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Develop a Plan of Care for this patient that includes: 2 Nursing Diagnosis 2 goals for...

Develop a Plan of Care for this patient that includes:

2 Nursing Diagnosis

2 goals for each Nursing Diagnosis

Interventions with rationales

for the older adult

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Answer #1

Older adults are generally defined according to a range of characteristics including :-

- chronological age

- change in social role

- changes in functional ability

In many countries ,older age is defined in relation to retirement period at 60 or 65years . With increasing age the body organ functioning capacity decreases and people have many sensory impairments

Nursing diagnosis and nursing interventions with goals are:-

1.Nursing diagnosis - Risk for injury related to sensory impairment

Goal - To prevent injury due to sensory impairment

Nursing interventions with rationale are :-

- Assess the vitals of the older adults to identify any changes in vitals signs as early as possible .

- Have calenders and proper lighting of the rooms to keep the older people oriented to time ,place and person.

- Keep the rooms of older people properly lightened to avoid injury .

- Keep the floors of the bathrooms and toilet due to avoid injury by slipping.

- Have side bars in the bathrooms and toilet to avoid fall .

- Keep the height of the beds low to avoid fall .

- Never leave them alone to avoid injury

- Keep an alarm near by them so, that in emergency they can call others for help by pressing the alarm button

- Keep the necessary articles like glass of water , spectacules nearby them to make them independent .

2 Nursing diagnosis - Impaired skin integrity related to immobilization

Goal - To prevent pressure ulcer related to immobility

Nursing interventions with rationale are:-

- Assessment of ulcer prone areas like elbow ,buttocks etc to identify it at early stage

- Change the position of the patient every two hourly to allow blood circulation

- Use of comfort devices to maintain proper position

- Provide back care to keep the skin moisture and for proper blood circulation

- Provide diet enriched with protein and vitamins helps in wound healing

- Increase fluid intake to avoid constipation related to immobility

- Assess for any bed sores and if present provide bed sore care and do the dressing .

- Encourage mobility by initially starting with range of motion exercises for proper blood circulation

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