NURSING CARE PLAN

Cues and Data Objective: Nursing Diagnosis Analysis Goal and objectives After 1 hour of discussion, the patient will gain enough knowledge regarding the contributing factors of asthma attack and manageme nt to prevent it. Interventions
Independent:

Rationale

Evaluation After 1 hour of nursing interventions, the patient was able to verbalize understanding of the contributing factors of asthma attack and the management to prevent it.

Risk for Impaired -Body skin weakness integrity related to -An area on body the patient’s weakness buttocks (Temporary was immobility) reddened
and warm to touch. -Relative ask for nursing stuff help to reposition patient.

 Educate patient and relative on the importan ce of proper dieting and food intake.  Educate the pt on the importan ce of keeping the skin clean and dry.

 Nutrition is fundamen tal to normal cellular integrity and tissue repair. (Potter and Perry, 2008, p. 1310)  Moisture softens the skin and causes a break in the skin integrity. (Potter & Perry, 2009, p. 1302)

 Repositi on the pt at

dermatol . 1305)  Moisture softens the skin and causes a break in the skin integrity. 1302)  Systemati c inspectio  Monitor skin conditio n at least once a day for color or texture changes. 2009.least once every two hours. 2009. p.” (Potter & Perry.  Keep the skin clean and dry  Positionin g interventi ons reduce pressure and shearing force to the skin. p. ” (Potter & Perry.

” n can identify impendin g problems early. 754) .ogical conditio ns. p. or lesions.” (Ackley & Ladwig. 2008.