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Compartment Syndrome NCP (PAIN)

The document outlines goals, objectives, and nursing interventions for a client at risk of falls due to blurry vision from a cataract in the left eye, including assessing mood and coping abilities, monitoring vital signs, assisting the client with eye condition information and fall risks, and encouraging safety measures to reduce fall risk factors and enhance self-care abilities. The goals are for the client to be able to evaluate risk factors and establish safety measures after an 8 hour shift to reduce fall risks, while the objectives include the client evaluating risk sources and establishing safety measures within the shift.

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eunica16
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2K views2 pages

Compartment Syndrome NCP (PAIN)

The document outlines goals, objectives, and nursing interventions for a client at risk of falls due to blurry vision from a cataract in the left eye, including assessing mood and coping abilities, monitoring vital signs, assisting the client with eye condition information and fall risks, and encouraging safety measures to reduce fall risk factors and enhance self-care abilities. The goals are for the client to be able to evaluate risk factors and establish safety measures after an 8 hour shift to reduce fall risks, while the objectives include the client evaluating risk sources and establishing safety measures within the shift.

Uploaded by

eunica16
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Cues Nursing Inference Goal and Nursing Rationale Evaluation

Diagnosis Objectives Intervention


Subjective: Risk for falls A cataract is Goal: • Assess • To 1. Was
Objective: related to a clouding After the 8 hr mood, evaluat the
present eye that develops shift, the client coping e client
condition in the will be able to abilities client’s able to
specifically crystalline demonstrate and cogniti evaluat
blurring of lens of the behavior and personality ve e the
the left eye eye or in its lifestyle to styles status degree
due to aging envelope, reduce the risk in and
process varying in factor. • Monitor relation source
degree from Objective: vital signs to the of risk
slight to 1. Within and also client’s factors?
complete the 8 hr. the health present
opacity and shift, condition of conditi Yes/No
obstructing the the patient on Why?
the passage client q4hr. 1. Was
of light. will be • To the
• Assist the determ client
Cataracts able to client and
typically evaluate ine able to
provide physiol establis
progress the information
slowly to degree ogic h
regarding factors safety
cause vision and present
loss and are source that measur
eye could es?
potentially of risk condition
blinding if factors. also
and risk affect
untreated. that
The condition 2. Within the risk
the 8 accompany for
usually it
affects both hour acciden
the eyes, but shift, • Discuss the ts
the
almost client consequen (falls).
always one will be ce of the
eye is able to previously • To
affected establis determined enhanc
earlier than h safety risk factor e
the other. measur awaren
A senile es. • Encourage ess of
cataract, the client the
occurring in to ask for client
the aged, is help if she regardi
characterized can’t afford ng her
by an initial to do a present
opacity in the certain conditi
lens, task. on
subsequent • Advise the • To
swelling of client to lessen
the lens and set/make the risk
final safety of
shrinkage precaution acciden
with ary ts
complete loss measures (falls)
of and to
transparency • Advise the enhanc
client, if e self-
there is a care
need for a abilities
mood
modificatio
n.

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