ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

EXPLANATION
SUBJECTIVE: IMPAIRED HPN, age, alcohol, DISCHARGE *Observe *to note any DISCHARGE
“eto nga at hianng PHYSICAL smoking PLAN: movement when incongruencies w/ PLAN:
hina siya, hindi na MOBILITY rt client is uaware of reports or abilities
niya magalaw ang neuromuscular ↓ After 2 week of observation After 2 week of
right side niya” as involvement (right Nursing Nursing
stated by the sided paresthesia) Thrombus Intervention the *schedule activities *to reduce fatigue Intervention the
significant other aeb inability to formation in he client will be able with adequate rest and increase client had been
purposefully move blood vessel to move and do periods during the comfort. able to move and
body parts. minimal task such day do minimal task
OBJECTIVE: ↓ as: such as:
-grade of 0 in the -go to the toilet * encourage *limit fatigue and -go to the toilet with
level of functioning with minimal energy conserving maximize minimal assistance
-paresthesia in the Obstruction to the assistance techniques for participation -ambulate
right side of the flow of blood -ambulate rising ADLs moderately
body moderately -eat without
-0/5 muscle ↓ -eat without *encourage *maximize energy assistance
strength in the assistance adequate intake of production and -do tooth brushing
RUE -do tooth brushing fluids and nutritious aides in fast without assistance
-1/5 muscle Metabolic acidosis, without assistance foods like: fruits recovery.
strength in the RLE anaerobic and vegetables. SHORT TERM:
-impaired respiration SHORT TERM:
coordination *Plan for *Helps to minimize After 1 week of
-inability to ↓ After 1 week of progressive frustrations and Nursing
purposefully move Nursing increase of activity rechannel energy. Intervention the
body part Intervention the level/ participation Significant other
Destruction of Significant other in exercise, training had been able to
neurons will be able to as tolerated by the verbalize
verbalize client, such as: understanding of
↓ understanding of -performing ROM the situation and
 the situation and exercise daily individual treatment
individual -and practice regimes and safety
Weakness of the treatment regimes eating without measure.
right side of the and safety assistance
body measure.
*Adjust activities to *Both activity
↓ the capacity of a tolerance and
post c/s, such as: health status may
-performing ROM improve with
Right sided exercise progressive
paresthesia -turning to sides training.

↓ COLLABORATIVE:
*consult w/ *to develop
physical therapist individual exercise/
IMPAIRED mobility program
PHYSICAL and identify
MOBILITY appropriate
devices

-BRUNNER, 1623 *Administer *to increase blood

citicoline 1000mg flow and neuronal
BID as prescribe commuication