PLEASE HELP TO DEVELOP CARE PLAN FOR GIVEN CASE’S PT
1.Priority nursing diagnosis (problem , related to…). Objective data AMB /AEB
2.Least at least 2 realistic goals and outcomes
3.Interventions r/t (Sprecific , realistic , measurable)
4.Rationale
5.Evaluation of goal/outcome (met , not met , any changes to do)
It is the fourth day following Mrs. Baptista’s abdominal surgery. She is progressing well, is ambulating several times a day, has been providing for her own hygienic needs and planning on going home tomorrow. During your early morning assessment, you note that Mrs. Baptista’s hair is oily and matted and she has an unpleasant body odor. Her dentures in a container at the bedside are in need of cleaning. You check her abdominal incision and verify that there is no drainage, redness or signs of infection. You inquire about her ability to take care of her own bath and personal needs, and offer to assist her with her bath. She replies that she had a bath yesterday and doesn’t feel that she needs one today, and request to omit her personal care for Today.
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