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    NCP Self CaRE Deficit

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    nicole page
    The patient complains of constant swelling, stiffness, and pain in her hands, wrists, and elbows, rating her pain as 8-10/10. On examination, swelling and tenderness were found in her finger and wrist joints. The goals are for the patient to identify ways to meet self-care needs within 6 hours and independently perform self-care within her ability after 1 week. Nursing interventions include assisting the patient to develop a self-care plan, providing assistive devices, and consulting rehabilitation specialists.

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    NCP Self CaRE Deficit

    Uploaded by

    nicole page
    168 views1 page
    The patient complains of constant swelling, stiffness, and pain in her hands, wrists, and elbows, rating her pain as 8-10/10. On examination, swelling and tenderness were found in her finger and wrist joints. The goals are for the patient to identify ways to meet self-care needs within 6 hours and independently perform self-care within her ability after 1 week. Nursing interventions include assisting the patient to develop a self-care plan, providing assistive devices, and consulting rehabilitation specialists.

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    NCP Self CaRE deficit

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    The patient complains of constant swelling, stiffness, and pain in her hands, wrists, and elbows, rating her pain as 8-10/10. On examination, swelling and tenderness were found in her finger and wrist joints. The goals are for the patient to identify ways to meet self-care needs within 6 hours and independently perform self-care within her ability after 1 week. Nursing interventions include assisting the patient to develop a self-care plan, providing assistive devices, and consulting rehabilitation specialists.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    168 views1 page

    NCP Self CaRE Deficit

    Uploaded by

    nicole page
    The patient complains of constant swelling, stiffness, and pain in her hands, wrists, and elbows, rating her pain as 8-10/10. On examination, swelling and tenderness were found in her finger and wrist joints. The goals are for the patient to identify ways to meet self-care needs within 6 hours and independently perform self-care within her ability after 1 week. Nursing interventions include assisting the patient to develop a self-care plan, providing assistive devices, and consulting rehabilitation specialists.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Assessment

    Diagnosis

    Analysis

    Subjective:
    Patient complains
    of nearly constant
    swelling, stiffness,
    and pain, with
    occasional
    numbness and
    tingling in her
    hands, wrists, and
    elbows
    Patient reported
    her pain using a
    visual analog scale
    (VAS) as 8/10 and
    stated that the
    morning pain was
    frequently
    unbearable, rating it
    as 9/10-10/10

    Self-care deficits
    related to loss of
    motion

    Rheumatoid
    arthritis is a chronic
    progressive disease
    causing
    inflammation in the
    joints and
    distention of tissues
    resulting in painful
    deformity and
    immobility,
    especially in the
    fingers, wrists, feet,
    and ankles

    Objective:
    Swelling on
    metacarpal
    phalangeal joints
    and her proximal
    interphalangeal
    joints bilaterally
    Wrists and elbows
    were warm, with
    mild edema and
    tenderness to
    palpation

    Goals and
    Objective
    Short-term
    After6 hours of
    nursing
    interventions, the
    patient will:
    -identify individual
    areas of weakness
    or needs
    -demonstrate
    techniques and
    lifestyles changes to
    meet self-care
    needs
    Long-Term
    After1weekof
    nursing
    interventions, the
    patient will be able
    to:
    -Perform self-care
    activities within
    level of own ability
    -

    Interventions
    Independent
    1.Assist patient to
    identify self-care
    activities

    2.Develop a plan
    based on the
    patients
    perceptions and
    priorities on how to
    establish and
    achieve goals to
    meet self-care
    needs
    a. Provide
    appropriate
    assistive devices.
    b.Reinforce correct
    and safe use of
    assistive devices
    3.Allow patient
    sufficient time to
    complete tasks to
    fullest extent of
    ability
    Collaborative
    1.Consult with
    rehabilitation
    specialists like OT

    Rationale

    1.The ability to
    perform self-care
    activities is
    influenced by
    disease activity
    2.Assistive device
    may enhance selfcare abilities.

    Evaluation
    Short-term
    After6 hours of
    nursing
    interventions, the
    patient was able to:
    -identify individual
    areas of weakness
    or needs
    -demonstrate
    techniques and
    lifestyles changes to
    meetself-careneeds
    Long-Term
    After1weekof
    nursing
    interventions, the
    patient was be able
    to:
    -Perform self-care
    activities within
    level of own ability

    3.Gives opportunity
    for greater senseof
    self-confidence .

    1.Helpful in
    determining
    assistive devices.

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