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    Nursing Care Plan: Priority No. 2

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    Pantaleon Pacis
    The nursing care plan addresses a patient experiencing numbness and tingling in their feet due to ineffective tissue perfusion related to diabetes. The short term goal is for the patient to promote tissue perfusion and understand the relationship between diabetes and circulatory changes within 30 minutes. Interventions include elevating the feet, monitoring hydration, and reinforcing safety with heat. The long term goal is for the patient to maintain adequate tissue perfusion and hydration over 2 days.

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    Nursing Care Plan: Priority No. 2

    Uploaded by

    Pantaleon Pacis
    42 views2 pages
    The nursing care plan addresses a patient experiencing numbness and tingling in their feet due to ineffective tissue perfusion related to diabetes. The short term goal is for the patient to promote tissue perfusion and understand the relationship between diabetes and circulatory changes within 30 minutes. Interventions include elevating the feet, monitoring hydration, and reinforcing safety with heat. The long term goal is for the patient to maintain adequate tissue perfusion and hydration over 2 days.

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    n c p d m

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    n c p d m

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    The nursing care plan addresses a patient experiencing numbness and tingling in their feet due to ineffective tissue perfusion related to diabetes. The short term goal is for the patient to promote tissue perfusion and understand the relationship between diabetes and circulatory changes within 30 minutes. Interventions include elevating the feet, monitoring hydration, and reinforcing safety with heat. The long term goal is for the patient to maintain adequate tissue perfusion and hydration over 2 days.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    42 views2 pages

    Nursing Care Plan: Priority No. 2

    Uploaded by

    Pantaleon Pacis
    The nursing care plan addresses a patient experiencing numbness and tingling in their feet due to ineffective tissue perfusion related to diabetes. The short term goal is for the patient to promote tissue perfusion and understand the relationship between diabetes and circulatory changes within 30 minutes. Interventions include elevating the feet, monitoring hydration, and reinforcing safety with heat. The long term goal is for the patient to maintain adequate tissue perfusion and hydration over 2 days.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING CARE PLAN

    Priority No. 2
    ANTICIPATED
    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE
    EVALUATION
    Subjective: Ineffective Short Term Goal: INDEPENDENT: Short Term
    “Saya biasanya tissue After 30 minutes of  Elevate feet when  Minimizes interruption Goal:
    mengalami sensasi mati perfusion, nursing intervention, up in a chair. of blood flow and After 30 minutes
    rasa dan kesemutan di peripheral r/t the patient will be able Avoid putting the reduces venous pooling. of nursing
    kaki saya (I usually decreased to: feet in a intervention,
    experience numbness arterial flow as  promote tissue dependent the patient was
    and tingling sensation evidenced by perfusion to the position. able to:
    on my feet)”, as numbness and affected area - promote tissue
    verbalized by the patient tingling of the  Assess for signs of  Glycosuria may result perfusion to
    feet  verbalize dehydration. in dehydration with the affected
    Objective: understanding of the Monitor I&O and consequent reduction of area
     BP: 130/80 mmHg relationship encourage oral circulating volume. - verbalize
     (+) Diabetes Mellitus between diabetes fluids. understanding
    Type 2 and circulatory of the
    changes  Reinforce safety  Heat increases relationship
    precautions metabolic demands on between
     demonstrate regarding use of compromised tissues. diabetes and
    awareness of safety heating pads, hot Vascular insufficiency circulatory
    factors and foot care water bottles, and alters pain sensation, changes
    soaks increasing risk of - demonstrate
    Long Term Goal: injury. awareness of
    After 2 days of nursing safety factors
    intervention, the patient  Instruct client to  Compromised and foot care
    will be able to: avoid constricting circulation and Goal was met.
     keep tissue clothing, socks and decreased pain
    perfusion adequate ill-fitting shoes sensation promote
    tissue breakdown
     maintain adequate  Discuss  Promote patient Long Term
    level of hydration to complications of knowledge and Goal:
    maximize perfusion the disease that cooperation After 2 days of
    result from nursing
    vascular changes intervention, the
    patient was able
    DEPENDENT: to:
     Administer  Taking care of the - keep tissue
    Antidiabetics as underlying disease will perfusion
    ordered by help alleviate the adequate
    physician effects - maintain
    adequate level
    of hydration to
    maximize
    perfusion
    Goal was met.

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