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    NURSING CARE PLAN (For Case Study)

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    Kathleen Martinez
    Evelyn Altiche is a 62 year old female diagnosed with colon cancer who has developed activity intolerance related to a sedentary lifestyle and general weakness. Her nursing care plan aims to improve her physical tolerance through health education, gradual increases in exercise, and learning methods to conserve energy. The short term goal is for her to understand how her condition affects her activities and show decreased signs of intolerance. The long term goal is for her to identify alternative ways to maintain her desired activity level and participate in a rehabilitation program to enhance her ability to perform daily activities.

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    NURSING CARE PLAN (For Case Study)

    Uploaded by

    Kathleen Martinez
    230 views2 pages
    Evelyn Altiche is a 62 year old female diagnosed with colon cancer who has developed activity intolerance related to a sedentary lifestyle and general weakness. Her nursing care plan aims to improve her physical tolerance through health education, gradual increases in exercise, and learning methods to conserve energy. The short term goal is for her to understand how her condition affects her activities and show decreased signs of intolerance. The long term goal is for her to identify alternative ways to maintain her desired activity level and participate in a rehabilitation program to enhance her ability to perform daily activities.

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    case presentation example in nursing

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    NURSING CARE PLAN(for case study)

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    Evelyn Altiche is a 62 year old female diagnosed with colon cancer who has developed activity intolerance related to a sedentary lifestyle and general weakness. Her nursing care plan aims to improve her physical tolerance through health education, gradual increases in exercise, and learning methods to conserve energy. The short term goal is for her to understand how her condition affects her activities and show decreased signs of intolerance. The long term goal is for her to identify alternative ways to maintain her desired activity level and participate in a rehabilitation program to enhance her ability to perform daily activities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    230 views2 pages

    NURSING CARE PLAN (For Case Study)

    Uploaded by

    Kathleen Martinez
    Evelyn Altiche is a 62 year old female diagnosed with colon cancer who has developed activity intolerance related to a sedentary lifestyle and general weakness. Her nursing care plan aims to improve her physical tolerance through health education, gradual increases in exercise, and learning methods to conserve energy. The short term goal is for her to understand how her condition affects her activities and show decreased signs of intolerance. The long term goal is for her to identify alternative ways to maintain her desired activity level and participate in a rehabilitation program to enhance her ability to perform daily activities.

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    © All Rights Reserved
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    NURSING CARE PLAN

    Name of Patient: Evelyn Altiche Age: 62 Gender: Female Height: Weight:

    Diagnosis: Colon Cancer Doctor: Dra. May N. Sabando


    Nursing Problem: Activity Intolerance: Related to Sedentary Lifestyle secondary to Generalize Weakness (Functional level Classification level 2)

    ASSESSMENT NURSING DIAGNOSIS PLAN INTERVENTION RATIONALE EXPECTED OUTCOME


    Subjective Cues: Diagnosis: Short term Goal: Independent Nursing Functions After collaborative
    a. History Risk for activity After health health education
    • Hypertensive intolerance related to education patient patient is able to:
    • Note treatment- Determine which can
    • “di man ako sedentary lifestyle as will verbalize 1. Demonstrate
    evidence by general understanding of related factors, such affect the nature and understanding,
    mahilig
    weakness potential loss of as side effects and degree of activity response to
    magexercise” –
    ability in relation to interactions of intolerance. intervention,
    verbalize by the
    Scientific Basis: existing condition. medications teaching, and
    patient
    Susceptible to Demonstrate a • Ascertain the client’s To determine current actions
    b. Complaint(s) experiencing decrease in ability to stand and status and needs performed
    move about and the associated with
    • “Naga lakat lakat insufficient physiological signs 2. Patient shows
    physiological or of intolerance (e.g., degree of assistance participation in significant sign
    man ako pero
    psychological energy pulse, respirations, necessary or use of needed/desired of
    dali lang kay
    to endure or complete and blood pressure equipment. activities. improvement
    madali ako
    makapoy” as required or desired remain within • Increase in physical
    verbalized by the daily activities, which client’s normal exercise/activity tolerance
    patient. may compromise range). levels gradually; 3. Patients vital
    teach methods, such This helps to minimize
    • Often forgets health. sign displays
    as stopping to rest for frustration and learn to development
    drinking water
    3 min during a 10-min conserve energy to and after nursing
    • Have irregular
    walk or sitting down use it develop tolerance. intervention
    bowel
    to brush hair instead
    movements
    of standing.
    Dependent Nursing Function
    Objective Clues: Long term goal: 1. Provide doctors To mediate condition and
    a. Vital signs The patient will be medication with the perform everyday
    8:12 am motivated to right dose and right activities.
    Bp: 110/89 gradually Identify route.
    P: 89 alternative ways to
    RR: 19 maintain desired
    T: 35.9 activity level. Is
    SpO2: 97 able to participate
    10:20 am rehabilitation
    Bp: 108/89 program to Collaborative Intervention
    P: 89 enhance ability to
    Temp: 36.2 perform 1. Provide referral to Techniques such as gait,
    SpO2: 97 other disciplines, training, strength
    b. Diagnosis Results such as exercise training and exercise to
    physiologist, improve overall physical
    psychological tolerance.
    counseling/therapy, To develop individually
    occupational/physical appropriate therapeutic
    therapists, and regimens.
    recreation/leisure
    specialists, as
    indicated

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