Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 211 views

    Nursing Care Plan Cues Nursing Diagnosis Inference Goals & Objectives Nursing Interventions Rationale Evaluation

    Uploaded by

    chelsea anne
    Mrs. X is a 76-year-old woman diagnosed with community acquired pneumonia. She presents with generalized weakness secondary to a cerebrovascular accident (CVA or stroke). The nursing care plan aims to improve her activity tolerance over 2 days through monitoring, range of motion exercises, careful balancing of rest and activity, and gradual increases in activity as tolerated. The long-term goal is for her to demonstrate decreased physiologic signs of intolerance such as normal blood pressure and heart rate with exertion.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    Nursing Care Plan Cues Nursing Diagnosis Inference Goals & Objectives Nursing Interventions Rationale Evaluation

    Uploaded by

    chelsea anne
    211 views2 pages
    Mrs. X is a 76-year-old woman diagnosed with community acquired pneumonia. She presents with generalized weakness secondary to a cerebrovascular accident (CVA or stroke). The nursing care plan aims to improve her activity tolerance over 2 days through monitoring, range of motion exercises, careful balancing of rest and activity, and gradual increases in activity as tolerated. The long-term goal is for her to demonstrate decreased physiologic signs of intolerance such as normal blood pressure and heart rate with exertion.

    Original Title

    ncp-fmw

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Mrs. X is a 76-year-old woman diagnosed with community acquired pneumonia. She presents with generalized weakness secondary to a cerebrovascular accident (CVA or stroke). The nursing care plan aims to improve her activity tolerance over 2 days through monitoring, range of motion exercises, careful balancing of rest and activity, and gradual increases in activity as tolerated. The long-term goal is for her to demonstrate decreased physiologic signs of intolerance such as normal blood pressure and heart rate with exertion.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    211 views2 pages

    Nursing Care Plan Cues Nursing Diagnosis Inference Goals & Objectives Nursing Interventions Rationale Evaluation

    Uploaded by

    chelsea anne
    Mrs. X is a 76-year-old woman diagnosed with community acquired pneumonia. She presents with generalized weakness secondary to a cerebrovascular accident (CVA or stroke). The nursing care plan aims to improve her activity tolerance over 2 days through monitoring, range of motion exercises, careful balancing of rest and activity, and gradual increases in activity as tolerated. The long-term goal is for her to demonstrate decreased physiologic signs of intolerance such as normal blood pressure and heart rate with exertion.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Diaz, Mary Ann P.

    Pt’s. Name: Mrs. X Age: 76 yrs. old


    Diagnosis: Community Acquired Pneumonia Bed No.: 16
    Nursing Care Plan
    Cues Nursing Diagnosis Inference Goals & Nursing Rationale Evaluation
    Objectives Interventions

    Subjective: Activity Motor deficits are Short – term goal: >Monitor vital / >To watch for Short term:
    intolerance the most obvious cognitive signs changes in BP, RR, After 4 hrs of
    Objective: related to effect of stroke After 4 hrs. of HR nursing
     Weakness all generalized symptoms are nursing >Provide positive Helps to minimize intervention, goal
    over the body weakness caused by the intervention pt. atmosphere, while frustration and was met as
     Use of secondary to CVA. destruction of will be able to acknowledging rechannel energy evidenced by the
    accessory motor neurons in participate difficulty of the participation of
    muscle the pyramidal willingly on situation for the the pt on some
     Edema on pathways (nerve necessary / client. activities.
    both upper fibers in the brain desired activities. >Turn pt. side to side
    and lower and passing every 2 hrs. >To prevent the Long term:
    extremities through the spinal Long – term goal: development and After 2 days of
     Pressure cord to motor progression of nursing
    ulcer on the tract that leads to After 2 days of >Assist on ROM pressure ulcer intervention,
    sacral area body weakness → nursing exercises >To prevent patient was able
    activity intervention >Plan care to contractures to demonstrate a
    intolerance. patient will be carefully balance rest >To reduce decrease in
    able to periods with fatigue physiologic signs
    demonstrate a activities of intolerance as
    decrease in >Increase activity evidenced by
    physiologic signs gradually as tolerated >To manage decrease in BP,
    of intolerance >provide/monitor activity within and HR, upon
    (HR, BP remain response to limits. exertion, and
    within normal supplemental oxygen increase activity
    range.) and medications >To develop gradually.
    >Provide referral to individually
    other disciplines, appropriate
    such as exercise therapeutic
    physiologist, regimens
    occupational/physical
    therapists.

    You might also like