NURSING INTERVENTION FOR A LEPROUS PATIENT USING

NURSING PROCESS
ASSESSMENT
 Muscle weakness
 Numbness
 Skin
 Deformity
 Eye
 Fever
 Infection

NURSING DIAGNOSIS
 Activity intolerance related to muscle weakness evidenced by patient’s inability to
carryout activities of daily living.
 Impaired sensory perception related to damaged nerve endings evidenced by multiple
injuries.
 Impaired skin integrity related to disease process evidenced by skin lesion.
 Low self-esteem related to disfigurement evidenced by patient’s negative self-talks.
 Impaired vision related to damaged optic nerves evidenced by clinical assessment.

OUTCOME IDENTIFICATION

 Patient will be able to carry out activities of daily living within 2-3 weeks of Nursing
Intervention.
 Patient will be able to respond to sensory stimulus within the time of admission to
discharge
 Patient will maintain intact skin within time of admission to discharge
 Patient will regain self-esteem within 2-3 weeks of nursing intervention
 Patient will be to demonstrate improved ability to perform visual task independently

PLANNING

 To restore and maintain full functioning of the muscles

 To enable patient regain sensation
 To promote and maintain intact skin
 To enable patient regain self esteem
 To restore optimum vision
IMPLEMENTATION
- Admit patient into ward
- Place patient on a well-made bed
- Check vital signs
- Assess level of muscle weakness
- Encourage proper nutrition
- Engage patient on non-strenuous exercise
- Administer prescribed medication. (E.g multivitamins)
- Access level of nerve damage
- Provide safe environment
- Encourage patient to demonstrate proper self-care
- Reassure patient
- Assess skin lesion
- Monitor sites for impaired skin integrity.
- Clean affected area with mild soap and clean water
- Encourage patient on balanced nutrition
- Encourage patient to avoid vigorous scrubbing
- Establish rapport
- Encourage counselling
- Advise patient relative on the need for emotional support
- Reassure patient
- Assess level of impairment
- Advise patient on importance of nutrient rich food (fruits, vegetables and high fiber
intake)
- Advise family members on a balanced diet plan
- Administer prescribed supplement

EVALUATION

 Patient was able to carry out daily activities at the end of 3rd week of nursing
intervention
 Patient response to stimulus improved at the end of nursing intervention
 Patient maintained intact skin between time of admission to time of discharge
 Patient regained self-esteem at the end of 8th week of nursing intervention
 Patient verbalized improvement in vision.