Ncp Sir Elmer

7/30/2019 Ncp Sir Elmer

http://slidepdf.com/reader/full/ncp-sir-elmer 1/5

ASSESSMENTNURSING

DIAGNOSISPLANNING

NURSING

INTERVENTIONRATIONALE EVALUATION

Subjective:

N/A

Objective:

N/A

Impaired physical

mobility related to

injury secondaryto vehicular

accident.

R: Physical

mobility can be

restrained due to

his conditions.

Complete bed

rest is needed

while the patient

is coping with the

injury thus making

his physical

mobility impaired.

At the end of 3-day span

of care, patient will be

able to increase his

function and physical

abilities, as evidenced

by:

verbalize understanding

of the situation

and individual treatment

regimen and safetymeasures

1. Support

affected body

part with pillow,foot support

or air mattress.

2. Encourage

patient to

participate in

self-care,

diversional and

recreational

activities.

3. Encourage

patient to drink

plenty of fluids

and eat foods

rich in protein.

4. Allow thepatient to

perform tasks at

his own rate. Do

not push patient.

Encourage

independent

activity as able

-This helps

maintain the

position of function and

reduce risk

of pressure ulcers.

-It enhances the

self-concept and

self-esteem of the

patient.

-this will help aide

wound healing.

Also promotes

well-being and

maximizes energy

production.

-hospital workersand caregivers are

often in a hurry

and do more for

patients than

needed, thereby

slowing the

patient’s recovery

After of 3-day span of

care, patient will be able

to increase his function

and physical abilities, as

evidenced by:

verbalize understanding

of the situation

and individual treatment

regimen and safety



and safe.

5. Reinforce

principles of progressive

exercise,

emphasizing that

joints are to be

exercised to the

point of pain and

not beyond.

and reducing his

self-esteem.

- If the patient

does not doanything, then

there would be no

progress



ASSESSMENTNURSING

DIAGNOSISPLANNING

NURSING

INTERVENTIONRATIONALE EVALUATION

Subjective:

N/A

Objective:

N/A

Knowledge deficit

related to cognitive

limitation.

After 4 hrs of

nursing

intervention the

client will be able

to:

verbalize

understanding of

the situation safety

measures

1. ascertain the

level of knowledge.

2. identify

motivating factors

for the individual.

3. provide

information

relevant only to the

situation.

4. provide positive

reinforcement.

5. discuss client’s

perception of need.

Relate information

to the personal

beliefs.

6. use short, simple

sentences and

concepts. Repeatand summarizes as

needed.

7. use gestures and

facial expressions

that help convey

meaning of

information.

-to assess the

readiness to learn

and individuallearning needs.

-motivation may be

a negative stimulus

or positive.

-to prevent

overloadd.

-can encourage

continuation of

efforts.

- so that the client

feels competent

and respected.

-to facilitate

learning.

- to facilitate

learning.

After 4 hrs of

nursing

intervention the

client was able to:

verbalize

understanding of

the situation safety

measures.



8. assist client to

use information in

all applicable areas.

-to pfacilitate

learning and to

promote wellness.



Drug study:

Name of drug Mechanism of

action

dosage Indications Contraindication Adverse

reactions

Nursing

considerations.

Nonsteroidalanti-

inflammatory

drugs (NSAIDs)

Exactmechanism of

action is

unknown.

Inhibition of

prostaglandin

synthesis.

Relief of mild tomoderate pain.

-asthma-rhinitis

-chronic urticaria

-nasal polyps

HeadacheDizziness

Nausea

GI pain

Diarrhea

Bleeding

dysuria

- Administerdrug w/ food or

after meals if GI

upset occur.

- provide

comfort

measures.to

reduce pain and

to reduce

information.

Anti-seizure

medications

Pain reliver

Documents

Ncp Sir Elmer