INTERAMERICANA UNIVERSITY OF PUERTO RICO METRO CAMPUS DEPARTMENT OF HEALTH SCIENCES CARE PLAN Marlene Rosario De Len Krystina

Seijo Jimnez

ASSESSMENT

NURSING DIAGNOSIS

PLANNING NOC Self-Care Deficit: Bathing Pag. 190 Definition: impaired ability to perform or complete bathing/hygiene activities for self.

INTERVENTION

ACTIVITIES

Female patient, 75 years of age with initials M.T. M.L weighting 137.0 pounds, Patient history shows very small changes, such as forgetfulness and subtle memory loss without loss of social skills and behavior patterns. Patients daughter verbalize that the patient over time began experiencing recent memory loss and had difficulty learning and remembering. General deterioration in the patients hygiene has been observed and an inability to concentrate, the daughter stated Im going to take care of her since she was diagnose with Alzheimer even though I dont understand quite well how to take care of her. Its has been observed that the patient has difficulty with abstract thinking and activities that require judgment. The patient misperceives her environment

Activity and Exercise Pattern Self-care deficit related to memory loss manifested by deterioration in personal hygiene and appearance. Cognitive and Perceptual Pattern Altered thought processes related to memory loss manifested by difficulty with abstract thinking and activities that require judgment. Misperceives her environment and misidentifies objects and people. Function Pattern and Relationship Ineffective family coping related to inadequate information or understanding by the daughter (caregiver) manifested by verbalization when she stated Im going to take care of her since she was diagnose with Alzheimer even though I dont

Self-care assistance: bathing/hygiene. (Pag. 190) Self-care assistance: dressing/grooming. (Pag. 191) Memory training. (Pag. 146) Caregiver support. Health system guidance. Learning facilitation. (Pag. 95)

Ability to maintain personal cleanliness and kempt appearance from a scale of 1 to 5, in which 5 means presently and 1 means rarely. Self-Care Deficit: Dressing Pag. 191 Definition: impaired ability to perform of complete dressing and grooming activities for self. Ability to dress self independently with or without assistance from a scale of 1 to 5, in which 1 means never present and 5 always present.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

Bathing Hair care Oral health maintenance Fall prevention Self-care assistance Medication Emotional support Family Support Coping enhancement Management Home preparation Crisis intervention Care-giver support Teaching: individual Teaching: disease proses

and misidentifies objects and people. V.S.

understand quite well how to take care of her.

Memory Impaired Pag. 146 Definition: inability to remember or recall bits of information or behavioral skills. Ability to identify person, place and time accurately from a scale of 1 to 5, in which 1 means rarely identifies and 5 always identifies. Family Coping Compromised Pag. 95 Definition: Usually supportive primary person (family member or close friend) provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that may be needed by the client to manage adaptive tasks related to his or her health challenge. Emotional wellbeing of a family care provider while caring for a family member from a scale of 1 to 5, in which 1 mean never present and 5 always present. Provision by family care provider of appropriate personal and healthcare for a family member from a scale of 1 to 5, in which 1 mean never present and 5 always present.

REFERENCES

EVALUATION BY NOC

REVISION OF THE CARE PLAN

Mccloskey, J. D. & Bulechek, G. M. (2004) Nursing Interventions Classification.St. Louis:Mosby Co. Moorhead, S. & Johnson, M. (2005) Nursing outcomes classification. St. Louis:Mosby Co. Marion, J. & Moorhead, S. & Bulechek, G. & Butcher, H. & Maas, M. & Swanson, E. (2012) NOC and NIC Linkages to NANDA-I and Clinical Conditions. St. Louis: Mosby Co.

We couldnt have enough time to view the successful outcomes. We notice that the family learns about the process of taking care of an Alzheimer patient.

We couldnt have enough time to view the outcomes.