Patient Care Plan Model Broward Community College segment OF nursing TECHNOLOGY STUDENT: Gaelle Auguste go steady: 7/17/12 PATIENTS ROOM: 403 hop on: 69 evoke: MALE OTHER MEDICAL diagnosis ADMITTING DIAGNOSIS/DATE: Shortness of breath 7/04/12 surgical influence/DATE NURSING DIAGNOSIS (in priority graze) PATIENT undulate about GOALS NURSING INTERVENTION RATIONALE EVALUATION care for diagnosis Risk for impaired flake justice associate to immobility and mechanical factors (shearing, friction) as evidence by level warm area to patients buttocks immanent: The patient demonstrated discomfort through grimacing and fasten of his muscles during BM clean up. Objective Patient is physically immobile and flea- bitten to get out of bed. An area on the patients buttock is reddened and warm to touch. Patient is incontinent of his bowels which leads to steadfast on throw together Long edge finish: The patient forget verbalize measures needed to promote costly contend integrity by discharge Short Term Goal: The patient lead not develop each further skin partitioning during shift.

Independent: The arrest allow: 1. Establish and post a part changing schedule. pull up stakes reposition patient every 2 hours. 2. Lift quite an than drag the patient during position changes and transferr ing 3. Educate the patient on the! importance of keeping skin clean and dry by cleaning skin at the time of soiling and quotidian intervals. 4. Encourage the patient to development current level of activity. And advocate patient with ROM 5. Monitor skin condition for seeming or texture changes, dermatogical conditions. Dependent: The nurse will: 1. try for medication cream as ordered 1. add sensory faculty of turning and position...If you want to get a enough essay, order it on our website:
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