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Care Plan

NURSING EXPECTED PATIENT ASSESSMENT ACTION TEACHING


DIAGNOSES OUTCOMES interventions: interventions: interventions:
(note priority for Be sure they are S. (assess / (consider orders, (consider home
each below) M. A. R. T. (Specific, monitor for ) safety, allergies, regimens,
(Be sure to use measureable, code status, fall procedures,
related to and achievable/ risk, etc.) discharge plan,
as evidenced attainable, relevant etc.)
by) and time-bound)
Risk for fall r/t Prevent falls in the Complete a fall Make sure they Assess home
decrease in facility by having risk assessment have the call environment for
lower extremity assistance when bell within reach threats to safety.
strength due to dressing and going Assess in order to call
a hip fracture. to the bathroom. medication that for assistance Refer the patient
can increase fall when wanting to physical
risks to transfer from therapy to regain
bed. back strength
and reduce falls
Assist the
patient with
toileting on
their schedule.

Powerlessness State feelings of Assess the Encourage the Assess the family
r/t decreased powerlessness and factors that are patient to as a support
mobility state any hope for contributing to manage as system.
the future the feeling of many activities
powerlessness. as possible that Teach patients
make them feel about active
in control again problem
Monitor for any but still stopping or
isolation and following safety thought stopping
depression protocols. to reduce
negative thought
Give sincere patterns.
praise for their
progress.

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