Anemia N C P BY BHERU LAL
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NURSING CARE PLAN-1 Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: Anemia Address: SAKRAND OCCUPATION: Farmer Date: 19--03-2007 ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION SUBJECTIVE: (I’m feeling weak, can’t even complete my chores)” as verbalized by the patient. OBJECTIVE: Fatigue. Greater need for sleep and rest. V/S taken as follows: T: 36.9 P: 75 R: 18 BP: 100/80 Activity intoleran ce related to imbalance between oxygen supply (delivery ) and demand. SHORT TERM: After 8 hours of nursing interventions the patient will: Report an increase in activity tolerance including activities of daily living. Demonstrate a decrease in Physiological signs of intolerance. Display laboratory values within acceptable range. LONG TERM: After months of nursing interventions, the patient: Is free form 1. Assess patient’s ability to perform normal task or activities of daily living. 2. Note changes in balance/ gait disturbance, muscle weakness. 3. Recommend quiet atmosphere, bed if indicated. 4. Elevate the head the bed as tolerated. 5. Provide or recommend assistance with activities or ambulation as necessary, allowing patient to do as much as possible. 6. Plan activity progression with patient, including 1. Influences choice interventions or needed assistance. 2. May indicate neurological changes associated with vitamin B12 deficiency, affecting patient safety or risk of injury. 3. Enhances rest to lower body’s oxygen requirements, and reduces strain on the heart and lungs. 4. Enhances lung expansion to maximize Oxygenation for cellular uptake. 5. Although help may be necessary, self esteem is enhanced when patient does some things for self. 6. Promotes gradual return to normal activity level and Patient reveals an increase in activity tolerance, demonstrati ng a reduction in physiologic al signs of intolerance and laboratory values within normal range.
Transcript of Anemia N C P BY BHERU LAL
NURSING CARE PLAN-1
Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: Anemia Address: SAKRAND OCCUPATION: Farmer Date: 19--03-2007
ASSESSMENT NURSING DIAGNOSIS
PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION
SUBJECTIVE:
(I’m feeling weak, can’t even complete my chores)” as verbalized by the patient.
OBJECTIVE:Fatigue.Greater needfor sleep and rest.V/S taken asfollows:T: 36.9P: 75R: 18BP: 100/80
Activityintolerancerelated toimbalancebetween oxygensupply (delivery) and demand.
SHORT TERM:After 8 hours of nursing interventionsthe patient will: Report an
increase in activity tolerance including activities of daily living.
Demonstrate a decrease in Physiological signs of intolerance.
Display laboratory values within acceptable range.
LONG TERM:After months ofnursing interventions,the patient: Is free form
weakness and risk for complications has been prevented.
1. Assess patient’s ability to perform normal task or activities of daily living.
2. Note changes in balance/ gait disturbance, muscle weakness.
3. Recommend quiet atmosphere, bed if indicated.
4. Elevate the head the bed
as tolerated.
5. Provide or recommend assistance with activities or ambulation as necessary, allowing patient to do as much as possible.
6. Plan activity progression with patient, including activities that the patient views essential. Increase levels of activities as tolerated.
7. Identify or implement energy saving technique like sitting while doing a task.
1. Influences choice interventions or needed assistance.
2. May indicate neurological changes associated with vitamin B12 deficiency, affecting patient safety or risk of injury.
3. Enhances rest to lower body’s oxygen requirements, and reduces strain on the heart and lungs.
4. Enhances lung expansion to maximize Oxygenation for cellular uptake.
5. Although help may be necessary, self esteem is enhanced when patient does some things for self.
6. Promotes gradual return to normal activity level and improved muscle tone or stamina without undue fatigue.
7. Encourages patient to do as much as possible, while conserving limited energy and preventing fatigue.
Patient revealsan increase inactivity tolerance, demonstrating a reduction inphysiologicalsigns of intolerance andlaboratory values within normal range.
Reference: Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)
