Sie sind auf Seite 1von 3

Assessment Diagnosis Objectives Implementation Rationale Evaluation

Subjective Cues: Self Care Deficit Short term 1. Assess the 1. To determine At the end of 1
“Dili man gud ko related to objectives: patient overall the patient hour of nursing
makalakaw maam cerebrovascular At the end of 1 condition capability to intervention the
kay dili na malihok accident as hour of nursing perform ADL. client was able to
akong pikas na evidenced by intervention the 2. Give tepid 2. The client verbalize the
lawas” As verbalized hemiplagia client will be able sponge bath cannot take a importance of
by the client to: Bath proper hygienic
 Verbalize independently. practices like
proper Tepid sponge bathing, proper
hygienic can be an hand washing,
practices alternative way nail cutting, tooth
 Identify to clean the brushing.
Objective cues: alternative client’s body
 Inability to dress action to 3. Encourage 3. Proper hygiene
self independently perform the client and is the most
 Inability to bathe Activity of the family to important way
and groom Daily living provide a tepid to prevent
self independently sponge bath occurrence
 Inability to everyday and and severity of
perform toileting other hygienic disease. Long term goal:
tasks Long term goal: practices like The patient
independently At the end of 2 hand washing, verbalized “dili
 Inability to days of nursing tooth brushing, man nako kaya
ambulate intervention the combing, nail buhaton ang
independently patient will be cutting. pagligo, pag
able to: 4. Give health 4. Emphasizing nailcutter nga ako
teaching about this health ra isa maam.
 Perform the importance teaching help Kailangan to nako
Activity of daily of the to remind the ako anak nga
living with following: client and the tabangan ko”
minimal  Tooth family why it is Goal’s not met
assistance brushing necessary to
 Hand washing do Tooth
 Combing Brushing,
 Nail cutting Hand washing,
 Take a bath Combing, Nail
 Regular cutting, Take a
exercise of bath and to
ambulation have an
exercise or
ambulation in
the regular
basis of our
lives.
5. Provide the 5. To support the
client assistive patient in
devices such walking and
as cane or doing the ADL.
crutches.
6. Instruct the 6. For the client
client the to use the cane
proper way of or crutches
using cane or appropriately.
crutches.

Das könnte Ihnen auch gefallen