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SELF-CARE DEFICIT: BATHING, FEEDING, GROOMING, AND TOILETING

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samina macasindil

on 17 November 2013

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Transcript of SELF-CARE DEFICIT: BATHING, FEEDING, GROOMING, AND TOILETING

SELF-CARE DEFICIT: BATHING, FEEDING, GROOMING, AND TOILETING
Diagnosis
Self- care Deficit: Bathing, Feeding, Grooming, Toileting
related to Weakness and Activity Intolerance as evidenced by the patient’s inability to independently perform activities of daily living.
Planning
Short term:
After 4 hours of nursing interventions, the patient’s relatives will be able to identify appropriate techniques in dealing with the patient’s self-care limitations.

Long term goal:
After a week of nursing interventions, the patient and the relatives will be able to demonstrate new techniques to efficiently meet the patient’s self- care needs.
Implementation
Independent
:
Identify degree of functional level.
Promote patient’s participation in problem identification and decision making.
Allow sufficient time for patient to accomplish tasks to fullest extent of ability.
Encourage relatives to introduce positive reinforcements when the patient completes tasks.
Assist with necessary adaptations to accomplish ADLs. Begin with familiar easily accomplished tasks.
Instruct the relative not to leave the patient alone.
Assist meeting patient’s needs.
Provide for communication among those who are involved in caring for the patient.
Identify energy saving behaviors such as doing activities while sitting rather than standing while possible.
Practice and promote short term goal setting and achievement.
Review safety concerns with the patient and his relatives such as modifying activities and environment (avoid wet floors and scattered garments that cause slipping).

Collaborative:
Refer to physical/occupational therapist as necessary.
Evaluation
Short term:
After 4 hours of nursing interventions, the patient’s relatives were able to identify appropriate techniques in dealing with the patient’s self-care limitations.

Long term goal:
After a week of nursing interventions, the patient was able to eat and bathe independently.
In addition, both patient and relatives were able to incorporate new techniques to efficiently meet the patient’s self- care needs.
Assessment
Subjective:
“He is still able to perform activities of daily living such as taking a bath, dressing and toileting but with assistance. He can tolerate 10 meters of walking but also with assistance.” as verbalized by the patient’s relatives.

Objective:
Activity Intolerance Level III on Functional Level Classification
Unsteady gait
Kyphosis posture
Easy fatigability
Seen relative feeding the patient during HD session
Full transcript