Mrs. Araneta got a free
body massage coupon from her credit card issuer. She availed it before the Holy
week from a popular massage spa 400 miles away from her hometown. 3 days after
she availed the coupon, she got high-grade fever and muscle weakness. She
admitted at the same day and diagnosed with dengue virus. Mrs. Araneta needs to
confine until her platelet levels return to normal. This is a nursing care plan
sample about readiness for enhanced comfort nursing care plan of Mrs. Araneta,
41 years old, sales marketer.
ASSESSMENT
Subjective:
"I wish I could feel comfortable in this room," as verbalized by the
patient.
Objectives:
The patient is irritable, restlessness, and prolonged sitting and standing than reading at be. The patient has a stressed appearance, dry skin and mouth and have enlarged eye bag. Vital signs are taken and noted as follows: Body temperature of 36.5 degrees Celsius, blood pressure of 110/70 mmHg, respiratory rate of 20 cycles per minute, pulse rate of 88 beats per minute. All of his/her vital signs are within the normal range.
DIAGNOSIS
Readiness for enhanced
comfort related to irritability and restlessness as manifested by irritability
and presence of eye bags. (Restlessness is a condition when a person cannot
find his/her comfort).
PLANNING
After 4 hours of nursing
intervention, the patient will be able to verbalize sense of comfort or
contentment.
INTERVENTION
Physical
- Verify that Mrs. Araneta is managing pain and pain components effectively. Success
in this area usually addresses other issues or her emotions such as far,
loneliness, anxiety and anger. Ascertain what she is used for comfort to rest
such as head of bed up or down, music on or off, white noise, rocking motion, and
certain person thing.
- Collaborate in treating medical conditions
including oxygenation, elimination, mobility, cognitive abilities, electrolyte
balance, thermoregulation, hydration, to promote her physical stability. Work
with Mrs. Araneta to prevent pain, nausea, itching, thirst and other physical
comfort. Suggest patent to be present during procedures to comfort child.
Provide age-appropriate comfort measures such as back rub, change position, cuddling,
use of heat or cold to provide non-pharmacological pain management.
- Promote overall health measures of Mrs.
Araneta such as nutrition, adequate food intake, appropriate vitamin or iron
supplement. Discuss with her the potential complication and possible need for
median follow-up care or alternative therapies. Timely recognition and
intervention can prime wellness. Assist Mrs. Araneta to identify and acquire
necessary equipment such as lift, chair, safety grab bars, and personal hygiene
supplies to meet individual needs.
Environmental
- Provide quiet environment and calm activities. Provide for periodic changes
in personal surroundings when Mrs. Araneta is confined. Use the patient's input
in creating the changes such as seasonal bulletin boards, color changes,
rearranging furniture and pictures. Determine Mrs. Araneta's environmental
respects privacy and provide her with natural lighting and readily accessible
view outdoors which an aspect that can be manipulated to enhance comfort.
Create compassionate, supportive, and therapeutic environment incorporating her
cultural and age or developmental factors. Correct environmental hazards that
could influence her safety or negatively affect comfort. Arrange for home visit
or evaluation as needed. Discuss long-term plan for taking care of needs.
Sociocultural
- Ascertain meaning of comfort in context of interpersonal, family cultural
values, and societal relationships. Validate Mrs. Araneta's understanding of
her diagnosis or prognosis and ongoing methods of managing condition, as
appropriate and desired by her. Encourage age-appropriate diversionary
activities such as TV, radio, or playtime. Avoid over stimulation and under
stimulation.
EVALUATION
After 4 hours of nursing intervention, the patient was verbalized sense of comfort or contentment.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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