Type of diet Dare ordered/ date given General description Indication/purpose Patient’s response

or date discontinued
A low-protein diet is The purpose of a low The client’s protein
Date ordered: November any diet in which the protein diet is to prevent level decreased, that
Low protein 19, 2010 protein intake is reduced. worsening of kidney or helped to increased the
Anyone diagnosed with liver disease. The diet is kidney function.
kidney or liver disease effective because it
may be prescribed a low- decreases the stress on
protein diet. In any case, the kidney or liver.
a diet which is especially
low in protein should
only be undertaken under
medical direction.

Nursing responsibilities:
1. Monitor the intake of protein of the patient.
2. Tell the patient of what foods he/she should avoid.
 Type of exercise Dare ordered/ date given General description Indication/purpose Patient’s response
or date discontinued

Date ordered: Novenber Ambulation is to move Provides a range of Help the client
Ambulation 20, 2010 from place to place, or physical and mental prevent phlebitis and
also known as walking. benefits to clients. the development of
. stroke-causing clots.

Nursing responsibilities:
Instruct the SO to assisst client in walking around the hospital.
Cues Diagnosis Scientific Interventions Rationale Planning Evaluation
explanation
>Noted personal >These factors After 2 days of Goal met AEB
S> O Knowledge deficit Absence or factors (e.g., may affect the nursing the client was
related to deficiency of age/developmental client’s level of intervention the able to participate
O> inaccurate follow- unfamiliarity with cognitive level, knowledge. patient will be and initiate
throughof information information related gender,religion, able to initiate lifestyle changes.
instruction/performanc resources to specific disease or level of soial or
lifestyle changes
e of test condition. cltural stability).
ang participate in
>Assessed the level >May need to treatment
of client’s help SO’s or regimen.
capabilities and the other caregivers
possibilities of the to learn.
situation.

>Discussed client’s So that client

perception of need. feels competent
Related and respected.
information to
client’s personal
desires/needs and
values/beliefs.