NURSING EXPECTED ASSESSMENT ACTION TEACHING

DIAGNOSES PATIENT interventions: interventions: interventions:

OUTCOMES (consider orders, (consider home
(note priority (assess / monitor for )
safety, allergies, regimens,
for each below) Be sure they are
code status, fall risk, procedures,
S. M. A. R. T.
(Be sure to use etc.) discharge plan, etc.)
(Specific,
related to and
measureable,
as evidenced
achievable/
by)
attainable,
relevant and
time-bound)

Social isolation Pt will Assess for hearing, which is Assist resident in Provide information
r/ ineffective participate in a common reason for identifying specific to resident about
coping, group activities feelings of social isolation activities that senior citizen
absence of with friends, and depression, and is encourage community groups
support system such as having relevant to the pts socialization such as or religious
AEB pts desire tea and cookies medical history. having lunch with (Protestant) groups
to be alone, during shift. friend from third to be involved with.
Assess for changes in
statements of floor, sitting on
Patient will mood or depression while Provide resident
All of my porch, or
identify feelings listening to the patients with therapeutic
family is gone, I participating in
of isolation and feelings and concerns. techniques to relax
am ready to go dominos or checkers
grieving for and cope with
be with them, Monitor for barriers to with other
family and feelings of grief
and pt hesitant social isolation such as lack residents.
express them such as the lighting-
to participate in of encouragement to
during shift. Identify available therapy room.
group activities participate in group
support systems
or eat lunch activities, lack of social
and involve those
with friend support/family/friends.
individuals in
from third
patients care, such
floor.
as any close
relatives that could
visit or
friends/neighbors.

Chronic pain r/t Pt will provide a During initial assessment, Administer Teach resident that
chronic description of ask patient about pain and analgesics around if pain, arthritic or
progression of the pain, when assess location, temporal the clock for otherwise, is
joint it is worse, the aspects, intensity, continuous pain and consistently above
deterioration location, what characteristics, and impact PRN for comfort-goal, the
and chronic makes it better, of pain on function and breakthrough pain. resident should
musculoskeletal what type of quality of life. Also administer notify a member of
condition AEB pain it is during topical gel 2X daily the health-care
Assess chronic pain
pt stating My shift. on lower extremities team such as a CNA,
regularly (morning, night,
knees hurt all to help with and LPN, or RN, so
Pt will report and when giving daily
the time. prevent joint pain. treatment may be
that the pain assessments/administering
revised.
management meds), and assess impact In addition to
regimen (topical of pain on activity, sleep, administering Demonstrate use of
gel and eating habits, and social analgesics, support appropriate
acetaminophen) aspects such as the residents use of nonpharmacological
achieves participating in activities nonpharmacological approaches in
comfort- or spending time with methods to help addition to
function friends. control pain, such as pharmacological
goal/pain relief distraction with old approaches for
without the movies, helping control
occurrence of participation in pain, such as
side effects. activities, distraction
relaxation, and techniques,
imagery. relaxation
breathing, listening
to music, and
watching television.