Nursing Care Plan for Elderly

Assessment -Nursing Care Planfor

Elderly

a. The identity ofthe patient

Include name, age, sex, religion, education, nation, and address.

b. Disorder found in elderly

Swallowing, communication, pain and others.

c. Mood, consciousness
Hostility, sleep disturbances, and others.

d. History of major problems

Ever stroke, cough, dementia, fractures.

e. Questionable health habits

Smoking, alcohol, and others.

f. Assessment system
Assessment system implemented in sequence starting from systemrequirements to the
musculoskeletal system.

g. History of treatment
Well before the illness, drugs in drinking, both from a doctor's prescription or purchased free
(including herbs).

h. Examination of the function

Activities of daily living that require only simple body's ability to function such as sleeping,
dressing, bathing.
Activities of daily living
In addition to basic skills that require different coordination ability of the muscle, the more
nervous as well as various organs of other cognitive abilities.
The ability of mental and cognitive function, especially regarding the intellect, memory
and long memory about things that just happened.

Nursing Diagnosis for Elderly

1. Risk for injury: falls related to increased activity.

2. Acute pain: (headaches / dizziness) associated with fatigue.
3. Activity intolerance related to imbalance of O2 supply: weakness.
4. Risk for infection related to the state of nutrition: state of immunity.
Nursing Interventions for Elderly

1. Risk for injury: falls related to increased activity.

Goal:
The client does not fall.

Intervention:
1. Explain to the client about the causes of rheumatic pains / aches.
R /: to understand the causes of line / curve.
2. Provide non-pharmacological measures to eliminate fatigue in the legs such as massage.
R / can stimulate pain in the leg.
3. Avoid doing heavy activity.
R / can reduce ached at the foot area.
4. Avoid foods that contain nuts.
R / can prevent arthritis.
5. Teach the foot by not using footwear in the morning.

2. Acute Pain: (headaches / dizziness) related to fatigue.

Goal:
headaches / dizziness is reduced

Expected outcomes are:

Headaches / dizziness is reduced.

Not nervous.
Not pale.
Can not sleep.
No pacing.
Intervention:
1. Explain to the client about the cause of headaches / dizziness.
R /: to understand the cause of headaches / dizziness.
2. Provide a description of the kx about the side effects of taking medications too often.
R /: understand the side effects of medication.
3. Give nonfarmakologi action to eliminate the headaches, such as a coldcompress on the
forehead, back and neck massage, a quiet, dim the lights, relaxation techniques.
R /: relieve headaches.
4. Give analgesics as indicated.
R /: to help relieve headaches.

3. Activity intolerance related to imbalance of O2 supply: weakness.

Goal:

Able to do the activity.

Not tired.
Do not bother.
Vital signs are normal.
Intervention:
1. Review of daily activities.
2. Teach for leg exercises every hour / ROM.
3. Teach sit 3-5 minutes before standing and walking.
4. Increased frequency of activity and distance gradually.

5. Risk for infection related to the state of nutrition: state of immunity.

Goal:

There was no infection.

Normal body temperature (36-370C).
There is no redness, irritation around the wound.
Normal leucocytes (10,000 m 4500-I)
Intervention:
1. Teach to minimize contact and pathogens.
2. Explain the need to maintain hygiene
(For example: Shower every day, oral care).
3. Examine the mouth and throat with signs of infection.
4. Teach drinking 200cc/hari.
5. Strive to improve nutrition, diit enough.
6. Provision of adequate vitamins and minerals.
Malaria is a serious infectious disease Caused by a parasite That gets into the body when
a mosquito carrying the disease bites. Microbial parasites known as Plasmodium.
This parasite infects mosquitoes of the Anopheles genus. The
female Anopheles mosquito transmits this disease via mosquito bites Among Humans. Out of the
eleven species of the genus Plasmodium, five are known to cause malaria Among Human
Beings.

Malaria is an infectious disease with periodic fever, caused by the parasitePlasmodium and
transmitted by mosquitoes kind Anopeles (Tjay & Prog, 2000).

Symptoms of Malaria
Some malaria symptoms can seem rather like flu, but malaria can be very serious if it
progresses to a lifethreatening coma.
Symptoms can include:
Temperature Greater Than 38 C
tiredness
Chills with sweating
Muscle aches
Headache

5 Nursing Diagnosis for Malaria

Nursing diagnosis for malaria, based on signs and symptoms can be described as below
(Doengoes, Moorhouse and Geissler, 1999):

1. Imbalanced Nutrition Less Than Body Requirements

related to inadequate food intake; anorexia; nausea / vomiting

2. Risk for Infection related to decreased immune system; invasive procedures

3. Hyperthermia related to increased metabolism, dehydration, a direct effect on the

hypothalamic circulation of germs.

4. Impaired Tissue Perfusion related to a decrease in the cellular components needed for the
delivery of oxygen and nutrients in the body.

5. Knowledge deficient: the disease, prognosis and treatment needs related to lack of exposure /
recall error interpretation of information, cognitive limitations.