This nursing care plan addresses three nursing diagnoses for a patient: 1) knowledge deficit related to language barriers, with goals of understanding medical information and participating in care; 2) self-care deficit related to depression, with goals of not harming self/others and stating a desire to live; and 3) risk of body image disturbance after amputation, with goals of understanding body changes and using prosthetics appropriately. Interventions include using interpreters, speaking simply, translating documents, assessing suicide risk, establishing a safety plan, allowing expression of feelings, acknowledging normal responses to changes, and providing information to promote a positive body image. Evaluations show the patient understood explanations, did not express suicidal thoughts, and verbalized acceptance of body changes
This nursing care plan addresses three nursing diagnoses for a patient: 1) knowledge deficit related to language barriers, with goals of understanding medical information and participating in care; 2) self-care deficit related to depression, with goals of not harming self/others and stating a desire to live; and 3) risk of body image disturbance after amputation, with goals of understanding body changes and using prosthetics appropriately. Interventions include using interpreters, speaking simply, translating documents, assessing suicide risk, establishing a safety plan, allowing expression of feelings, acknowledging normal responses to changes, and providing information to promote a positive body image. Evaluations show the patient understood explanations, did not express suicidal thoughts, and verbalized acceptance of body changes
This nursing care plan addresses three nursing diagnoses for a patient: 1) knowledge deficit related to language barriers, with goals of understanding medical information and participating in care; 2) self-care deficit related to depression, with goals of not harming self/others and stating a desire to live; and 3) risk of body image disturbance after amputation, with goals of understanding body changes and using prosthetics appropriately. Interventions include using interpreters, speaking simply, translating documents, assessing suicide risk, establishing a safety plan, allowing expression of feelings, acknowledging normal responses to changes, and providing information to promote a positive body image. Evaluations show the patient understood explanations, did not express suicidal thoughts, and verbalized acceptance of body changes
This nursing care plan addresses three nursing diagnoses for a patient: 1) knowledge deficit related to language barriers, with goals of understanding medical information and participating in care; 2) self-care deficit related to depression, with goals of not harming self/others and stating a desire to live; and 3) risk of body image disturbance after amputation, with goals of understanding body changes and using prosthetics appropriately. Interventions include using interpreters, speaking simply, translating documents, assessing suicide risk, establishing a safety plan, allowing expression of feelings, acknowledging normal responses to changes, and providing information to promote a positive body image. Evaluations show the patient understood explanations, did not express suicidal thoughts, and verbalized acceptance of body changes
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NCM 120
BSN IV
Sunshine Bravo, Angelita Padilla, Rosefrance Reyes, Joseph Torres
NURSING CARE PLAN
Nursing Diagnosis Goals & Outcomes Interventions Evaluations Knowledge deficit The client will be Use interpreters Patient verbalized related to language able to verbalize while understanding of barriers as understanding and communicating what was told to evidenced by participate in with a patient so them and was able difficulty reading therapeutic action that patient to repeat back English medical understands what was told to terminology Speak in shorter her. sentences than Patient was able to normal to make it read medical easier for documents clearly interpreter to improve the translation’s accuracy. Refer patient to language access department to help translate medical documents
Self-care deficit The client will not Perform a mental The client states related to inflict any harm to status examination that she promises depression as themselves or to gauge potential to not harm herself evidenced by others for committing or others. verbalization of The client will state suicide. Client verbalizes depression to that she wants to Establish a safety that she wishes to nurse manager live plan live. The client states Perform post- The client states that they want to discharge follow-up that she is improve self-care interventions. motivated in abilities and Allow the client to performing self- construct plans for express feelings care activities and the future to and perceptions. agrees to go to increase rehabilitation independence center. Risk of body image The patient Acknowledge and Patient expressed disturbance & self- verbalizes an accept the feelings of esteem related to understanding of expression of frustration of body recent surgical body changes. feelings of image amputation The client frustration, disturbances. verbalizes dependency, anger, Patient agreed to acceptance of new grief, and hostility. use protheses to self. Recognize the assist her with her The patient will use normalcy of daily activities. adaptive response to the Patient verbalized devices/prostheses actual or perceived more positive appropriately. change in body responses about structure or their body image. function and discuss the patient. Exhibit positive caring in routine activities. Provided information on how to promote positive image
