Syncope Nursing Care Plan Template

Discover the underlying causes of syncope and utilize this nursing care plan to help design valuable treatment and intervention plans for your patients today!

By Harriet Murray on Jul 15, 2024.

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Fact Checked by Ericka Pingol.

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What is a Syncope Nursing Care Plan Template?

Syncope refers to a temporary loss of consciousness caused by a sudden drop in blood flow to the brain, leading to a brief loss of muscle control and consciousness. It's commonly known as fainting and can occur due to various reasons, including dehydration, low blood sugar, heart problems, or sudden changes in body position. Nursing intervention and the creation of a care plan play a pivotal role in managing and addressing syncope due to its potential risks and underlying causes. When a patient experiences syncope, nurses are often the first responders, tasked with immediate assessment and intervention.

The initial step involves assessing the patient's vital signs, conducting a thorough medical history review, and performing a physical examination. This aids in determining the possible cause of syncope, whether it's related to cardiac issues, neurologic concerns, dehydration, or other triggers. Immediate interventions focus on ensuring patient safety and preventing injury during the fainting episode. Nurses aid in laying the patient flat on the ground to promote blood flow to the brain, preventing further injury due to falls. Elevating the legs can also help restore blood circulation. Ensuring an open airway and providing oxygen if necessary are crucial steps to aid in recovery. Once the patient stabilizes, nurses continue monitoring vital signs, such as blood pressure and heart rate, to assess the patient's response and potential recurrence of syncope. Documentation of the episode's details, including the circumstances preceding the event, is vital for the healthcare team's evaluation and future management further highlighting the importance of a syncope nursing care plan.

Beyond the immediate care, nursing intervention extends to identifying and addressing underlying causes or risk factors contributing to syncope. This might involve further diagnostic tests, such as electrocardiograms (ECGs), echocardiograms, or blood tests, to find the root cause. Education around syncope is essential and nurses should educate patients about potential triggers, lifestyle modifications, and medication adherence (if prescribed) to minimize the risk of future syncope episodes. Patient and family education empowers them to recognize warning signs and take preventive measures.

Syncope Nursing Care Plan Template

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Syncope Nursing Care Plan Template Example

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How does it work?

Step One: Gather your resources

Syncope nursing care plans are a valuable resource and essential to keep on hand. Make sure that you have a copy of the free printable PDF when the need arises by either clicking the “Download Template” or “Use Template” button or by searching “ syncope nursing care plan” on Carepatron’s template library’s search bar on the website or app.

Step Two: Collate essential information

Once the patient has been diagnosed with syncope, utilize the syncope nursing care plan template to ensure all goals of care are met. Ensure access to the template is seamless and easily accessible to relevant parties via Carepatron's centralized workspace. Assessment, symptom management, and interventions can be collated within the single care plan and safely stored on a single database. The care plan allows for individualized treatment options and acts as a scaffolding to ensure goals of care are met, and the next steps are recorded for future reference or for distribution to other healthcare specialists who are part of the patient's care team.

Step Three: Store the chart securely

After reviewing the syncope nursing care plan and creating a viable and individualized plan for the patient, you need to secure the plan so that access is only granted to relevant parties.

Ensure this through Carepatrons HIPAA-compliant free patient records software. Here, all relevant medical records can be safely stored and collated for ease and security.

When would you use this template?

A syncope nursing care plan is utilized in various healthcare settings when caring for patients who have experienced or are at risk of experiencing syncope. Some of the key scenarios in which this tool holds value are outlined below:

Acute Episodes

After a patient experiences a syncopal episode, a nursing care plan is necessary for immediate assessment, intervention, and ongoing monitoring to ensure their stability, prevent recurrence, and address potential complications.

Chronic Conditions

Patients with chronic conditions like cardiac issues, neurological disorders, or recurrent syncope episodes require a tailored care plan. This plan focuses on long-term management, including monitoring, lifestyle modifications, medication adherence, and preventive strategies.

Preventive Care

Individuals at risk of syncope due to underlying factors such as dehydration, orthostatic hypotension, or medication side effects benefit from a care plan emphasizing preventive measures. Nurses develop strategies to educate patients on triggers, lifestyle modifications, and warning signs to mitigate the risk of syncopal episodes. 

Post-Episode Follow-up

Following a syncopal episode, a care plan helps in the follow-up care, including further diagnostic tests, specialist referrals, medication adjustments, and patient education to prevent future occurrences.

Hospital Settings

Within hospital environments, especially in emergency departments or critical care units, nursing care plans are crucial for immediate response, stabilization, and ongoing monitoring of patients presenting with syncope.

Rehabilitation and Education

For patients recovering from syncope-related injuries or those with conditions predisposing them to syncope, a care plan helps guide rehabilitation efforts and educates patients and caregivers about necessary precautions and lifestyle changes.

What do the results mean?

The short lapse in consciousness experienced during a syncopal episode and lack of blood flow to the brain is not a reason for immediate concern, but it can indicate an underlying symptom or greater health issue. Detailed questioning about symptoms and measurements of blood pressure and heart rate while in different positions can help medical professionals diagnose syncope, and blood work and lab testing for conditions such as anemia or metabolic change also contribute to the diagnosis. There are six common causes of syncope, as outlined below: 

  • Cardiac Syncope: Should the episodes occur frequently and suddenly, underlying cardiac issues such as aortic dissection, arrhythmia, or aortic valve stenosis may be present 
  • Reflex Syncope: Triggered by a dilation of blood vessels and a drop in blood pressure, the sudden decrease in blood flow to the brain may be the underlying condition causing a syncopal episode.
  • Vasovagal Syncope: This particular type of reflex syncope is linked to a sudden drop in blood pressure after standing for long periods or experiencing extreme emotional distress
  • Situational Syncope: Induces a syncopal episode by affecting the nervous system. Can occur during coughing, pressure in the chest post-exercise, dehydration, anxiety, pain, hunger, drug use, hyperventilation, and straining while passing stool. 
  • Carotid Sinus Syncope: restricted blood flow due to pressure applied to the carotid artery. 
  • Orthostatic Hypotension: Triggered by low blood pressure when standing up, the decrease of blood flow to the brain may cause a syncopal episode.
  • Neurologic Syncope: episodes can occur when the patient has a neurological condition such as a stroke, seizures, or transient ischemic attack.

To treat the condition, medications such as Midodrine or Fludrocortisone may be prescribed and education around identifying triggers is key. The use of blood circulation-supporting garments such as pressure stockings may be advised, as well as diet changes. Caution while standing and in some cases, the implantation of a pacemaker may help with chronic fainting as a result of an underlying health condition.

Research & evidence

Defined as a type of transient loss of consciousness as a result of global cerebral hypoperfusion, syncope is widely characterized by a rapid onset, short duration, and complete and spontaneous recovery from the episode (Brignole et al., 2018). Around 40% of all people will experience syncope within their lifetime and the seriousness of the event can range from finding no health concern to the identification of life-threatening conditions (Brignole et al., 2018, Sutton et al., 2022). Chronic syncope can drastically impact a patient's quality of life, and effective diagnosis, paired with evidence-based intervention, and clear nurse care planning is essential to reducing the burden of the condition (Sun, 2013).

In the U.S. context, syncope makes up around 1 to 3.5% of emergency department visits and is more commonly experienced in elderly patients as a result of multiple comorbidities and medication use (Grossman & Badireddy, 2023). The decreased cerebral blood flow causing syncope is commonly defined through symptoms such as dizziness, lightheadedness, nausea, and visual disturbances (Grossman & Badireddy, 2023). Even though syncope is a common condition, it hosts a complex array of symptoms that can often lead to greater issues, for instance, injury sustained due to falling during the episode. Episodes diagnosed with a cardiac cause are linked to significantly higher rates of morbidity and mortality compared to other causes, highlighting further investigation into the cause of an episode as an important and valuable task as part of a syncope nursing care plan (Miller & Kruse, 2005).

References

Brignole, M., Moya, A., de Lange, F. J., Deharo, J.-C., Elliott, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martín, A., Probst, V., Reed, M. J., Rice, C. P., Sutton, R., Ungar, A., van Dijk, J. G., Torbicki, A., Moreno, J., Aboyans, V., & Agewall, S. (2018). 2018 ESC Guidelines for the diagnosis and management of syncope. European Heart Journal, 39(21), 1883–1948. https://doi.org/10.1093/eurheartj/ehy037

Grossman, S. A., & Badireddy, M. (2023). Syncope. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK442006/#:~:text=History%20of%20syncope%20should%20focus

Miller, T. H., & Kruse, J. E. (2005). Evaluation of Syncope. American Family Physician, 72(8), 1492–1500. https://www.aafp.org/pubs/afp/issues/2005/1015/p1492.html

Sun, B. C. (2013). Quality-of-Life, Health Service Use, and Costs Associated With Syncope. Progress in Cardiovascular Diseases, 55(4), 370–375. https://doi.org/10.1016/j.pcad.2012.10.009

Sutton, R., Ricci, F., & Fedorowski, A. (2022). Risk stratification of syncope: Current syncope guidelines and beyond. Autonomic Neuroscience, 238, 102929. https://doi.org/10.1016/j.autneu.2021.102929

How do you create a Syncope Nursing Care Plan template?
How do you create a Syncope Nursing Care Plan template?

Commonly asked questions

How do you create a Syncope Nursing Care Plan template?

To create a comprehensive nursing care plan for syncope management, simply create a customized plan from the scaffolding provided by Carepatron and cater to the patient's needs through the key aspects of assessment, diagnosis, planning, intervention, and evaluation.

When are Syncope Nursing Care Plan Templates used?

These valuable plan templates can be used at any point of the treatment journey for a patient with syncope to track, monitor, and plan all interventions both by healthcare professionals and the patient themselves.

How are the Syncope Nursing Care Plan Templates used?

Syncope nursing care plan templates are used as a planning tool for efficient and confident care delivery. They are designed to be customized and meet the individual patient's needs.

Who creates a Syncope Nursing Care Plan Template?

A nurse will use this syncope care plan to help outline treatments and planning, yet the template can be easily used and managed by any healthcare professional, even as an educational tool for the patient's self-management.

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