FATHER SATURNINO URIOS UNIVERSITY

San Francisco St., Butuan City, Region XIII CaragaPhilippines

Nursing Program

NAME: Julie Joy P. Alsong N-41 (Group 1) January 16, 2023

SUPERVISING INSTRUCTOR: Ruby Corazon Y. Ediza, RN, DScN

NURSING CARE PLAN NO. 1

Assessment Nursing Planning Nursing Interventions Rationale Evaluation

Diagnosis
Objective cues: Impaired physical Within 4 hours of Independent: • Stroke, multiple After 4 hours of
- Left side mobility related nursing intervention, • Assess for sclerosis, dementia, nursing intervention,
weakness to inability to the patient will be conditions that paralysis, cerebral palsy, the patient was be able
- Decreased bear weight as able to: contribute to fractures, and arthritis to:
ROM evidenced by • participate in impaired mobility. are only a few disorders • participate in
- Unable to immobility ADLs and • Assess the that can prevent ADLs and
ambulate prescribed patient’s functional purposeful movement. therapies as
therapies ability for mobility • Identifies problems and evidenced by
Subjective: • demonstrate and note changes. helps to establish a plan cooperation
Patient verbalized, exercises to • Provide patients of care. Mobility with the
“na-stroke man gyud improve with enough time deteriorates as AD activities
ko atong 2015, dili na to perform progresses, but most performed by
nako ma lihok ang physical mobility-related patients are ambulatory the student
akong left side sa mobility tasks. Use simple until the latter stages. nurses.
lawas” instructions. • The patient may need • demonstrate
• Perform range of repetitive instruction exercises to
motion exercises. and comprehensive improve
Encourage an assistance to perform physical
active range of the task. mobility as
motion exercises. • Helps to prevent joint evidenced by
• Instruct family contractures and muscle executing ROM
regarding ROM atrophy. exercises to the
exercises, • Prevents complications extremities
transferring of immobility, and
patients from bed knowledge assists family GOAL MET
to wheelchair, and members in being better
turning at routine prepared for home care. J.J.ALSONG, FSUU/SN
intervals. • Hydration will prevent
• Promote proper dehydration and
nutrition and promote circulation and
hydration. keep skin, tissues, and
muscles hydrated.