Care Plan

Topics: Nursing, Nursing care plan, Nursing diagnosis Pages: 3 (370 words) Published: November 7, 2013
Camden County College
Nursing Care Plan

Student: Date:9/16/2103

Pt. Data
Objective & Subjective
Nursing Diagnoses
Goals (Short & long term
Interventions & Rationale
Pt. Teaching
Eval.
Subjective Data
Patient states “I am afraid all the steroids are going to make me fat.” And was crying

Patient was asking questions about covering the butterfly rash.

Patient showed concern about swelled hand. She stated she did not want to look “crippled. “

Objective Data

Patient is a healthy weight. She is concerned about the weight gain from the steroids. She ate about 75% of her breakfast and lunch trays.

Slight butterfly rash on face

Swollen finger/hands

Slow gait

Weak body movements

Disturbed body image related to presence of rash, swelling, and weakness Pt. will be able to:
verbalize acceptance of self in situation, relief of anxiety and adaptation to altered body image and will be able to verbalize understanding of body changes by 30 minutes

After 7 days, the patient will be able to recognize and incorporate body image change into self-concept in accurate manner without negating self-esteem. Intervention: Acknowledge and accept expression of feelings of frustration, grief, hostility. Note withdrawn behavior and use of denial Rationale: Acceptance of this feeling as a normal response to what has occurred facilitates resolution. It is not helpful of possible to push patient ready to deal with situation. Denial maybe prolonged and be an adaptive mechanism because patient is not ready to cope with personal problems

Intervention: Provide open environment for client to discuss concerns Rationale: To promote sharing of beliefs/values about sensitive subject, and identifies misconceptions/myths that may interfere with adjustment to the situation

Intervention Encourage good nutrition, sleep habits, exercise, rest and relaxation techniques. Rationale: To improve general health and help prevent infection....
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