NSG352L DETAILED CAREPLAN

EXPECTED
NURSING ASSESSMENT ACTION TEACHING
PATIENT
DIAGNOSES INTERVENTIONS INTERVENTIONS INTERVENTIONS
OUTCOMES

Self-care deficit r/t The patient will be able Assess range of Encourage patient Teach patient to sit
neuromuscular to put on his shirt (over motion and upper to bathe and dress upright while
impairment AEB his head, both arms limb strength. self as much as dressing to reduce
weak right arm through) without possible to improve exertion and gain
assistance by discharge. Assess skills. strength.
independence in
bathing and Encourage Teach patient how
dressing skills. ambulation as to use left hand to
tolerated. do things like comb
Evaluate the client hair and brush teeth
for signs of in mirror, while also
depression or incorporating use of
anxiety related to right hand to
immobility. prevent neglect.

Ineffective The patient will reach Asses respiratory Demonstrate how to Teach the patient to
breathing pattern 1200 ml on incentive system in older use an incentive deep breathe when
r/t atelectasis AEB spirometer by the end adult with the spirometer and moving around and
hyperventilation, of my shift. understanding that encourage to use how to do
use of accessory respiratory muscles daily. controlled coughing
muscles to breathe weaken. technique.
Perform deep
Monitor O2 sats and breathing Teach the
symptoms of techniques along importance of using
hyperventilation. with the patient to incentive spirometer
slow down to help breathe
respiration rate. better and prevent
future respiratory
infections.

References:
Ackley, B. J., Ladwig, G. B., & Makic, M. B. (2017). Nursing diagnosis handbook: an evidence-based guide to
planning care. St. Louis, MO: Elsevier.
Lewis, S. M., & Sandstrom, S. A. (2017). Medical-surgical nursing: assessment and management of clinical
problems. St. Louis, MO: Elsevier.
Skidmore-Roth, L. (2017). Mosby's drug guide for nursing students. St. Louis, MO: Elsevier.