Public Display of Affection

Nursing manage Plan Student Name/ date stamp __Nicole Reinke/ Week 5_____________ Nursing diagnosing anticipate sequels Nursing Interventions/Rationale Outcome military rating (Dx, related to, & as demonstrate by) (Short term (8-48 hr. ) reasonable expectations List each interventions for each(prenominal) nsg. dx (include patient/family (Patient outcome noned as met or unmet/responses stated in measurable, behavioural terms, i. . , teaching) described) action verbs) Risk for injury r/t seizures amb gait and balance leaf node volition remain slack from water blow over while in the nursemaid leave behind name sure that the call blowzy is always in reach so This outcome of remaining fall free was met while disorders. hospital. that the lymph node does not fuck off to be concerned about not knowing I was at the hospital. Everytime I went into the where the call glitter is when needing overhaul. agency I made sure the call light was on her table Nur e will tush a High Risk for waterfall sign above lymph nodes bed soand the baby carriage was side by side(p) to the bed.Client also that any person that comes into the room to help assist is aware report no fall. of the safety measures that need to be taken. foster will determine peril for falls employ the evaluation implement which includes thickening history of atrial fibrillation. Nurse will place the pram around the bed to remind client to function walker when getting up to go to the rump. Nurse will explain how to pulmonary tuberculosis the walker, by moving walker starting time and then move body to throw off sure client knows how to using up the walker. Nurse will also teach the client the importance of using the walker when walk through the halls in order to forbid future This outcome of using the walker was partially Client will use a walker while in the hospital tofalls, this will also help p romote activity and will translate the met. When reminded the client would use the get to the bathroom in order to maintain safety. client something else to do instead of laying in bed all day. walker only if admitted not using it all the time. later on teaching her the importance of using the walker and what could happen if she fell she said she would analyse to make it a habit. Nursing Diagnosis Expected Outcomes Nursing Interventions/Rationale Outcome Evaluation (Dx, related to, & as evidenced by) (Short term (8-48 hr. ) reasonable expectations List all interventions for each nsg. dx (include patient/family(Patient outcome noteworthy as met or unmet/responses stated in measurable, behavioral terms, i. e. teaching) described) action verbs) 3. Client will be educated on how to nullify Nurse will assess for additonal factors tip to risk for This outcome was not richly met. I ges tateed about risk of falls at home. falls because sometimes medications sack increase risk for her house and the hazards that were thither for falls. falls but I wasnt able to talk about using 2.Nurse will teach the client the pull in of using nonskid nonskid rugs or bathroom devices. But she rugs and safety devices in the bathroom. This is important to understands the importance and will ask her teach so that the client rump recognize clutter and slippery girlfriend and physican when she is discharged. floors. 3. Nurse will instruct client and daughter how to correct identified hazards to make sure everything that could cause a fall is prevented.