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READINESS FOR ENHANCED COMFORT Nursing Care Plan

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 noted as follows: Body temperature of 36.5 degrees Celcius, 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 enhaced comfort related to irritability and restlessness as manifested by irritability and presense of eyebags. (Restlessness is a condition when a person can not 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 the client is managing pain and pain components effectively. Success in this area usually address other issues or emotions such as far, loneliness, anxiety and anger. Ascertain what is used for comfort to rest such as head of bed up or down, music on or off, white noise, rocking motion, certain person thing.



Collaborate in treating medical conditions including oxygenation, elimination, mobility, cognitive abilities, electrolyte balance, thermoregulation, hydration, to promote physical stability. Work with client 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 such as nutrition, adequate flood intake, appropriate vitamin or iron supplement. Discuss potential complication and possible need for median follow-up care or alternative therapies. Timely recognition and intervention can prime wellness. Assist client to identify and acquire necessary equipment such as lift, chair, safety grab bars, personal hygiene supplies to meet individual needs.

Environmental

Provide quiet environment and calm activities. Provide for periodic changes in personal surroundings when client is confined. Use the individual's input in creating the changes such as seasonal bulletin boards, color changes, rearranging furnitures and pictures. Determine that client's environmental respects privacy and provides natural lighting and readily accessible view outdoors which an aspect that can be manipulated to enhance comfort. Create compassionate, supportive, and therapeutic environment incorporating client's cultural and age or developmental factors. correct environmental hazards that could influence 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 client understanding of client's diagnosis or prognosis and ongoing methods of managing condition, as appropriate and desired by client. Encourage age-appropriate diversionary activities such as TV,  radio, or playtime. Avoid over stimulation and understimulation.

EVALUATION
After 4 hours of nursing intervention, the patient was verbalized sense of comfort or contentment.

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