Question

Lindsay Baker, age 25, is admitted to the medical–surgical unit with a diagnosis of idiopathic thrombocytopenia purpura (ITP). A college student, she noted bruising on her body and excessive bleeding when brushing her teeth and went to the college health nurse. The nurse referred her to a healthcare provider, who assessed her laboratory data and made the initial diagnosis of idiopathic thrombocytopenia purpura (ITP). Michelle is 5 feet, 2 inches tall, and weighs 118 pounds. Her vital signs are T 99°F, P 88, R 22, and BP 110/60. Her history includes the usual childhood illnesses and a history of hypertension and heart disease in her father's extended family. She takes no regular medications but reports taking an over-the counter vitamin supplement. She is a non-smoker.

Lindsay recovers, and her platelet count increases to a normal level. She is to be discharged. She plans to go back to school. The nurse establishes the nursing diagnosis of Knowledge Deficit related to self-care measures to decrease risk of bleeding secondary to a history of ITP. What teaching does the nurse initiate for Michelle regarding this disorder?

Answer 1

1.tell the patient to avoid taking anticoagulant medication such as aspirin.warfarin etc.this reduce clotting

2.take medication as prescribed.

3.if she is taking alcohol she should avoid that as it reduces the clotting capacity .

4.try to avoid the situation which can cause injuries like sports.

5.care should be taken while shaving

6.wear hard soled shoes

7.wear long sleeve clothes avoid scratching or bruising of skin while doing homly activities like cooking or gardening.

8.avoid taking unnecessary medication.

9.avoid hard tooth brush to tackle gum bleeding.

These are the instructions which can be given to this patient regarding this condition to prevent furthercomplications.