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Assessment Explanation of The Problem Objective Nursing Intervention Rationale Evaluation Short Term: DX: Short Term

The document provides an evaluation, rationale, nursing interventions, and objectives for a patient admitted with chronic kidney disease and joint pain. The short term goals are to assess the patient's ability to perform activities of daily living and have them understand nursing interventions to improve mobility within 30 minutes. The long term goals are for the patient to maintain their activity level within 2 days. The nursing interventions include monitoring vitals, assessing mobility and pain, assisting with activities of daily living and exercises, promoting rest and comfort, and educating the patient.

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Salwa Zein
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38 views

Assessment Explanation of The Problem Objective Nursing Intervention Rationale Evaluation Short Term: DX: Short Term

The document provides an evaluation, rationale, nursing interventions, and objectives for a patient admitted with chronic kidney disease and joint pain. The short term goals are to assess the patient's ability to perform activities of daily living and have them understand nursing interventions to improve mobility within 30 minutes. The long term goals are for the patient to maintain their activity level within 2 days. The nursing interventions include monitoring vitals, assessing mobility and pain, assisting with activities of daily living and exercises, promoting rest and comfort, and educating the patient.

Uploaded by

Salwa Zein
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EVALUATION RATIONALE NURSING INTERVENTION OBJECTIVE EXPLANATION OF THE PROBLEM ASSESSMENT

:Short term To determine the capacity > :DX :Short term


.of patient in doing ADL’s S : I don’t have pain
Goal met. The patient >.Assess ability to perform ADL After 30 minutes of The patient was admitted last ''now only when I move
verbalized understanding To help determine > nursing interventions, the February 2, 2012 at UC-BCF
and participated in the patient’s current health patient will verbalize Hospital with an admitting
treatment regimen as status and evaluate understanding of the diagnosis of CKD stage 5 O : - Weak in
Monitor vital signs and record > appearance
evidenced by improved effectiveness of nursing appropriate nursing secondary to CGN on
With limitation of -
progressive of mobility .intervention rendered Assess physical mobility > interventions and hemodialysis with a chief movement
.status participate in the complaint of joint pain on right weak on perform -
To know if there is any > treatment regimen to lower extremities and also on ADL’s alone
changes on patient’s Assess the pain on injury site > With limited range of -
improve progressive of both side of his abdomen.
condition specifically on mobility Because of intermittent joint pain motion
:Long term .physical aspect .T=35-
he is now having difficulty walking
: Long term and doing ADL’s that predispose
Goal partially met. Within To promote non – > :Nursing Dx
pharmacological pain After 2 days of effective .him to have activity intolerance
2 days of nursing :TX
management nursing interventions, the Activity Intolerance
interventions, the patient
.Assist patient to do ADL’s > patient will be able to related to decreased
is able to maintain To minimize fatigue and to > maintain activity level energy requirements as
activity level within Assist to do active range of >
evaluate his capabilities in within capabilities as evidenced by decrease
capabilities as evidenced .doing such motion exercise
evidenced by normal vital .muscle strength
by normal vital signs
during activity, as well as .To maximize full strength > .Promote rest and comfort > signs during activity, as Reference: (Brunner’s & Suddarth
reduces of weakness, well as absence textbook and NANDA book 11th edition)
.To conserve energy > of weakness, pain, and
pain, and difficulty during
.the activity difficulty accomplishing
;Edx
.tasks
To determine other factors >
that might contribute to Encourage to verbalize >
.patient’s present condition feelings and concern regarding
.his present condition
To promote circulation >
.and Emphasize importance of >
.frequent ambulation
.To maximize full strength >
Encourage active range of >
To achieve therapeutic > motion exercises like flexing of
effect of medication and for .both extremities
.fast recovery
Emphasize importance of >
Rest between activities > compliance to treatment and
provides time for energy .medication
conservation
Encourage adequate rest >
periods

For the pharmacological > : Collaborative


management of patient
condition Administered drugs as >
ordered

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