Nursing Care Plan

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Nursing Diagnosis Background Literature/ Category Goal Nursing intervention Rationale Evaluation

Reference of Needs Statement


Ineffective tissue P Client will be Independent: 1. Goal Met
perfusion related H able to -Remove restrictive - to allow optimum -Although
to hypertension Y 1. Increase devices as ordered circulation hypertension,
and S tissue hyperglycemia,
hyperglycemia, I perfusion -Encourage pt to -to enhance venous and atheromatous
secondary to O 2.demonstrat ambulate as tolerated return aorta is still
atheromatous L e behavioural present, tissue
aorta, as O and lifestyle -Recommend or perfusion is
manifested by G change perform ROM -to avoid venous pooling improved as
thickened arterial I 3. Verbalize exercises and enhance venous manifested by
wall and build-up C understanding return capillary refill:
of plaque as of condition -Reposition pt 2sec, radial pulse
shown by x-ray N regularly -to avoid skin ulceration 75bpm (palpable)
result E
E -Discuss health 2. Goal Met
Subjective Cues: D problem and -to promote cooperation -His diet is closely
-Extremities pain medication with the pt and compliance monitored, mild
and cramping exercises are
-Difficulty -Discuss importance of performed
ambulating lifestyle change - to allow continuous through
-Paresthesia Dependent: recovery and health care ambulation and
-Administer prescribed assisted exercises.
medications -to treat underlying
Objective Cues: condition 3. Goal Met
-Radial pulse: 52 -Administer fluid, - Patient
bpm (+1: barely electrolytes, nutrients, -to promote optimal verbalizes
palpable) and oxygen circulation and organ understanding of
-Capillary refill: Collaborative: function the disease and
3sec -Assist with demonstrates
-Pale medical/surgical -to treat underlying adherence to
procedures condition therapeutic
regiment and diet.

You might also like