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 every day. 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:
"I'm bored, I wish there is something I can do," as verbalized by the patient.
Objectives:
The patient is
lethargic, inattentive, and 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 Celsius, 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.
- Continue appropriate
actions to engage with her concomitant conditions such as anxiety and
depression poor grief because these can interfere with 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 bath time, 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.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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