DIAGNOSIS SUBJECTIVE Self-Care Deficit Short Term Goal: 1. Assess patients strength 1. The patient may only need Short Term Goal: CUES: related to Within 4 hours of to accomplish ADL’s with some self care measures After 4 hours of Flat affect Cognitive nursing intervention efficiently 2. Various etiological factors may nursing No verbal response Impairment the patient will be able 2. Determine the specific need more explicit intervention the to execute self-care cause of each deficit, interventions to enable self- patient was able to OBJECTIVE measures to outmost such as weakness, care execute self-care CUES: capability cognitive impaired 3. This may imply the demand measures to Inability to bathe/ 3. Monitor impulsive for supplementary outmost capability groom self Long Term Goal: behavior and actions interventions and management independently Within 1 week of indicative of altered- to guarantee safety and Long Term Goal: Poor personal nursing intervention judgment security Within 1 week of hygiene the patient will be able 4. Established short term 4. Helping the patient by setting nursing Dry/Flakes skin to develop effective goals with the patient realistic goals will reduce intervention the observed skills in performing 5. Present positive frustration patient was able to ADL’s/self-care reinforcement for all 5. External resources of positive develop effective measures activities attempted, note reinforcement may promote skills in independently partial achievements ongoing efforts. Patients often performing 6. Render supervision for have difficulty seeing progress ADL’s/self-care each activity until the 6. The patient’s ability to perform measures patient exhibits skill self-care measured may change independently as effectively and is overtime and will need to be evidenced by independently assessing regularly. patient initiating to 7. Implement measure to 7. An appropriate level of perform promote independence, assistive care can prevent ALD’s/self-care but intervene when the injury from activities without measures patient cannot function causing frustration effectively. 8. Boost maximum 8. The goal of rehabilitation is confidence, instruct the one of achieving the highest patient on how to level of independence possible perform self-care 9. An established routine measure becomes route and require less 9. Established regular efforts. This helps patients routines and allow organize and carry out self- adequate time for the care skill patient to complete task 10. A plan that balances periods of 10. Mange regular activities activity with periods of rest so the patient is rested can help the patient complete before the activity the desired activity without fatigue and frustration.
Date: 26 July 2019 Ms Zohra Shiraz Contractor Saidunnisa House, 2Nd FLR, Flat No 12,48/A, Naushir Bharucha Marg, Opp Grant Road Rly STN West Mumbai Mumbai 400007 Maharashtra