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NURSING CARE PLAN

1) Nursing Diagnosis: Impaired physical mobility related to rigidity, limb temors, and postural instability. Expected Outcomes: Patient will demonstrate maximal indedependence with performing activities of daily living. Nursing Interventions: •Consult with Physio theraphy for exercises and assistive devices to maximize independence. •Plan for patient to participate in care when medications are at peak levels. •Provide for safety in enviorment. •Instruct patient to use call bell for assist when transferring. Place call-bell within patient's reach. 2) Nursing Diagnosis: Altered Bowel Elimintion related to medication regime. Expected Outcomes: Patient will have regular bowel movements. Nursing Interventions: •Increase fruit, yellow vegtables and fiber (brand, oats,ect) in diet •Adequate excercise •Increase fluids •Consult physician for use of stool softeners and laxatives •Encourage a regular time of the day for elimiation 3) Nursing Diagnosis

Risk of falls related to medication (anti parkinson, opioid analgesic) Epected Outcomes: Patient will reduce risk of fall. Nursing Interventions: •When lying to sitting position patient will rest for a minute then sit slowly. •Increase fluid intake. •If feeling onset of dizziness, position self safely in a chair. •Take many small meal rather than large meals less often. •Maintain normal salt intake. •Have your B\P monitored by health care professional. •Have your physician check your medication. 4) Nursing Diagnosis: Knowlege deficit, related to medications (including OTC drugs) actions, adverse reactions, and side effects. Expected Outcomes: Patient\caregivers will demonstrate uderstanding of each drug's action by accurately describing drug side effects, contraindications, adverse reactions and precautions. Nursing interventions: Instruct patient\caregivers: •Regarding drug side effects, contraindications, adverse reactions and symtoms of an allergic or ananphylactic reaction. •to immediately report and shortness of breath, tight feeling in the throat, itching hives or rash, feelings of dysphoris, nausea or vomiting. •to avoid the use of OTC medications (especially sleep-inducting

OTC antihistamines) without first consulting the health care provider. •to follow medication regime exactly as prescribed. 5) Nursing Diagnosis Altered self-esteem related to dependency on spouse/caregivers. Expected Outcomes Patient will actively participate in decisions related to care prior to discharge. Nursing Interventions •Incorporate patient into decision-making process ie: taking medication, personal care, participating in activities ect. •Offer patient suggestions to have opportunities to socialize in the community and broaden his activities.