances of contracting the HIV infection are reduced by the using protection while engaging in sex.

According to health providers, the chances are reduced at a rate of eighty to eighty-five percent (Hotez, et al, 2012). A couple may not like the idea of protecting themselves all the time, therefore, they need to be faithful to each other. Being faithful involves getting tested together before getting engaged in unprotected sex and not having other sexual partners. However, Ms. Lu could also have contracted

the HIV infection through the open heart surgery she got seven years ago. This could be as a result of blood transfusion that occurred during the surgery since the blood could be from a person who is infected but the diagnosis was still negative.

Ms. Lu and her fiancée would like to have a child some days, therefore, she needs some advice on the matter since the pregnancy will involve more care and therapy than in a normal situation. She needs to learn ways of protecting her child from getting infected with the virus either during the pregnancy or during birth as well as the follow-up treatment after delivery. She will have to continue with her HIV medication during pregnancy and the use of HIV medicines like zidovudine during birth is also recommended.

To reduce the chance of infecting the child during birth, a cesarean delivery is recommended (Picker, Hansen, & Lifson, 2012). Ms. Lu also needs to follow up with a treatment of the child and herself after birth which will depend on the way she will decide to nurse her baby. Breastfeeding is the most recommended way of nursing a newborn but for an HIV-infected mother, there is need to take extra caution by use of medication.

References
Armstrong-James, D., Meintjes, G., & Brown, G. D. (2014). A neglected epidemic: fungal infections in HIV/AIDS. Trends in microbiology, 22(3), 120-127.
Hotez, P. J., Dumonteil, E., Woc-Colburn, L., Serpa, J. A., Bezek, S., Edwards, M. S., ... & Bottazzi, M. E. (2012). Chagas disease:"the new HIV/AIDS of the Americas". PLoS Negl Trop Dis, 6(5), e1498.
LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L., & Reid-Searl, K. (2015). Medical-surgical nursing. Pearson Higher Education

AU.
Picker, L. J., Hansen, S. G., & Lifson, J. D. (2012). New paradigms for HIV/AIDS vaccine development. Annual review of medicine, 63, 95.