Assessment Subjective: Hindi nya kayang gawin ang mga bagay ng mag-isa mag-isa. as verbalized by the wife.

Objective:  Inability to wash body  Inability to clothe self  Inability to carry our proper toilet hygiene  With colostomy bag

Diagnosis Self deficit (bathing, hygiene, dressing, grooming, feeding, and toileting) related to previous surgery. Priority: Low

Planning Within 1 week of continuos nursing care the patient will maintain hygiene and function normally to the best of his ability during confinement. Outcomes: The patient will: identify useful resources in optimizing the autonomy and independence. recognize individual weakness or needs. safely execute selfcare activities to utmost capability. show lifestyle changes to meet selfcare needs. NIC: Self-Care Assistance NOC: Self-Care

Intervention Determined exact cause of each deficit. For instance, weakness, visual problems, and cognitive impairment. Evaluated capability and level of deficit (0 4 scale) to perform ADLs such as feeding, dressing, grooming, and bathing, toileting, transferring, and ambulating on regular basis. Noted the need for assistive devices.

Rationale Varied etiological factors may require more specific interventions to enable self-care.

The patient may only need support with some selfcare measures. Also help in anticipating and development for managing patient needs.

Evaluation After 1 week of continuos nursing care, the goal is met the patient will maintain hygiene and function normally to the best of his ability during confinement.

This enhances autonomy in performing Activities of Daily Living. To understand the level or capability of the patient.

Noted and asses areas of weakness or pain.

Established a therapeutic relationship with patient.

To receive patient s cooperation during interventions. Even though assistance is necessary in avoiding frustration, these

Avoided performing things for patient that patient could accomplish

for self, but offer help as appropriate. Permit as much independence as feasible.

individual may become afraid and dependent. It is imperative for patient to do as much as possible for self to sustain self-esteem and uphold recuperation. Significant other s illustration can provide a matter-of-fact tone for handling needs that many be awkward to patient or repulsive to significant other. This displays caring and concern but does not hinder with patient s efforts to attain autonomy.

Foresees hygienic requirements and calmly support as necessary with care of nails, skin, and hair, mouth care, shaving. . Educated family and significant others to promote autonomy and to intercede if the patient becomes tired, are not capable to carry out task, or become extremely aggravated. Persuaded patient input in planning schedule.

Patient s worth of life is improved when wishes or likes are taken into consideration in daily activities.