IX.

NURSING CARE PLAN

Date: January 27, 2014
Pro!e": Se!#$%are &e#'%'t (#ee&'n) an& to'!et'n)* re!ate& to '"+a'r"ent o# "otor an& ,en,ory #un%t'on
ASSESS-EN. NURSING
DIAGN/SIS
SCIEN.I0IC
EXPLANA.I/N PLANNING IN.ER1EN.I/N RA.I/NALE E1ALUA.I/N
Su2e%t'3e:
Hindi ako
makakain at
maka-attend sa
pangangailangan
ko sa pagdumi at
pag ihi ng ako
lamang.
Kailangan ko ng
tutulong sa akin.
/2e%t'3e:
>Inability to feed
self independently
>Inability to
groom self
independently
>Inability to get in
and out of
bathroom
Self-care deficit
( feeding and
toileting related
to impairment of
motor and
sensory function
In patients !ith
ner"ous system
tumors# "arious
symptoms of
neurological
dysfunction occur no
matter ho! slo!ly or
$uickly the tumor
gro!s.
Specific neurological
abnormalities caused
by brain tumors "ary
from patient to patient
and depend on the
location of the tumor.
%or e&ample# if the
tumor in"ades the
motor regions of the
brain (areas
responsible for
mo"ement of the
'fter ( hours
of nursing
inter"ention#
patient !ill be
able to identify
indi"idual
areas of
!eakness)
needs.
In&e+en&ent:
> *erformed or
assisted !ith
meeting client+s
needs !hen he is
unable to meet
o!n need.
>*lanned time for
listening to the
client+s or
significant others+
feelings and
concerns.
> Supported client
in making health
related decisions
and assisted in
de"eloping self-
care practices

%acilitates
confidence and
increases self-
esteem
>,o disco"er
barriers to
participation
regimen and to
!ork on problem
solutions
> ,o full gear the
self-care of the
client.
'fter ( hours of
nursing
inter"ention#
patient !as able
to identify
indi"idual areas
of !eakness)
needs.
30
>Impaired ability
to obtain or
replace articles of
clothing
>Inability to get
commode
skeletal muscles# such
as those in the arms
and legs. ,he arms
and legs of the body
may be stiff or mo"e
a!k!ardly.
-n the other hand #
!hen the areas of the
brain responsible for
sensing the
en"ironment (called the
sensory structures are
damaged by a tumor#
the patient may feel
tingling# numbness# or
other odd sensations.
.ith these damages
done by the tumor to
motor and sensory
function of the brain the
patient may no longer
e&ecute acti"ities in
rendering care for
themsel"es.
Reference:
http://www.health
communities.com/
nervous-system-
and goals that
promote health.
Co!!aorat'3e:
>'ssured that
consistency of diet
is appropriate for
patient+s ability to
che! and s!allo!#
>/echanical
problems may
prohibit the
patient from
eating
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tumors/symptoms
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