The patient has a self-care deficit related to feeding due to a shoulder injury that limits their ability to feed themselves. The short-term goal is for the patient to be able to name resources to improve independence in feeding within 3 hours of nursing intervention. The long-term goal is for the patient to be able to feed themselves independently while recognizing when assistance is needed within 24 hours. Nursing interventions include positioning the patient comfortably, providing proper utensils, allowing the patient to feed themselves with assistance as needed, and educating on proper feeding techniques and fostering independence.
The patient has a self-care deficit related to feeding due to a shoulder injury that limits their ability to feed themselves. The short-term goal is for the patient to be able to name resources to improve independence in feeding within 3 hours of nursing intervention. The long-term goal is for the patient to be able to feed themselves independently while recognizing when assistance is needed within 24 hours. Nursing interventions include positioning the patient comfortably, providing proper utensils, allowing the patient to feed themselves with assistance as needed, and educating on proper feeding techniques and fostering independence.
The patient has a self-care deficit related to feeding due to a shoulder injury that limits their ability to feed themselves. The short-term goal is for the patient to be able to name resources to improve independence in feeding within 3 hours of nursing intervention. The long-term goal is for the patient to be able to feed themselves independently while recognizing when assistance is needed within 24 hours. Nursing interventions include positioning the patient comfortably, providing proper utensils, allowing the patient to feed themselves with assistance as needed, and educating on proper feeding techniques and fostering independence.
The patient has a self-care deficit related to feeding due to a shoulder injury that limits their ability to feed themselves. The short-term goal is for the patient to be able to name resources to improve independence in feeding within 3 hours of nursing intervention. The long-term goal is for the patient to be able to feed themselves independently while recognizing when assistance is needed within 24 hours. Nursing interventions include positioning the patient comfortably, providing proper utensils, allowing the patient to feed themselves with assistance as needed, and educating on proper feeding techniques and fostering independence.
DATA EXPLANATION OF THE GOALS/ Expected outcomes ACTION/ NURSING RATIONALE RESPONSE& PROBLEM INTERVENTIONS EVALUATION ve findings: Decrease oxygen carrying STG: within 3 hour/s of NI the patient Dxtc: After 3 hr/s of NI, the pat ard for me to feed myself capacity of haemoglobin— will be able to: able to my shoulder hurts when I decreased nutrition in cells— name available resources to continue to 1. Vital signs taking -serves as baseline data name available resources t y hand “ decreased ATP production improve building independence. and recording -Speech therapy can continue to improve buildi ed by the patient since oxygen is needed for 2. Inquire about a assess the patient’s ability independence oxidation of CHO/gliucose— As evidenced/manifested by: swallow screen and to swallow different types decreased energy or muscle verbalize understanding of the evaluation before of liquids and foods and As evidenced/manifested weakness—self care deficit. condition feeding the patient. also different consistency. verbalized understanding -Patients are much more condition ve findings: inclined to eat the food 3. Ask the patient they like. Nutrition is a s assistance with self-care about food vital part of healing ding ability limited preferences process. STG is fully MET. oss -This increases LTG: after 24 hrs of NI the patient independence in ADLs will be able to: performance After 24 hr/s of NI, the pa feed himself on his own recognizing 4. Assess patients was able to when he needs assistance need for assistive feed himself on his own re devices -Proper positioning can when he needs assistance As evidenced/manifested by: make the task easier Weight gain Txc: while also reducing the As evidenced/manifested Self-feeding ability with little 1. Place the patient in risk for aspiration. Weight gain assistance a comfortable -These things expand Self-feeding ability with li Nursing Dx: (PE/S) position for feeding possibilities of success. assistance 2. Provide patient e Deficit in feeding related with proper -It is possible that the der injury utensils to aid in dominant hand will also LTG is fully MET. self-feeding. be the affected hand if 3. Allow the patient to there is upper extremity feed himself as soon involvement. as possible. Assist with set-up as -Deficits may be needed. exaggerated if other 4. Ensure the patient senses or strengths are wears dentures and not functioning optimally. eyeglasses if required. -Proper body mechanics Edx: during eating is safer for 1. Educate the patient the patient. It helps the use of proper prevent food from body alignment and entering the wrong place. mechanics -When assisting with feeding, it is crucial to adjust to the patients 2. Instruct the patient pace. If the patient feels to allow enough rushed or senses that you time between bites are in a hurry, it is more likely for the patient not to chew his or her food properly. -This demonstrated caring and concern but does not interfere with 3. Teach family and patients effort to achieve caregivers to foster independence. independence and to intervene if the patients become fatigued, is unable to perform task or become excessively frustrated.