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"Nanghihina ako, hindi ko magawa yung mga gusto kong gawin" as verbalized by the patient. Present of body odor Not well groomed NURSING DIAGNOSIS Risk for self-care deficit, bathing / hygiene, related to weakness. The patient will be able to take a rest and perform some bed exercise after 8 hours of continued nursing intervention.
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ASSESSMENT S: “Nanghihina Ako, Hindi Ko Magawa Yung Mga Gusto
"Nanghihina ako, hindi ko magawa yung mga gusto kong gawin" as verbalized by the patient. Present of body odor Not well groomed NURSING DIAGNOSIS Risk for self-care deficit, bathing / hygiene, related to weakness. The patient will be able to take a rest and perform some bed exercise after 8 hours of continued nursing intervention.
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"Nanghihina ako, hindi ko magawa yung mga gusto kong gawin" as verbalized by the patient. Present of body odor Not well groomed NURSING DIAGNOSIS Risk for self-care deficit, bathing / hygiene, related to weakness. The patient will be able to take a rest and perform some bed exercise after 8 hours of continued nursing intervention.
Droits d'auteur :
Attribution Non-Commercial (BY-NC)
Formats disponibles
Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
DIAGNOSIS INTERVENTION S: “Nanghihina Risk for Self- The patient - Monitor and To identify any otherGoal Met. The ako, hindi ko Care Deficit, will be able record vital signs deviations from patient was able to magawa yung bathing/hygiene, to take a rest normal. have rest and mga gusto related to and perform - Determine To assess degree of perform some bed kong gawin” as weakness as some bed patient strength risk of self-care deficit exercise during the verbalized by manifested by exercise and weaknesses 8-hour shift with the patient. the verbalization after 8 hours continued nursing and weak and of continued - Provide Adequate rest provides intervention O: Weak and pale appearance nursing adequate rest enough energy to the pale in of the patient intervention. periods as well as patient appearance. comfort & safety - V/S: measures T:38.7°C Promotes blood , P:72 , - Turn the patient circulation RR: from side to side 24 , BP: - Encourage the Promotes blood 90/60 patient to do circulation and ease for mmHg. some bed patient when in Presence of exercise recovery Body Odor Not well - Provide health To provide clarification groomed teachings to the and Reinforcement patient