Assessment Diagn

osis

Analysis

Subjective:
Patient
complains of
nearly
constant
swelling,
stiffness, and
pain, with
occasional
numbness
and tingling
in her hands,
wrists, and
elbows
Patient
reported her
pain using a
visual analog
scale (VAS)
as 8/10 and
stated that
the morning

Rheumato
id arthritis
is a
chronic
progressiv
e disease
causing
inflammati
on in the
joints and
distention
of tissues
resulting
in painful
deformity
and
immobility
,
especially
in the
fingers,
wrists,

Selfcare
deficits
related
to loss
of
motion

Goals and Intervent

ions
Objective
ShortIndepend
term
ent
After 6
1.Assist
hours of
patient to
nursing
identify
interventio self-care
ns, the
activities
patient
will:
-identify
2.Develop
individual a plan
areas of
based on
weakness the
or needs
patients
perception
demonstra s and
te
priorities
techniques on how to
and
establish
lifestyles
and
changes to achieve
meet self- goals to

Rational Evaluation
e
Short1.The ability term
to perform
After 6
self-care
hours of
activities is
nursing
influenced
interventio
by disease
ns, the
activity
patient
was able
2.Assistive
to:
device may -identify
enhance
individual
self-care
areas of
abilities.
weakness
or needs
demonstra
te
techniques
and
lifestyles
changes to

pain was
frequently
unbearable,
rating it as
9/10-10/10
Objective:
Swelling on
metacarpal
phalangeal
joints and her
proximal
interphalange
al joints
bilaterally
Wrists and
elbows were
warm, with
mild edema
and
tenderness to
palpation

feet, and
ankles

care needs meet selfcare needs

Longa. Provide
Term
appropriat
After1week e assistive
of nursing devices.
interventio b.Reinforc
ns, the
e correct
patient will and safe
be able to: use of
-Perform
assistive
self-care
devices
activities
within
3.Allow
level of
patient
own ability sufficient
time to
complete
tasks to
fullest
extent of
ability
Collaborati
ve

meetselfcareneeds
Long-Term
After1week
of nursing
interventio
ns, the
patient
3.Gives
was be
opportunity able to:
for greater
-Perform
senseof self- self-care
confidence . activities
within level
of own
ability
1.Helpful in
determining
assistive
devices.

1.Consult
with
rehabilitati
on
specialists
like OT