Psy 270 Week 6 Nursing Care Plan
NURSING PROCESS
The client is a 70 year old, Caucasian male who is a retired siding salesman from Riverside, IA, who has an extensive history with Paralysis agitans (Parkinson’s disease). The client was first admitted to the long term care facility in December 2012. The client explained that he came to be at this facility after “already being in two places like this”. He was removed/discharged from the last long-term care facility for being what he called “disruptive”. The client described the staff at the last facility as not very kind to the residents. There was an incident where the drugs that were prescribed to the client made him hallucinate and he became unruly with the staff and was restrained and …show more content…
Assist with daily hygiene, grooming, dressing, oral care, and eating as needed.
This promotes dignity and psychosocial well-being.
Nursing Care Plan- Falls, risk for
Related to:
Goal
Intervention
Rationale
Decreased muscle tone
Client will express an understanding of the factors involved in possible injury.
Educate the client about what makes them at risk for falls.
Bed should be in lowest position.
Provide assistance to transfer as needed.
Reinforce the need for call light.
If the client is educated and shows an understanding of the factors involved with falls, they are less likely to fall.
Prevent fall.
Nursing Care Plan- Impaired Bowel elimination/constipation
Related to:
Goal
Intervention
Rationale
Inactivity, immobility
Client will have soft formed stool every other day that are passed without difficulty.
Encourage physical activity and regular exercise.
Adjust toileting times to meet client’s needs.
Report changes in skin integrity forum during daily care
Ambulation and/or abdominal exercises strengthen abdominal muscles that facilitate defecation. low-fiber diet
Evaluate usual dietary habits, eating habits, eating schedule, and liquid
The client is a 70 year old, Caucasian male who is a retired siding salesman from Riverside, IA, who has an extensive history with Paralysis agitans (Parkinson’s disease). The client was first admitted to the long term care facility in December 2012. The client explained that he came to be at this facility after “already being in two places like this”. He was removed/discharged from the last long-term care facility for being what he called “disruptive”. The client described the staff at the last facility as not very kind to the residents. There was an incident where the drugs that were prescribed to the client made him hallucinate and he became unruly with the staff and was restrained and …show more content…
Assist with daily hygiene, grooming, dressing, oral care, and eating as needed.
This promotes dignity and psychosocial well-being.
Nursing Care Plan- Falls, risk for
Related to:
Goal
Intervention
Rationale
Decreased muscle tone
Client will express an understanding of the factors involved in possible injury.
Educate the client about what makes them at risk for falls.
Bed should be in lowest position.
Provide assistance to transfer as needed.
Reinforce the need for call light.
If the client is educated and shows an understanding of the factors involved with falls, they are less likely to fall.
Prevent fall.
Nursing Care Plan- Impaired Bowel elimination/constipation
Related to:
Goal
Intervention
Rationale
Inactivity, immobility
Client will have soft formed stool every other day that are passed without difficulty.
Encourage physical activity and regular exercise.
Adjust toileting times to meet client’s needs.
Report changes in skin integrity forum during daily care
Ambulation and/or abdominal exercises strengthen abdominal muscles that facilitate defecation. low-fiber diet
Evaluate usual dietary habits, eating habits, eating schedule, and liquid