Rheumatoid Arthritis Nursing Care PlanFull description
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Rheumatoid Arthritis Nursing Care PlanDescripción completa
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ASSESSMENT
DIAGNOSIS
PLANNING GOAL/DESIRED OUTCOME
IMPLEMENTATION IMPLEMENTATION
INTERVENTION
RATIONALE
Independent: Assess functional ability/extent of impairment initially and on a regular basis. Provide passive exercise to the affected area and active exercise to unaffected area like quadriceps drills such as flexion, extension, abduction, adduction etc. Assist to develop sitting balance (raise head of bed; assist to sit on edge of bed, having patient use the strong arm to support body weight and strong leg to move affected leg). Assess patient to ambulate. Provide safety measure such as placing necessary things within the reach of the patient.
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Subjective: ³Di ako makahiwag maayo´ as verbalized by the patient.
Objective: Left
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hemiplegia
Weakness
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Impaired physical mobility related to neuromuscular impairment as manifested by ³di ako makahiwag maayo´ as verbalized by the patient, left hemiplegia and weakness.
Within
1 hour of nursing intervention, the patient will be able to demonstrate techniques/ behaviors that enable resumption of activities.
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EVALUATION EVALUATION
Identifies strengths/deficiencies and may provide information regarding recovery. Minimizes muscle atrophy, promotes circulation and helps prevent contractures.
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Aids in retaining neuronal pathways, enhancing proprioception and motor response.
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To prevent deformities or contractures. To prevent from any accidents. To poster independence.
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Assessed functional ability/extent of impairment initially and on a regu lar basis. Provided passive exercise to the affected area and active exercise to unaffected area like quadriceps drills such as flexion, extension, abduction, adduction etc. Assisted to develop sitting balance (raise head of bed; assist to sit on edge of bed, having patient use the strong arm to support body weight and strong leg to move affected leg). Assess patient to ambulate. Place necessary things within the reach of the patient.
Goal met; After 1 hour of nursing intervention, the patient wasable to demonstrate techniques/ behaviors that enable resumption of activities.
ASSESSMENT
DIAGNOSIS
PLANNING GOAL/DESIRED OUTCOME
IMPLEMENTATION
INTERVENTION
RATIONALE
Independent: Establish
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Subjective: (none)
Monitor
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rapport.
vital signs.
EVALUATION
To
promote cooperation.
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To
have a baseline data.
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Established
Vital
rapport. signs were monitored. K ept the chairs and
Goal met; After30
R isk
Objective: Left
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hemiplegia
for injury related to right hemiplegia secondary to CVA
Within
30 minutes of nursing intervention, the patient will be able to seek help to perform tasks that are beyond his capabilities.
K eep the chairs and pillows at the side of the bed. R emind patient to walk slowly, rest adequately between intervals of walking use effective lighting. Inform patient¶s SO not to leave him in the bathroom.
To
protect from falling out of bed.
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To
prevent injury.
For
continuous monitoring and guidance for the patient.
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pillows at the side of minutes of nursing the bed. intervention, the patient sought help R eminded patient to walk slowly, rest to perform tasks adequately between that are beyond his intervals of walking capabilities. use effective lighting. Informed patient¶s SO not to leave him in the bathroom.
ASSESSMENT
DIAGNOSIS
PLANNING GOAL/DESIRED OUTCOME
IMPLEMENTATION
INTERVENTION
RATIONALE
Independent: Evaluate
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Subjective: ³Hadlok ako san phlebotomy kag di ko aram ini na sakit ko´as verbalized by the patient.
Objective: Worried
facial expression
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type/degree of sensory-perceptual involvement.
Deficient K nowledge
related to unfamiliarity with information resources as manifested by ³hadlok ako san phlebotomy kag di ko aram ini na sakit ko´ as verbalized by the patient and worried facial expression.
Within 30 minutes of nursing intervention, the patient will be able to verbalize understanding of condition/ disease process and treatment.
Include SO in discussions and teaching.
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Discuss specific pathology, cause and managements.
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R einforce
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importance of follow-up care.
EVALUATION
Deficits affect the choice of teaching methods and content or complexity of instruction. These individuals will be providing support or care and have great impact on client¶s quality of life. Aids in establishing realistic expectations and promotes understanding of current situation and needs.
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Minimize
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deficits
residual
Evaluated
type/degree of sensory-perceptual involvement. Included SO in discussions and teaching. Discussed specific pathology, cause and managements. R einforced importance of followup care.
Goal met; After 30 minutes of nursing intervention, the patient was able to verbalize understanding of condition/ disease process and treatment.