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NCP Opt

The patient reported blurry vision in her left eye due to aging and cataracts. The nursing goals are to assess the patient's risk for falls, monitor her vital signs and condition, and assist her in establishing safety measures to reduce her risk of accidents after her shift. The nursing interventions and rationales focus on evaluating the patient's cognitive status and risk factors, enhancing her awareness of her condition, and advising her on safety precautions.

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5K views3 pages

NCP Opt

The patient reported blurry vision in her left eye due to aging and cataracts. The nursing goals are to assess the patient's risk for falls, monitor her vital signs and condition, and assist her in establishing safety measures to reduce her risk of accidents after her shift. The nursing interventions and rationales focus on evaluating the patient's cognitive status and risk factors, enhancing her awareness of her condition, and advising her on safety precautions.

Uploaded by

deathstar_diorama
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

ASSESSMENT NURSING INFERENCE GOAL NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVETION
Subjective: Risk for falls A cataract is After the 8 hr Assess To evaluate After 8 hours
“hindi ako related to shift, the client mood, of care goals
masyado present eye a clouding will be able to coping client’s met. Patient
makakita” as condition that develops demonstrate abilities cognitive was able to
verbalized by specifically in the behavior and and status in establish
the patient blurring of lifestyle to personality safety
crystalline relation to the
the left eye reduce the risk styles Measures.
Objective: due to aging lens of the factor and the client’s
Bp: 120/70 process eye or in its client Monitor present
T: 36.2 envelope, will be vital signs condition
PR: able to and also
RR: varying in establish the health
degree from safety condition of
To determine
slight to measures. the patient
physiologic
complete factors that
opacity and could
also affect the
obstructing Assist the
risk
the passage client and
for accidents
provide
of light. (falls).
information
Cataracts regarding
typically present
eye
progress To enhance
condition
slowly to and risk awareness of
cause vision that the client
accompany
loss and are regarding her
it
potentially present
blinding if condition
untreated.
Advise the
The condition client to
usually set/make
safety
affects both precautionary
the eyes, but measures
almost
always one
To
eye is lessen
affected the risk
earlier than of
accidents
the other. A (falls)
senile and to
cataract, enhance self-
care
occurring in
abilities
the aged, is
characterized
by an initial
opacity in the
lens,
subsequent
swelling of
the lens and
final
shrinkage
with
complete loss
of
transparency.

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