Nursing Nursing Inferenc Desired Nursing Rationale Evaluatio

Assessment Diagnosis e Outcome intervention n

Subjective cues: Self-care deficit Fracture of Short term Independent:
“Hindi n ako related to the femur goal : After 1 hour
nakakapaligo ng bathing as on the left Assess ability to To know the ability of of nursing
maayos” as evidenced by a side After 1 hour of carry out ADLs (e.g., the patient and to intervention
verbalized by the musculoskeletal nursing groom, bathe, toilet, determine the the patient
patient. impairment as intervention transfer, and aspects of self care now
manifested by the patient will ambulate) on regular that is problematic to experience
poor able to basis the patient. comfort and
Objective cues: performance of Presence of experience know the
good hygiene. traction on comfort and Assess specific cause Different etiological importance
 Discomfort the left know the of each deficit (e.g., factors may require of good
 Unpleasant limb. importance of weakness, visual more specific hygiene
Odor good hygiene problems, cognitive interventions to
 Unfixed Hair impairment). enable self-care “ met”
 Dry Hair
Unable to
 Presence of
move left
Dandruff
extremity
 Presence of Assess patient’s need This increases
Traction on for assistive devices. independence in
the left limb ADLs performance.
Set short-range goals
Impaired with patient Assisting the patient
ability to to set realistic goals
perform will decrease
good frustration.
hygiene Encourage
(bathing) independence as An appropriate level
appropriate. of assistive care may
prevent injury with
activities without
causing any un-
Self care- needed frustration.
Deficit Provide positive
reinforcement for all
activities attempted Provides the patient
by the patient. with an external
source of positive
reinforcement.

Emphasized that
bathing is important
in daily living.

Kristine V.Coronacion Collaborative :

PHCM
Review instructions
from other members
of the healthcare Provides clarification,