Risk for injury: falls related to increased activity.
Goal:
The customer does non fall.
Intervention:
1. Explain to the customer nearly the causes of rheumatic pains / aches.
R /: to empathize the causes of work / curve.
2. Provide non-pharmacological measures to eliminate fatigue inwards the legs such every bit massage.
R / tin flaming get hurting inwards the leg.
3. Avoid doing heavy activity.
R / tin flaming trim ached at the pes area.
4. Avoid foods that comprise nuts.
R / tin flaming forestall arthritis.
5. Teach the pes past times non using footwear inwards the morning.
2. Acute Pain: (headaches / dizziness) related to fatigue.
Goal:
headaches / dizziness is reduced
Expected outcomes are:
1. Explain to the customer nearly the displace of headaches / dizziness.
R /: to empathize the displace of headaches / dizziness.
2. Provide a description of the kx nearly the side effects of taking medications also often.
R /: empathize the side effects of medication.
3. Give nonfarmakologi activity to eliminate the headaches, such every bit a mutual depression temperature compress on the forehead, dorsum as well as cervix massage, a quiet, dim the lights, relaxation techniques.
R /: salve headaches.
4. Give analgesics every bit indicated.
R /: to assistance salve headaches.
3. Activity intolerance related to imbalance of O2 supply: weakness.
Goal:
1. Review of daily activities.
2. Teach for leg exercises every hr / ROM.
3. Teach ± sit 3-5 minutes earlier standing as well as walking.
4. Increased frequency of activity as well as distance gradually.
5. Risk for infection related to the state of nutrition: state of immunity.
Goal:
1. Teach to minimize contact as well as pathogens.
2. Explain the postulate to keep hygiene
(For example: Shower every day, oral care).
3. Examine the rima oris as well as pharynx amongst signs of infection.
4. Teach drinking 200cc/hari.
5. Strive to amend nutrition, diit enough.
6. Provision of adequate vitamins as well as minerals. Sumber http://nanda-nursinginterventions.blogspot.com/
Goal:
The customer does non fall.
Intervention:
1. Explain to the customer nearly the causes of rheumatic pains / aches.
R /: to empathize the causes of work / curve.
2. Provide non-pharmacological measures to eliminate fatigue inwards the legs such every bit massage.
R / tin flaming get hurting inwards the leg.
3. Avoid doing heavy activity.
R / tin flaming trim ached at the pes area.
4. Avoid foods that comprise nuts.
R / tin flaming forestall arthritis.
5. Teach the pes past times non using footwear inwards the morning.
2. Acute Pain: (headaches / dizziness) related to fatigue.
Goal:
headaches / dizziness is reduced
Expected outcomes are:
- Headaches / dizziness is reduced.
- Not nervous.
- Not pale.
- Can non sleep.
- No pacing.
1. Explain to the customer nearly the displace of headaches / dizziness.
R /: to empathize the displace of headaches / dizziness.
2. Provide a description of the kx nearly the side effects of taking medications also often.
R /: empathize the side effects of medication.
3. Give nonfarmakologi activity to eliminate the headaches, such every bit a mutual depression temperature compress on the forehead, dorsum as well as cervix massage, a quiet, dim the lights, relaxation techniques.
R /: salve headaches.
4. Give analgesics every bit indicated.
R /: to assistance salve headaches.
3. Activity intolerance related to imbalance of O2 supply: weakness.
Goal:
- Able to create the activity.
- Not tired.
- Do non bother.
- Vital signs are normal.
1. Review of daily activities.
2. Teach for leg exercises every hr / ROM.
3. Teach ± sit 3-5 minutes earlier standing as well as walking.
4. Increased frequency of activity as well as distance gradually.
5. Risk for infection related to the state of nutrition: state of immunity.
Goal:
- There was no infection.
- Normal trunk temperature (36-370C).
- There is no redness, irritation to a greater extent than or less the wound.
- Normal leucocytes (10,000 thousand 4500-I)
1. Teach to minimize contact as well as pathogens.
2. Explain the postulate to keep hygiene
(For example: Shower every day, oral care).
3. Examine the rima oris as well as pharynx amongst signs of infection.
4. Teach drinking 200cc/hari.
5. Strive to amend nutrition, diit enough.
6. Provision of adequate vitamins as well as minerals. Sumber http://nanda-nursinginterventions.blogspot.com/