'Care Plan for Neuman\r'

' treat make do Plan Using Neuman’s Model care for Diagnosis using NANDA diagnoses terminology| Measurable Goals| Nursing Outcomes (interventions)| Level(s) of Prevention for to each one Intervention| Self-care deficit r/t physical limitations and frustration everyplace loss of independence AEB in ability to perform ADL’s such as bathing, grooming, hygiene, and formating. | Patient departing be dressed and out of bed for therapy day-after-day over the next 30 days. oneness go out be free of strip down breakdown for the next 60 days. Pt exit assist with ADL’s to the highest tip possible over the next 30 days.Ace with clean and dress self with min-assist/supervision and cues in 90 days. | 1. Encourage patient to be accountable for unique(predicate) aspects of care (i. e. brush teeth daily)2. Set up grooming items and bring forward participation3. Assist with ADL’s if Ace is unable4. Encourage, cue and assist to select clothing and dress appr opriately daily5. Ambulate pt with assist (as order by PT)6. Monitor for c/o discomfort, impish smelling, and discolored urine 7. Assist with and encourage good peri-care with each toileting 8.Educate pt on breaking tasks into small steps. go under choices to two, and provide reminder and cues during tasks  | 1. Primary2. Secondary4. Primary5. Secondary6. Primary7. Primary8. Teritary |  Risk for impaired skin integrity R/T immobility, mechanical twinge & sheer. | Ace will be dark/repositioned Q 2 hrs. with assist of 1-2 people. Ace will neck transfers with min-mod assist of 1 as required. Ace will be out of bed daily, as tolerated, transfers will be with assist of 1-2 staff as required. | 1.While in bed staff with assist Ace to roll/reposition self-using pillows and wedges to maintain position. 2. Place call lilting w/in easy reach3. PT to evolve Ace on helpful devices4. Remind and encourage Ace to call for assistance when needed5. Ace will be out of bed to chair daily as tolerated | 1. Primary2. Secondary3. Primary4. Secondary5. Teritary|  Impaired physical mobility associate to neuromuscular impairment r/t Hypertension, Occlusion at bottom vessels of the brain parenchyma disruption of blood supply in the brain area, tissue and cell necrosis.  Ace will be free of injury for next 30 days. | 1. Change position Q 2 hrs. 2. Teaching related to ambulation and transfers by PT/OT and nursing. 3. Evaluation and education of assistive devices as directed by therapies. 4. Education on diet, nutrition and speech consult 5. Encourage rehearse of non-skid shoes/footwear6. Provides safety measures (side rails up, using pillows to reassert body part) | 1. Primary2. Tertiary3. Tertiary4. Primary5. Secondary6. Primary|\r\n'