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Embed code for: Care Plan Assignment 22est
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Care Plan Assignment
Jennifer Reeves & Abigail Clements
Fundamentals of Nursing. - PNUR 1004
Friday March 24th, 2017
LOYALIST COLLEGE -- PRACTICAL NURSING PROGRAM
Right sided weakness
“can hardly move in bed or turn to my side”
“My right side is no good at all”
Patient says it hurts to much to get up
“Why bother if I can’t do it myself”
Uses a wheelchair
Wife visits each afternoon
Children visit when possible
Unable to perform ADL’s independently
Reddened area on coccyx and heals
He states it hurts to much to get up
He states that he is comfortable on his back and asks why does it matter if he moves or not
Impaired physical mobility related to right sided weakness from stroke.
Patient will perform exercises, such as range of motion exercises, physiotherapist to increase strength in right side everyday for 6-8 weeks.
Patient will be able to move around in bed without assistance by the end of 3 days.
Patient will be able to complete their ADL’s in everyday life with minimal help by the end of 3-6 months.
Patient will transfer to the wheel chair with the assistance of one nurse instead of two by the end of one week.
Patients will stay out of bed in the wheelchair for at least 30 minutes a day.
Reassure them that they can do it, and not to give up
Get involved as much as possible especially if patient is comfortable with their nurse
Find ways that interest the patient for exercise
Show them some ways to do this without causing harm to themselves
Provide devices to assist them with moving
Get patient to reposition every 2 hours
Find ways to encourage patient to help with ADLs as regular as possible to increase strength
Have assisting devices available if needed
Remind patient of activities he was once involved in
Provide as much help as the patient needs
Patient learning, ensure the patient they need to try in order to be involved in activities
Find ways that won’t cause Patient pain
Find ways to transfer patient with minimal pain
Find ways to interest the patient while being in the wheel chair rather than being in bed
Get patient eating meals in wheelchair as tolerated
Provides support for the patient
Exercises promote venous return(pg 1214)
Prevents harm to patients
Reduces the risk of pressure ulcers developing(pg. 1215)
Promotes fall back or comfort
Gives patient something to look forward to
Reduces anxiety(pg. 1215)
Patient education is important for continued rehabilitation and healing
Don ’t want to see patient in pain and might discourage patient
Reduces the risk for falls or further injuries
Keeps patients encouraged
Improves skin integrity(pg.1215)
Do a follow up with Mr. Smith to determine whether or not the goals have been met. Depending on the state of his progress would determine whether or not the interventions should be continued, modified or discontinued.
Running head: CARE PLAN ASSIGNMENT 2