Rhonda Silverman Nursing Care Plan

Nursing Care Plan for Rhonda Silverman (pseudonym)

Introduction

Rhonda Silverman is a 89 year old female who is currently residing in a rest home. She formerly worked as a short hand typist prior to her marriage after which she had 3 children and was actively involved in volunteer work within her community while her children were being raised. Rhonda has had a very active life and loves to travel. She has visited North America, Europe, Asia and Oceania. As she has aged her health as deteriorated and Rhonda can no longer travel and or be a volunteer.

Recently since her health is worsening and she has become a high risk, this has impacted her activities of daily living as a severe fall has led to her admission. Ronda require assistance with
She did not initially like being put in the facility as she felt as if she had no freedom and was trapped because she required assistance with many tasks. However since she has settled, Rhonda has bonded with other members and is compliant and actively participates in activities.

The process below outlines how the information and consent was gained to put this nursing care plan together.
1. Spoke with the RN in charge to ensure that it was ok to interview a resident for the assignment.
2. Obtained consent from Rhonda to do the interview and viewed the notes documented by caregivers to get some external information to avoid excessive questions for the resident.
3. Conducted the interview with Rhonda, during which data was gathered, that followed Gordon's Functional Health patterns.
4. The collected health data was summarised and reviewed so that a nursing diagnosis can be developed.
5. Interventions and goals were developed to help Rhonda.
6. The finished process was evaluated and a finalised copy was offered to
She eats lunch and dinner in the main dining room with the other rest home residents, but breakfast is eaten in her room every morning. In her lower left leg she has weakness that prominent in and around the knee and often it is felt in her other leg and her feet due to her osteoarthritis. She also feels stiffness in both knees and lower legs, and it is light in her hands and hips. These weakness have effected have stopped her from being able to drive, participate in club activities or her volunteer work or play the piano. Apart from this she is able to partake in some of her old hobbies and has discovered new ones. These include reading, puzzles, watching TV, going to church and participating in activities in the rest home, however, some things like indoor bowls and piano she can no longer do. Within Rhonda's daily routine she does regular strengthening exercises twice daily on her own or more often if other residents are doing them