The patient reported feeling weak and unable to perform desired activities. On examination, the patient appeared weak and pale. The nurse diagnosed the patient with risk for self-care deficit related to weakness as manifested by the reported symptoms and physical appearance. The nursing plan was to monitor vital signs, provide rest and comfort, encourage limited bed exercises, turn the patient regularly, and provide health teachings with the goals of identifying any other issues, assessing the risk level, and promoting recovery. The nurse evaluated that the goals were met as the patient was able to rest and do some bed exercises with continued nursing support over an 8-hour shift.
Original Description:
Original Title
ASSESSMENT S: “Nanghihina Ako, Hindi Ko Magawa Yung Mga Gusto
The patient reported feeling weak and unable to perform desired activities. On examination, the patient appeared weak and pale. The nurse diagnosed the patient with risk for self-care deficit related to weakness as manifested by the reported symptoms and physical appearance. The nursing plan was to monitor vital signs, provide rest and comfort, encourage limited bed exercises, turn the patient regularly, and provide health teachings with the goals of identifying any other issues, assessing the risk level, and promoting recovery. The nurse evaluated that the goals were met as the patient was able to rest and do some bed exercises with continued nursing support over an 8-hour shift.
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The patient reported feeling weak and unable to perform desired activities. On examination, the patient appeared weak and pale. The nurse diagnosed the patient with risk for self-care deficit related to weakness as manifested by the reported symptoms and physical appearance. The nursing plan was to monitor vital signs, provide rest and comfort, encourage limited bed exercises, turn the patient regularly, and provide health teachings with the goals of identifying any other issues, assessing the risk level, and promoting recovery. The nurse evaluated that the goals were met as the patient was able to rest and do some bed exercises with continued nursing support over an 8-hour shift.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
DIAGNOSIS INTERVENTION S: “Nanghihina Risk for Self- The patient - Monitor and To identify any otherGoal Met. The ako, hindi ko Care Deficit, will be able record vital signs deviations from patient was able to magawa yung bathing/hygiene, to take a rest normal. have rest and mga gusto related to and perform - Determine To assess degree of perform some bed kong gawin” as weakness as some bed patient strength risk of self-care deficit exercise during the verbalized by manifested by exercise and weaknesses 8-hour shift with the patient. the verbalization after 8 hours continued nursing and weak and of continued - Provide Adequate rest provides intervention O: Weak and pale appearance nursing adequate rest enough energy to the pale in of the patient intervention. periods as well as patient appearance. comfort & safety - V/S: measures T:38.7°C Promotes blood , P:72 , - Turn the patient circulation RR: from side to side 24 , BP: - Encourage the Promotes blood 90/60 patient to do circulation and ease for mmHg. some bed patient when in Presence of exercise recovery Body Odor Not well - Provide health To provide clarification groomed teachings to the and Reinforcement patient