Ncp NURSING

Published on February 2017 | Categories: Documents | Downloads: 28 | Comments: 0 | Views: 275
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Content

 

Cues

Nursing Diagnosis

Planning

Interventions

Rationale

Evaluation

Objective:

Situational low self-

 After 8 hours o of  f 

Provide time to listen

To make opportunities

Goal partially met as

esteem related to

nursing interventions,

to concerns and fears

for support, teaching

evidenced by:

Lack of eye contact

concerns about

the patient will

of client

and correction for 

The patient was able

Passivity

femininity, effect on

verbalize concerns

misconception

to verbalize her 

Limited movement

sexual relationship

and indicate healthy

and inability to have

ways of dealing with

 Ascertain individual individual

To build on strengths

children

them

strength and identify

already available for 

previous positive

client to use in coping

coping behaviors

with current situation

Provide open

To promote sharing of 

environment for client

beliefs/values about

to discuss concerns

sensitive subject, and

about sexuality

identifies

feelings and concern

misconceptions/myths that may interfere with adjustment to the situation

Refer to pastoral staff,

To have additional

psychiatric clinical

help to resolve

nurse specialist, and

feelings about loss

other professionals for  counseling as necessary

 

Cues

Nursing Diagnosis

Planning

Interventions

Rationale

Evaluation

Objective:

Hyperthermia related

 After 4 hours hours

Establish good

To gain the patient’s

Goal partially met as

to inappropriate

of nursing

working condition with

trust

evidenced by:

clothing factor  

interventions, the

the patient.

Temperature – 38.1

The patient’s body

Weakness

patient will be

Restlessness

maintaining a normal

Monitors vital signs

To have a baseline

maintained normal

Flushed skin

body temperature

every 2 hours

data

body temprature

Provide TSB

To maintain a normal

temperature have

body temperature

Encourage increase

To replace fluid loss

fluid intake

Review

To promote wellness

sign/symptoms of 

and indicate need for 

hyperthermia

prompt intervention

Encourage food rich in

To boost body

Vitamin C

resistance to infection

Provide client safety

To prevent further  injuries

Maintain bed rest

To preserve energy

 

 

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