N-self Care Deficit 3d3549

Self care deficit: bathing, dressing, feeding, toileting related to Fatigue Self care deficit may be the result of transient limitations, such as those being hospitalized. In the case of my patient, he is deficient in self-care due to frequent fatigue that he feels and weakness. Due to prolonged bedrest he is unable to fully provide himself care. CUES/EVIDENCES Subjective: Wan a koy gana maligo ug maglihok-lihok kay kapoy kaayo akong lawas;’ As verbalized by the patient Objective Dry, tangled hair Lethargic Bedrest Frequent yawning Weakness noted Vital Signs: BP = 130/70 mmHg T = 36.3 degC CHR: 87 bpm RR: 17 m

OBJECTIVES

INTERVENTIONS

After 3 days of nurse patient interaction, the patient will be able to perform selfcare activities within level of own ability.

The nurse will assist the patient in achieving the goal which is to perform self-care activities within level of activity

Specifically, the patient will be able to: Identify individual area of weakness or needs.

EVALUATION GOAL PARTIALLY MET: Patient was able to partially perform self-care activities within level of own ability

Assess barriers to participation

To be able to provide deeper intervention depending on the assessed reasons of unparticipation

Promote client’s participation in problem identification and desired goals and decision making

To enhance commitment to plan, optimizing outcomes, and ing recovery and health promotion

Assist with necessary adaptations to accomplish ADLs

To encourage client and build on success

Plan time for listening to the client’s feelings and concern

To discover barriers to participate in regimen and to work on problem solution

Refer to and assist with rehabilitation

To enhance client’s capabilities and promote independence

Able to take a bath on her own Verbalize that he is no longer tired to perform his Activities of Daily Living

RATIONALE

Provide positive reinforcement for all activities attempted, note partial achievements

This provides the patient with an external source of positive reinforcement and promotes ongoing effects

Provide ongoing evaluation of self-care program

To note if interventions are appropriate and working

Encourage keeping a journal of progress and practicing of independent living skills

To foster self-care and selfdetermination

Review safety concern, modify activities or environment

To reduce risk with injury and promote successful community functioning

Incorporate new activities into daily routines

To help manage in lowering the glucose level