Ncp Cellulitis

Assessment Subjective:

Diagnosis Impaired

Planning Short Term: erm:

Interventions Ine!enent:

“Nahihirapan

physical

After  hrs of

- %stablish

-'o promote

akong lumipat

mobility related

nursing

rapport

cooperation

ng posisyon” as

to discomfort

intervention!

verbalizedby

patient will be

the patient

able to

-&onitor vital

participate

signs

Rationale

-'o have a baseline data

Objective:

willingly on

-'o prevent bed

-discomfort

necessary"desir

sores

-left leg swelling

ed activities#

-can’t move

-'urn patient every ( hours

- Improving the

without

Long Term: Term:

assistance

After $ day of

- &aintain

position of the

nursing

proper body

limb and

intervention!

position

prevent

functional

patient will be

contractures#

able to demonstrate a

- *educing

decrease in

-)ive the

muscle sti+ness

physiologic

medicine before

and tension

signs of

the activity "

enables the

Evaluation )oal was met#

intolerance

e,ercise#

patient to be more active and help participation#

- Note the

-%dema can

circulation!

a+ect circulatio

movement and

n in the

sensation in the

e,tremities!

lower

which is the

e,tremities

potential for

often#

tissue necrosis#

-Assist patient

-'o protect from

with activities

in.ury

-lan care with

-'o decrease

rest periods

fatigue / to

between

manage activity

activities and

within limits

increase activity gradually

Assessment Subjective:

Diagnosis Activity

Planning Short Term:

Interventions Ine!enent:

Rationale

--

intolerance

After 2 hrs of

- %stablish

-'o promote

Objective:

related to

nursing

rapport

cooperation

-body weakness

immobility

intervention!

-weak in

patient will be

-'o help to

appearance

able to do A01s

-&onitor vital

determine

-facial grimace

alone and

signs

patient’s

when moving

participate in

current health

-cannot perform

self-care

status

A01s

activities#

s

-'o protect from Long Term:

-Assist patient

After ( days of

with activities

nursing

in.ury

-'o determine

intervention!

-Assess ability

patient’s

patient will be

to do A01s

capacity

normal activity

-Assist in

-'o ma,imize

level and a

performing

full strength

able to maintain

Evaluation )oal was partially met#

decrease in

range of motion

physiologic

e,ercises

signs of intolerance