CUES/CLUES NURSING OBJECTIVES DIAGNOSTIC / MEDICAL NURSING RATIONALE EVALUATION
DIAGNOSIS LAB TESTS INTERVENTIONS INTERVENTIONS
Subjective: Impaired After 8 hours of MRI Debridement “Hindi ako physical rendering nursing - to know more - The wound makalakad ng mobility related interventions, the information about usually requires maayos kasi to pain in the patient will: the extent of an initial surgical sumasakit yung wound - verbalize damage caused debridement and paa ko kapag understanding of by an ulcer. probing to sinusubukan individual ESR & C- determine the kong maglakad.” situation, reactive protein depth and - discomfort treatment - Elevated ESR involvement of regimen, and and CRP bone or joint Objective: safety measures. indicates pain structures. - diagnosed with - demonstrate and inflammation. DM Type 2 techniques and - markers of - non healing behaviors that effectiveness wound with enable whether seropurulent resumption of treatment is drainage at the R activities reducing foot - display inflammation or - diabetic foot willingness to not. ulcer participate in - slowed activities movement - verbalize decrease of pain
After 1-2 weeks
of rendering nursing interventions, the patient will: - demonstrate use of adaptive equipment to increase mobility - have no pain