Escolar Documentos
Profissional Documentos
Cultura Documentos
NURSING MANAGEMENT
A.IDEAL NURSING INTERVENTIONS
Nursing Diagnosis
Nursing Interventions:
Nursing Diagnosis
Nursing Interventions:
Rationale
To determine patients
capabilities
To help improve
patients self-concept
and motivation to
perform
To improve compliance
Rationale
Careful observation
helps you adjust
nursing actions to
meet patients needs
Applying therapy
consistently aids
patients independence
To aid comprehension
Provides expert
assistive for
developing therapy
plan and identifying
special equipment.
4. Encourage patient to do as
much for self as possible,
giving simple instructions one
at a time
Nursing Diagnosis
Nursing Interventions:
Rationale
To promote
circulation/venous
drainage
3. Maintain adequate
nutrition
To promote tissue
healing, oxygenation
and metabolism
5. Administer supplemental
oxygen as indicated
Nursing Diagnosis
Nursing Interventions:
Impaired verbal
communication related to
impaired cerebral circulation
Rationale
To assess
causative/contributing
factor
To assist client to
establish a means of
communication, to
express needs, wants,
ideas and questions.
To establish
communication
5. Keep communication
simple, speaking in short
sentences, using
appropriate words.
To establish means of
communication
Nursing Diagnosis
Nursing Interventions:
1.Determine vital
signs/hemodynamic
parameters including cognitive
status
Rationale
To increase oxygen
available for cardiac
function or tissue
perfusion.
To note response to
intervention
To note effectiveness of
medication
To promote adequate
rest
Nursing Diagnosis
Nursing Interventions:
To assess
etiology/precipitating
factor
Rationale
To help determine
possibility of underlying
condition
development of
complication
To evaluate clients
response to pain
To promote
pharmacological pain
management
8. Administer analgesics
To maintain acceptable
level of pain
6. Provide comfort
measures, quite
environment and calm
activities
No subjective cues
No subjective cues
>slurred speech
>right hemiplegia
>BP : 150/100 mmHg
>HGT : 201mg/dL
S
O
BP : 150/100 mmHg
No subjective cues
>Right hemiplegia
Long Term: At the end 2 days of nursing interventions, patient will report
measurable increase in activity intolerance.
Short term: At the end of 30 minutes of nursing interventions, patient will
demonstrate a decrease in physiological signs of intolerance
No subjective cues
S
O
No subjective cues
S
O
No subjective cues
S
O
Slurred speech
P Long Term: At the end 2 days of nursing interventions, patient will indicate
understanding of the communication difficulty and plans ways of handling
Short term: At the end of 30 minutes of nursing interventions, patient will
establish method of communication in which needs can be expressed
I
appropriate words.
> Planned for alternative methods of communication eg. Slate board,
letter/picture board and etc.
>Provided reality orientation by responding simple and honest statements
E Patient was able to established method of communication