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Nursing Care Plan and Diagnosis for Self-Care Deficit Syndrome Related to | Nanda Nursing Interventions and Outcomes Goals

This nursing care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Self-Care Deficit Syndrome

What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?

 

 

 

 

Nursing Care Plan

This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.

Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.

Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.

Nursing Care Plan for: Self-Care Deficit Syndrome

If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.

Scenario:

A 78 year old female has been admitted to your floor for rehabilitation from having a massive stroke. The patient is very slow in speech but is about to give appropriate answers once an answer is received. You received the patient from a local medical center. Before the patient had this stroke she was able to take complete care of herself and lived by herself, according to the patient and her family. The patient now has completed paralysis on the right side of her body. The patient’s dominant hand is her right hand. The patient is unable to do the following for herself: feed herself, provide hyigene, dress, use the bathroom, or simply write her name. The patient states she wants to get better but states she doesn’t know if it will ever happen.

Nursing Diagnosis:

Self-care deficit syndrome related to partial paralysis secondary to stroke as evidence by patient being unable to feed herself, provide hyigene, use the bathroom, and write her name.

Subjective Data:

Before the patient had this stroke she was able to take complete care of herself and lived by herself, according to the patient and her family. The patient states she wants to get better but states she doesn’t know if it will ever happen.

Objective Data:

A 78 year old female has been admitted to your floor for rehabilitation from having a massive stroke. The patient is very slow in speech but is about to give appropriate answers once an answer is received. You received the patient from a local medical center. The patient now has completed paralysis on the right side of her body. The patient’s dominant hand is her right hand. The patient is unable to do the following for herself: feed herself, provide hyigene, dress, use the bathroom, or simply write her name. 

Nursing Outcomes:

-The patient will participate in feeding, dressing, toileting, and bathing activities.-The patient will report increased confidence regarding activities of daily living within 2 weeks.-The patient will be involved with making decisions about her treatment plan of becoming independent in activities of daily living.

-The patient will verbalize 5 goals to attain in order to help her progress in becoming independent in her activities of daily living.

Nursing Interventions:

-The nurse will encourage the patient to participate in activities such as feeding, toileting, and bathing.-The nurse will praise for involvement and allow the patient to be as independent as the patient can without patient harm. -The nurse will avoid increasing patient’s dependency by doing things for the patient that she has demonstrated the ability to do independently. 

-The nurse will assess the patients feelings regarding her confidence in performing activities of daily living independently.

-The nurse will provide the patient with choices regarding her treatment plan in becoming independent in ADLs.

-The nurse will help the patient set 5 goals to attain in her progress in becoming independent in ADLs.

 

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