3 Nursing Diagnosis related to Self-Care Deficits in Patients with Immobilization

3 Nursing Diagnosis related to Self-Care Deficits in Patients with Immobilization

1. Acute pain is related to tissue incontinence characterized by patients complaining of pain

Goals:
After nursing action:
Patients can adapt to the pain they experience.

Outcomes:
Expresses reduced pain and tension.
Can take action to reduce pain.

Interventions:
Assess the intensity, characteristics and degree of pain.
Maintain bed rest.
Explain the pain suffered by the patient and its causes.
Collaboration of analytics.

Rationals :
Specific assessments help to choose the right intervention.
Minimize stimulation or increase relaxation.
Improve patient coping in managing pain relief.
Reducing the onset of pain can be done with analgesics.


2. Impaired Physical Mobility related to immobility are characterized by the patient complaining of pain when moving, the patient looking weak and grimacing if moving.

Goal:
Patients will show the optimal level of mobility.

Outcomes:
Make a move.
Maintain optimal mobility that can be tolerated.

Interventions :
Assess the need for health services and the need for equipment.
Determine the level of patient motivation in conducting activities.
Teach and monitor patients in the use of assistive devices.

Rationals :
Identify problems, facilitate intervention.
Influence the assessment of the ability of the activity whether due to inability or unwillingness.
Assess the limits of optimal activity capabilities.


3. Self Care Deficits: Bathing related to weakness is characterized by the patient not being able to move freely, the patient has not been able to shower and dress, looks weak, skin is dull, moist, smelly and clothes look dirty.

Goal:
Patients and families are able to take care of themselves

Outcomes:
The patient looks clean and fresh.
The patient is able to perform self-care independently or with help.

Interventions :
Assess the patient's ability to perform self-care.
Change dirty clothes with clean clothes.
Give praise to the patient about his cleanliness.

Rationals :
Assessing the patient's ability to perform self-care facilitates subsequent interventions.
Changing clothes protects the patient from germs and increases comfort.
Giving praise makes the patient feel flattered and more cooperative in cleanliness.
Guide families and patients so that skills can be applied.
Guide the patient's family to bathe the patient.

Tag : Self-Care Deficit