Nursing Care Plan

NURSING EXPECTED ASSESSMENT ACTION TEACHING

DIAGNOSES PATIENT interventions: interventions: interventions:
OUTCOMES (consider orders, (consider home
(note priority for (assess / monitor
safety, allergies, regimens,
each below) Be sure they are S. for …)
code status, fall procedures,
M. A. R. T.
(Be sure to use risk, etc.) discharge plan,
(Specific,
“related to” and etc.)
measureable,
“as evidenced
achievable/
by”)
attainable, relevant
and time-bound)
Impaired skin Reduce the dryness Assess and Apply lotions to Teach patient
integrity related of skin by 25% monitor skin dry skin ways to monitor
to psoriasis as before discharge by tears for impending
Rotate in bed
evidence by applying lotions and skin breakdown
Assess site of every 2 hours to
purple/red medications to
skin impairment prevent Teach patient
blotchy, scaly, patients skin
increased skin why topical
and dry skin Monitor clients
breakdown treatment has
skin care
been selected
practices

Risk for fall Increase patients Assess gait Prevent falls by Teach patient
related to stroke mobility by 25-50% stability making sure how to ambulate
as evidence by by the end of patient area is safely at home
Assess balance
weakness in left discharge fee from hazards
Teach patient
leg and unsteady
Help patient importance of
gait
with getting into maintaining
wheelchair exercise