Professional Documents
Culture Documents
-Encourage -Breathing
ambulation as effectiveness and
tolerated mobilization of
secretions are
enhanced by
position change
and an upright
position
ASSESSMENT NURSING SCIENTIFIC OBJECTIVES NURSING RATIONALE EXPECTED
DIAGNOSIS EXPLANATION INTERVENTIONS OUTCOME
S: Ø Short Term: >assess the degree of >for comparison Short Term:
Self care deficit r/t For client’s deficit and baseline data
O: pt may mobility musculoskeletal After 4 hours of NI, patient will
manifest: impairment trauma, further patient will >assist patient in self- >for prevention of demonstrate
movements and demonstrate care like the use of straining understanding of
>increased induce further understanding of bed bath acceptance of
dependence for injury. Patients acceptance of situation and the
self- care after ORIF, situation and the >reinforce use of need for assistance.
movement without need for assistance. assistive devices with >to assist patient
>poor hygiene assistance can collaboration with the in doing self- care Long Term:
induce alteration Long Term: therapist acitivites
>use of assisted in the fixation patient will
devices in moving plates and can After 8 months of NI, >educate patient and >to empower the demonstrate pre-
alter alignment patient will SO for importance of patient and SO injury dependence in
>hostility and fixation of the demonstrate pre- hygiene meeting self care
bones. Activities injury dependence in needs
>irritable like self- care can meeting self care >provide positive
be compromised needs reinforcement in client > to empower the
thus efforts patient
compromising the
patients hygiene.