Mrs. Rose was admitted in a public hospital 2 years ago for having a lot of complications due to her type-2 diabetes. She is bedridden now and her left leg were amputated below her knee with lots of gangrene which nurses needs to clean everyday. Mrs. Rose endures the pain she feels everyday just to live much longer because all she wanted is to see her youngest daughter in her 18th birthday. Below is an example of nursing care plan of Mrs. Rose with deficient diversional activity.
ASSESSMENT
Subjective:
Objectives:
The patient is lethargic, inattentive, restless and lack of interest in eating. When you feel lethargic, you are sluggish and lacking of energy. It makes anything hard to be done when you are lethargic. Vital signs was taken and noted as follows: Body temperature is 36.8 degrees Celcius, blood pressure is 120/80 mmHg, respiratory rate is 16 cycles per minute, and pulse rate of 90 beats per minute. Only his/her respiratory rate is normal, his/her pulse rate is below normal range, the client's body temperature is above normal and also the blood pressure which is categorize as pre-hypertension.
DIAGNOSIS
Deficient diversional activity related to boredom as manifested by lethargy and inattentiveness.
PLANNING
After 4 hours of nursing intervention, the patient will engage in satisfying activities within personal limitation. (Time frame may increase since this kind of deficiency does not overcome so easily and quick. It may gradually manage over time.)
INTERVENTION
- You must determine the Mrs. Rose's actual ability to participate in available activities. Review her physical, cognitive, emotional, and environmental status. With this, it can validate her reality of environmental deprivation when it's exists or considers potential for loss of her desired diversional activities in order to plan for prevention or early interventions.
- Note her age and the developmental level, gender, cultural factors, and the importance of a given activity in Mrs. Rose's life in order to support her participation in something which promotes her self-esteem and personal fulfillment.
- After that, provide comparative baseline for her assessment and intervention to check for any disability and illness in lifestyle. Establish therapeutic relationship to Mrs. Rose and support hopeful emotions by acknowledging reality of situation and feelings of her. Review history of lifelong activities and hobbies she has enjoyed. Discuss reasons Mrs. Rose is not doing these activities now and determine whether she would like to resume these activities.
- Note her age and the developmental level, gender, cultural factors, and the importance of a given activity in Mrs. Rose's life in order to support her participation in something which promotes her self-esteem and personal fulfillment.
- After that, provide comparative baseline for her assessment and intervention to check for any disability and illness in lifestyle. Establish therapeutic relationship to Mrs. Rose and support hopeful emotions by acknowledging reality of situation and feelings of her. Review history of lifelong activities and hobbies she has enjoyed. Discuss reasons Mrs. Rose is not doing these activities now and determine whether she would like to resume these activities.
- Continue appropriate actions to engage with her concomitant conditions such as anxiety, depression poor grief because these interfere Mrs. Rose's ability to engage in meaningful diversions activities. Encourage Mrs. Rose to assist in scheduling required and optional activities such as if her favorite TV show occurs at bathtime, reschedule bath for a later time. Structure the Mrs. Rose's schedule according to her wishes for time of care, relaxation and promotional activities. This could increase Mrs. Rose's sense of control. Refrain from making changes in her schedule without discussing it with her. This is very important for staff to be responsible in making and following through on commitments to Mrs. Rose.
EVALUATION
After 4 hours of nursing intervention, the patient engaged in satisfying activities within his/her personal limitations.
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