CUES

NURSING
DIAGNOSIS

Subjective
cues:
The patient
verbalized,
Nuay gane yo
aki kosa ta
pwede ase.
Man kwento
unrato acabar
durmi-durmi
lang.
(I have nothing
to do here. Talk
a little then
sleep.

Deficient
diversional
activity related
to decreased
engagement in
recreational
and leisure
activities.

Objective Cues:
Patient is
often seen lying
on bed,
sleeping and
resting. He
looks eager to
do something
when awake
but is incapable
of doing so due
to his cast. He

GOAL AND
OUTCOME
CRITERIA
After 8 hours of
nursing
intervention, the
patient will be able
to:
Express interest
in using leisure
time meaningfully.
Express interest
and participate in
activities that can
be provided (listen
to radio or music
daily).
Report
satisfaction with
use of leisure time.

INTERVENTION &
RATIONALE

Assess leisure activity

preferences. Identify the
type of things patient
prefers to do.
Rationale: To encourage
the patients interest.
Seek help from family to
provide resources that
relieves boredom and
stimulates interest. Provide
supplies and set time to
indulge in hobby.
Allow patient to select
activity from given options,
Communicate patients
desires to his watcher.
Ask volunteers (friends,
family, or hospital
volunteer) to read story,
books, or magazines to
patient at specific times.
Engage patient in
conversation while
carrying out routine care.
Discuss patients favorite
topics as much as possible.
Rationale: Personal contact
helps alleviate boredom.

IMPLEMENTATION

Determined what activities

that interest the patient and
may help him minimize his
boredom.
Asked the family if they
have some resources that
they might have brought to
stimulate the mind of the
patient such as toys, games
on cellphone and writing
materials.
Allowed patient to select
activity from given options
to stimulate thinking.
Assisted the patient with
activities such as writing
and drawing,
Communicated the patients
desires to his watcher.
Advised to watcher to tell
the patient some stories to
divert his attention.
Talked with the patient as
much as possible during the
entire shift.

EVALUATION

Goals are met.

After 8 hours,the
client was able to
express interest in
using leisure time
meaningfully,
express interest
and participate in
activities that can
be provided and
report satisfaction
with use of leisure
time.

talks to other
patients
randomly to set
aside his
boredom.

NURSING CARE PLAN

NURSING CARE PLAN

Conversation conveys
caring and recognition of
patients worth.

CUES

NURSING
DIAGNOSIS

Subjective cues:
The patient
verbalized, Hinde
yo ta pwede ase
menya mio pies. (I
cant move my feet.)

Impaired
physical
mobilty
related to loss
of integrity of
bone
structures

Objective cues:
Limited range of
motion
Slowed
movement
Limited ability to
perform gross
and fine motor
With cast on left
leg.
The watchers
tend to the
patients needs.
The watcher
carries the
patient when
needed.

GOAL AND
OUTCOME
CRITERIA
After 8 hours of
nursing
intervention,
the patient will
be able to:

Verbalize
the
understandi
ng of the
situation
and
individual
treatment
regimen and
safety
Maintain
position and
function of
skin
integrity as
evidence of
absence of
any ulcers.
Maintain
and
increase the
function of
affected

INTERVENTION & RATIONALE

Determine factors that contribute to

immobility.
Rationale: To identify contributing
factors
Note presence of fractures
Rationale: Because it may restrict
movement
Determine the degree of immobility
in relation to suggested scale
Rationale: assess functional
mobility
Determine presence
of complications related to
immobility
(pneumonia,eliminationproblems,de
cubitus)
Rationale: To assess presence
of complications
Assist client in the reposition the
self on a regular schedule.
Rationale: To promote optimum
level of function and prevent
complications.
Support affected body part using
pillows
Rationale: To maintain position and
function and reduce risk of pressure
ulcers.
Encourage adequate intake of fluids
and nutritious food.

IMPLEMENTATION

Assessed different
contributing factors
related to immobility.
Noted the presence of
fractures.
Determined the
degree and the
presence of
complications that are
related to immobility.
Assisted client into a
comfortable position
on a regular schedule.
Placed support on the
affected part to
reduce the risk for
pressure ulcers.
Advised patient to
drink plenty glass of
water and eat
nutritious food for fast
healing.

EVALUATION

Goals are met.

After 8 hours of
nurse-patient
interaction, the
patient will be
able to
verbalize the
understanding
of the situation
and individual
treatment
regimen and
safety,
maintain
position and
function of skin
integrity as
evidence of
absence of any
ulcers. and
finally maintain
and increase the
function of
affected part.

part.

Rationale: It promote well-being

and maximizes energy production.