Nursing Care Plan: Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation
Nursing Care Plan: Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation
Nursing Care Plan: Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation
Nursing Diagnosis
Activity Intolerance r/t discomfort and pain
Objectives
Within our 2 day care, the client will be able to have activity tolerance by positioning slowly from side to side and from supine to upright position as evidenced by: Able to move out from his bed
Interventions
Independent: Monitor vital signs of the patient Provide assurance with activities or ambulation as necessary, allowing client to do as much as possible
Rationale
Evaluation
Objective: Upon getting the BP, clients arm was not properly positioned Does not move from side to side and refuse
Provide positive atmosphere while acknowledging of the situation for the client
At the end of our 2 day care, the client was able to tolerate To little activity by provide positioning slowly baseline data from side to side and Self from supine to upright esteem of position as evidenced client is by: enhanced when Client was able he does to get up from something for bed slowly and himself. stayed in an According to upright position Dorothea for a few minutes Orems Theory and lied down of self care again deficit, human has ability to perform self Client asked us care activities and the significant other to position him to the left Help to side of the bed minimize frustration and re-channel energy Client was no
to be positioned every 2 hours When asked by the nurse on duty to move a little to the right side, client refused Demonstrate physical mobility by moving from side to side
Plan activity progression with client, including activities that client views as essential
Promote s gradual return to normal activity level and improved muscle tone/stamina without undue fatigue increases self esteem and sense of control. According to Joyce Travelbees Human to Human Relationship Model, nursing is an interpersonal process whereby the nurse assists an individual. Discomf ort and pain affects both the clients actual and perceived
longer lethargic and weak. He became more responsive and cooperative in every procedure that we perform Client frequently asks assistance from the significant other to support him as he is about to sit up straight
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