S= “Usahay Self-Care Deficit maligo, usahay in dili. Kapuyan ko bathing/hygiene bathing/hygiene maligo gud”, as related to verbalized by decreased or lack the patient. of motivation.
At the end of 1. Assess client's ability to bathe self through direct observation (in usual the 2-week bathing setting only) noting noting specific related deficits and their causes. learning experience, patient will be 2. Plan activities to prevent fatigue able to perform during bathing
O>received Scientific Basis: patient sitting Feeling of on the bench, worthlessness alone associated with > dirty clothes depression noted which > dirty hair and contributes to skin noted lack of > with long nails interest in > unpleasant personal odor noted hygiene.
> Use of observation of function provides complementary assessment data for goal and intervention planning. > Energy conservation increases activity tolerance and promotes self-care.
3. Instruct patient to select bath time when he or she is rested and unhurried.
>
4. Encourage independence, but intervene when patient cannot perform.
An appropriate level of assistive care can prevent injury with activities without causing frustration.
5. Use consistent routines and allow adequate time for patient to complete tasks.
> This helps patient organize and carry out self-care skills.
6. Provide privacy during bathing/dressing as appropriate.
7. Encourage use of clothing one size larger.
Hurrying may result in accidents and the energy required for these activities may be substantial. >
> The need for privacy is fundamental for most patients.
> This ensures easier dressing and comfort.
OUTCOME
ACTUAL
CRITERIA
EVALUATION
Week 1 – 1 – Goal Goal was met. Patient was able to perform self-care activities with minimal supervision or assistance. Week 2 – 2 – Goal Goal was met. Patient was able to do self-care activities without someone prompting or telling him to do so.
8. Assist patient with care of fingernails and toenails as required.
> Patients may require nail care to prevent injury to feet during nail trimming or because special implements are required to cut nails.
9. Provide supervision for each activity until patient performs skill competently and is safe in independent care; reevaluate regularly to be certain that the patient is maintaining skill level and remains safe in environment.
> The patient’s ability to perform self-care measures may change often over time and will need to be assessed regularly.
10. Provide positive reinforcement for every accomplishment made.
> Positive reinforcement enhances self-esteem and encourages repetition of desirable behaviors.
