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    Nursing Care Plan: General: Goals Met Genreral

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    Romzy Basañes
    This nursing care plan is for a 19-year-old patient diagnosed with obsessive compulsive disorder who experiences frequent hand washing. The plan identifies impaired skin integrity as the nursing diagnosis and includes interventions to promote positive coping strategies, encourage verbalizing feelings, assess the skin regularly, and evaluate the patient's skin care practices and hygiene. The expected outcomes are for the patient to identify individual risk factors, demonstrate healing of skin lesions and normal skin color, and participate in prevention and treatment programs.

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    Nursing Care Plan: General: Goals Met Genreral

    Uploaded by

    Romzy Basañes
    2K views3 pages
    This nursing care plan is for a 19-year-old patient diagnosed with obsessive compulsive disorder who experiences frequent hand washing. The plan identifies impaired skin integrity as the nursing diagnosis and includes interventions to promote positive coping strategies, encourage verbalizing feelings, assess the skin regularly, and evaluate the patient's skin care practices and hygiene. The expected outcomes are for the patient to identify individual risk factors, demonstrate healing of skin lesions and normal skin color, and participate in prevention and treatment programs.

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    OCD final

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    This nursing care plan is for a 19-year-old patient diagnosed with obsessive compulsive disorder who experiences frequent hand washing. The plan identifies impaired skin integrity as the nursing diagnosis and includes interventions to promote positive coping strategies, encourage verbalizing feelings, assess the skin regularly, and evaluate the patient's skin care practices and hygiene. The expected outcomes are for the patient to identify individual risk factors, demonstrate healing of skin lesions and normal skin color, and participate in prevention and treatment programs.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views3 pages

    Nursing Care Plan: General: Goals Met Genreral

    Uploaded by

    Romzy Basañes
    This nursing care plan is for a 19-year-old patient diagnosed with obsessive compulsive disorder who experiences frequent hand washing. The plan identifies impaired skin integrity as the nursing diagnosis and includes interventions to promote positive coping strategies, encourage verbalizing feelings, assess the skin regularly, and evaluate the patient's skin care practices and hygiene. The expected outcomes are for the patient to identify individual risk factors, demonstrate healing of skin lesions and normal skin color, and participate in prevention and treatment programs.

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    ST.

    ANTHONY’S COLLEGE
    Nursing Department

    NURSING CARE PLAN

    Name of patient: J.C. Attending Physician:


    Age: 19 years old Ward/Bed #: Impression Diagnosis: Obsessive Compulsive Disorder

    Clustered Cues: Nursing Diagnosis Rationale Outcome Criteria Nursing Interventions Rationale Evaluation

    SUBJECTIVE: Impaired skin Vulnerable to alteration GENERAL: INDEPENDENT: INDEPENDENT: GOALS MET
    “Sometimes I have integrity related to in epidermis and/or At the end of 8hrs  Promote positive  To developed GENRERAL:
    to spend long psychogenic factor dermis, which may nursing intervention coping strategies several effective  Identify
    periods in the (e.g., obsessive compromise health the patient will be able that patient can coping strategies individual risk
    bathroom. I keep compulsive disorder to: utilize other than that were utilized factor
    thinking about  Identify frequent hand when he felt the
    what is on the individual risk washing. urge to wash his
    desks, and then I factor hands.
    need to keep
    washing my SPECIFIC:  Encourage the  To identify self- SPECIFIC:
    hands” as patient At the end of 8 hrs. of patient to consciousness  Demonstrate
    verbalized. assessment, verbalize his related to the healing of skin
    interventions, and feelings and the appearance of lesions and
    O:BJECTIVE: health education the impact that the hands made it assume a
     Hands red patient's condition will condition of his difficult to normal color.
    and be able to skin has on his interact with peers  Participate in
    chapped self-esteem. and feel prevention
    with Doenges,M.E.  Demonstrate comfortable with measures and
    several etal.(2016). healing of skin them. treatment
    open areas. Nurse'sPocket Guide: lesions and program.
     Sore hands Diagnosis Prioritized assume a  Assess skin on a  To identify if
    Interventions and normal color. regular basis and there is any
    Rationales.  Participate in document your improvement/cha
    V/S: (WITHIN Philadelphia. F.ADavis prevention assessment. nge in the
    NORMAL) Company. measures and Educate patients appearance of the
    BP= treatment and caregivers skin
    TEMP= program. about proper skin
    RR care.
    PR=  Evaluate client’s  Educating
    SP02= skin care patients methods
    practices and to maintain skin
    hygiene issues integrity enhances
    their sense of self-
    efficacy and
    prevents skin
    breakdown.

     Apply  For wound


    appropriate healing and to
    dressing best meet needs
    of client

     Recommend  To reduce risk of


    keeping nails dermal injury
    short or wearing when severe
    gloves inching/sore is
    present.

    DEPENDENT: DEPENDENT:
     Communicate  The physician can
    with a physician give orders to
    as appropriate meet wound
    healing

    COLLABORATIVE: COLLABORATION:
     Communicate  The WOCN can
    with a wound, assist staff,
    ostomy, and patient, and
    continence nurse family in product
    (WOCN). selection,
    education, and
    development of a
    prevention plan.
     Assess client to  To control
    learn stress- feelings of
    reduction and helplessness and
    engaged in deal with situation
    alternate therapy
    techniques

    Student’s Name: Arzaga, Chery Lynn R. & Basañes, Romulo F.

    Clinical Instructor: Mrs. Louwelyn Diasnes, RN

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