- Assess patient's functional, cognitive, and perceptual level at established intervals. Document and report any changes. Ongoing assessment allows you to identify changing needs and adjust interventions accordingly.
Observe patient's functional, perceptual, and cognitive level every shift; document and report any changes. Careful observation helps you adjust nursing actions to meet patient's needs.
Perform the prescribed treatment for underlying condition. Monitor patient's progress, reporting favorable and adverse responses to treatment. Applying therapy consistently aids patient's independence.- Encourage patient to voice feelings and concerns about self-care deficits to help patient achieve the highest functional level possible.
- Monitor the completion of bathing and hygiene daily, offering direction and instruction as needed. Praise patient's accomplishments. Reinforcement and rewards may encourage renewed effort.
- Allow ample time to perform self-care. Encourage child to complete each task. Provide constructive feedback. Rushing creates unnecessary stress and promotes failure. Completing a task without assistance promotes self-confidence. Positive feedback encourages progress.
- Provide privacy for self-care activities. Providing privacy fosters patient dignity.
Provide safety equipment such as nonslip mats, grab bars, and shower seats to promote safety. - Provide assistive devices, such as a long-handled toothbrush, for bathing and hygiene; instruct patient on use. Appropriate assistive devices encourage independence.
- Assist with or perform bathing and hygiene daily. Assist only when patient has difficulty to promote feeling of independence.
- Instruct patient and family members in bathing and hygiene techniques (you can give family members written instructions). Have patient and family members demonstrate bathing and hygiene under supervision. Return demonstration identifies problem areas and increases patient's and family members' self-confidence.
As needed, refer patient to a psychiatric liaison nurse, support group, or home health care agency. These extra resources will reinforce activities planned to meet patient's needs.
Suggested NIC Interventions
Bathing; Behavior Modification; Discharge Planning; Ear Care; Foot Care; Hair Care; Nail Care; Self-Care Assistance; Teaching: Individual |