Rheumatoid Arthritis Nursing Care PlanFull description
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Rheumatoid Arthritis Nursing Care PlanDescripción completa
Cellulitis is a common, potentially serious bacterial skin infection. Cellulitis appears as a swollen, red area of skin that feels hot and tender, and it may spread rapidly. Skin on lower le…Full description
Nursing Care Plan for ESRD
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NURSING CARE PLAN
Problem: Body malaise Nursing diagnosis: Activity intolerance related to general malaise secondary to DM Taxonomy: Activity- Exercise Pattern Cause analysis: Fatigue and general malaise are common symptoms of DM patient which can interfere with an individual’s ability to initiate ADLs [Medical Surgical Nursing By Smeltzer and Bare, pp. 679] CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: “Dii man niya kaya magtindog na siya lang” as verbalized by the SO
Objective: appeared weak pale patient is lethargic unable to perform ADLs dependent on others care always lying on bed • • • •
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STO: After 4 hours of giving effective nursing interventions, the patient will be able to cope with fatigue as evidenced by verbalized feelings of comfort and increase activity participation LTO: Within 3 days of giving nursing interventions, the patient will be able to demonstrate an increase in activity tolerance as evidenced by doing simple ADL’s
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Ref: Nursing Care Plans by Doenges p 492-493
Independent: 1. Assess Assessed ed patie patient’ nt’s s ability to perform tasks/ noting reports of weakness, fatigue and difficulty accomplishing accomplishing task. 2. Recomm Recommen ended ded quiet quiet atmosphere; atmosphere; bed rest if indicated stress-need to monitor and limit visitors, phone calls and repeated unplanned interruptions 3. Elevat Elevated ed head head of of bed as tolerated. 4. Provided Provided/reco /recommen mmended ded assistance with activities / ambulation ambulation as necessary, allowing pt to do as much as possible] 5. Assisted Assisted pt to to priori prioritize tize ADLs/desired activities.
1. Influe Influenc nce e of choic choice e of interventions interventions assistance 2. Enhan Enhance ce rest rest to to lower body’s oxygen requirements, requirements, and reduces strain on the heart and lungs 3. Enhan Enhances ces lung lung expansion to maximize oxygenation for cellular uptake. 4. Altho Althoug ugh h help help may may be necessary, self esteem is enhanced when pt does things for self. 5. promo promotes tes adequ adequate ate rest energy level, and alleviates strain on the cardiac and respiratory systems.
After 4 hours of giving effective nursing interventions, interventions, the patient was able to cope with fatigue as evidenced by verbalization of feelings of comfort and participating in passive ROM
Within 3 days of giving nursing intervention, the patient was not able to do simple ADLs