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Self Care Deficit

The patient presented with unkempt clothing, a foul odor, and an inability to care for themselves properly. The nurse diagnosed the patient as having self-care deficits related to cognitive impairment. The plan was for the patient to receive 8 hours of nursing interventions to improve their self-care skills and ability to perform daily activities at their highest level. Interventions included establishing a therapeutic relationship, discussing personal hygiene and appearance, monitoring urinary output, and increasing daily activity levels as the patient progressed. After the interventions, the patient was able to bathe independently, demonstrating improved self-care abilities.

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Willy Estacion
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5K views1 page

Self Care Deficit

The patient presented with unkempt clothing, a foul odor, and an inability to care for themselves properly. The nurse diagnosed the patient as having self-care deficits related to cognitive impairment. The plan was for the patient to receive 8 hours of nursing interventions to improve their self-care skills and ability to perform daily activities at their highest level. Interventions included establishing a therapeutic relationship, discussing personal hygiene and appearance, monitoring urinary output, and increasing daily activity levels as the patient progressed. After the interventions, the patient was able to bathe independently, demonstrating improved self-care abilities.

Uploaded by

Willy Estacion
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • Nursing Care Plan: Describes a detailed nursing care plan including assessment, diagnosis, planning, intervention, rationale, and evaluation.

Willy D. Estacion/ Grp.

84
ASSESSMENT Objective: Unkempt, soiled clothing Foul smelling odor DIAGNOSIS Self-care deficit related to perceptual and cognitive impairment as evidenced by inability in keeping body clean and dressing appropriately. PLANNING After 8 hrs of nursing interventions the patient will be able perform self-care and activity of daily living at the highest level of adaptive functioning possible. INTERVENTION Established a therapeutic nurseclient relationship. RATIONALE Provides an emotionally sate milieu that enables interpersonal interaction and to decrease anxiety. Impairment in these areas can alter clients ability for self-care. Appearance affects how the client sees self. A disheveled appearance conveys sense of low self worth, whereas an attractive, well put together appearance conveys a positive sense of self to the client as well as to others. Bladder retention can occur from psychotropic medications, increasing risk of infection. Adequate exercise increases muscle tone; consistency in daily routine stimulates bowel elimination. EVALUATION After nursing interventions, the client was able to perform self care and activity of daily living at the highest level as evidenced by taking a bath on its own.

Assessed presence of factors that affect clients capacity for selfcare. Discussed personal appearance, encouraged dressing in clean clothes.

Observed urinary output as appropriate. Encouraged client to observe changes. Increased daily activity level as client progresses.

Willy D. Estacion/ Grp. 84 ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION Objective: • Unkempt, soiled c

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