Scribd
Upload
566 views7 pages

A1 Cp-Self Care Deficit

1) The patient has a self-care deficit in bathing and hygiene due to an alteration in physical abilities. 2) The nurse assessed the patient's abilities and needs assistance with bathing, dressing, and grooming. The patient needs encouragement to do as much as possible for themselves. 3) The interventions include aiding with hygiene, dressing, and grooming while encouraging the patient to do what they are capable of to maintain independence and self-esteem.

Uploaded by

Cherryjuliejane Rosales Caperida
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 DOC, PDF, TXT or read online on Scribd
566 views7 pages

A1 Cp-Self Care Deficit

1) The patient has a self-care deficit in bathing and hygiene due to an alteration in physical abilities. 2) The nurse assessed the patient's abilities and needs assistance with bathing, dressing, and grooming. The patient needs encouragement to do as much as possible for themselves. 3) The interventions include aiding with hygiene, dressing, and grooming while encouraging the patient to do what they are capable of to maintain independence and self-esteem.

Uploaded by

Cherryjuliejane Rosales Caperida
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 DOC, PDF, TXT or read online on Scribd
You are on page 1/ 7

Nursing Diagnosis: Self- care Deficit : bathing/ hygiene r/t alteration in physical abilities NANDA Definition: Impaired ability

to perform or complete feeding, bathing/hygiene, dressing and grooming, or toileting activities for oneself. Doenges, M. et al. (2008) Nurses Pocket Guide, p. 575. Cause Analysis: Alteration in physical, cognitive, and affective abilities may interfere the individuals performance activities of daily living. The patients who are unable to participate in their own care and dependent on others to meet basic needs is at risk for any problems including hygiene. LeMone and Burke (2008) Medical-Surgical Nursing Critical thinking in Client Care, p. 1711. Defining NIC with Rationale Expected Characteristics Intervention Outcome Subjective: NIC: Self Care NOC: Self-care: patient Assistance Bathing, verbalized wala ASSESSMENT: Grooming, pa jud ko 1) Assessed 1)Aids in hygiene and nakaligo sukad abilities and anticipating/plann dressing. pagka admit level of ing for meeting nako dri, dili pod deficit (0-4 individual needs. At the end of

ko makailis sa akong sanina ug ako ra, pero makatoothbrush ko gamit akong tuo nga kamot kay luya gihapon akong wala nga party sa akong lawas. Objective: - unkempt - Patient needs assistance with bathing, dressing & grooming

scale) for performing ADLs. 2) Assessed client ability to communicat e the need to void and or ability to use urinal/bedpa n. Take client to bathroom at frequent scheduled intervals for voiding it appropriate.

(Doenges, NCP, p. duty ,the patient 246) will be able to do simple self-care to maintain 2)Client may proper hygiene. have neurogenic bladder be inattentive or be unable to communicate needs in acute recovery phase but usually is able to regain independent control of this function of recovery progress. (Doenges, NCP, p.

3)Avoided doing things for client that client can do for self, providing assistance as necessary.

247)

Action /intervertion 4)Assisted and

3)This client may became fearful and dependent, and although assistance is helpful in preventing frustration. It is important for client to do as much as possible for self to maintain selfesteem and promote

encouraged good recovery. grooming. (Doenges, NCP, p. 247) 4)Enables client to manage self enhancing independence and self-esteem; reduces reliance on others for meeting own needs, and enables client to be more socially active. (Doenges, NCP, p. 247) 5)Slowing the patients efforts at regaining

5)Encouraged the patient to bathe self as a much as he capable of. 6)Encourage the patient to comb own hair.

TEACHING: 7)Encouraged S.O to allow client to do as much as possible.

indepence. (Gulanick. (2007).NCP.6th ed.p.159.) 6)This enables the patient to maintain autonomy for aslong as possible. . (Gulanick. (2007).NCP.6th ed.p.159.) 7)Re-establishes sense of independence and fosters self worth and enhances

8)Provide instructions on purpose of interventions.

rehabilitation process. (Doenges, NCP, p. 247) 8)To increase family and patient understanding. (NEAL, Nursing Care Plan, p. 330) Care Plan Evaluation:

You might also like