Create a nursing care plan with 3 diagnosis with a short term goal per diagnosis. Each...

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Create a nursing care plan with 3 diagnosis with a short term goal per diagnosis. Each...

Create a nursing care plan with 3 diagnosis with a short term goal per diagnosis. Each diagnosis with 5 interventions with rationales and evulation based on the above information.

78 Y/O Male Hispanic patient presented with left leg pain and weakness. The patient has a colostomy, urostomy with osteoarthritis and chronic anemia, and CAD. Problem list rheumatoid arthritis, pelvic actinomycosis, and chronic anemia.

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Answer 1

Answer #1

Ans) Nursing diagnosis:

1) Acute pain related to

Expected goal: The client should verbalize decrease pain

Intervention and rationale:

- Assess the general condition- vital signs, pain using numerical or face pain rating scale- provides baseline data to plan care.

- Administer the pain relief measures- analgesic help to decrease pain.

- Teaching effective coping techniques- distraction technique, diverting techniques, yoga, meditation.

- Provide sound free environment- Promotes rest and sleep

- Hot or cold compress- decreases pain.

2) Activity intolerance related to Weakness

Expected goal: Patient will be able to perform activities as tolerated.

Intervention and rationale:

- Assess the general condition, Vital signs, activity level- Baseline data is obtained

- Encourage to perform activities- motivated patient to engage in activities.

- Keep all necessary articles within reach of patient- minimizes fatigue.

- Provide positive reinforcement- develops confidence level & increases the level of activity.

- Mobilize as soon as possible- Limits immobility.

3) Deficient knowledge related to disease condition

Expected goal- The client will be able to verbalize the knowledge regarding the disease condition.

Intervention and rationale:

- Assessment of the level of understanding and knowledge- Baseline data is obtained

- Effectively communicate with patient- Develops interpersonal relationship.

- Provide knowledge regarding the disease process, treatment regimen- Develops understanding.

- Encourage to ask questions- Clears doubts

- Ventilate the patient to express feeling- helps to provide emotional support.

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Answer 2

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