Care Plan for Neuman

Nursing Care visualize Using Neumans Model Nursing Diagnosis using NANDA diagnoses oral communication Measurable Goals Nursing Outcomes (interventions) Level(s) of Prevention for each Intervention Self-care deficit r/t physical limitations and frustration over loss of independence AEB in ability to perform ADLs such as bathing, cooking, hygiene, and dressing. Patient get out be dressed and out of get laid for therapy daily over the nigh 30 days. pick up will be free of skin division for the next 60 days. Pt will serve up with ADLs to the highest academic degree possible over the next 30 days. champ with bathe and dress self-importance with min-assist/supervision and cues in 90 days. 1. Encourage patient to be accountable for specific aspects of care (i. e. brush teeth daily)2. Set up grooming items and encourage participation3. care with ADLs if Ace is unable4. Encourage, cue and assist to strike clothing and dress appropriately daily5. Ambulate pt with assist (as orde r by PT)6. Monitor for c/o discomfort, foul smelling, and discolored urine 7. Assist with and encourage good peri-care with each toileting 8.Educate pt on breaking tasks into picayune steps. Limit choices to two, and provide reminder and cues during tasks 1. Primary2. Secondary4. Primary5. Secondary6. Primary7. Primary8. Teritary Risk for impaired skin lawfulness R/T immobility, mechanical pressure & sheer. Ace will be turned/repositioned Q 2 hrs. with assist of 1-2 people. Ace will complete transfers with min-mod assist of 1 as required. Ace will be out of behind daily, as tolerated, transfers will be with assist of 1-2 staff as required. 1.While in bed staff with assist Ace to turn/reposition self-using pillows and wedges to arrest position. 2. Place call light w/in easy reach3. PT to educate Ace on assistive devices4. Remind and encourage Ace to call for assistance when needed5. Ace will be out of bed to chair daily as tolerated 1. Primary2. Secondary3. Primary4. Secondar y5. Teritary Impaired physical mobility related to neuromuscular impairment r/t Hypertension, Occlusion within vessels of the brain parenchyma tumult of blood supply in the brain area, tissue and cell necrosis. Ace will be free of injury for next 30 days. 1. diverge position Q 2 hrs. 2. Teaching related to ambulation and transfers by PT/OT and nursing. 3. valuation and education of assistive devices as directed by therapies. 4. Education on diet, nutrition and speech consult 5. Encourage use of non-skid shoes/footwear6. Provides safe measures (side rails up, using pillows to support body part) 1. Primary2. Tertiary3. Tertiary4. Primary5. Secondary6. Primary