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Nursing Care Plan Student

  1. Nursing Diagnosis
  2. Expected Outcomes
  3. Nursing Interventions/Rationale
  4. Outcome Evaluation

The risk for injury r/t seizures amb gait and balance. The client will remain free from falls. The nurse will make sure that the call light is always in reach. This outcome of remaining fall free was met while disorders. I was at the hospital. Every time I went into, where the call light is when needing help.  I made sure the call light was on her table. Nure will place a “High Risk for Falls” sign above the client’s bed so|and the walker was next to the bed. The client also that any person that comes into the room to help assist is aware |reported no falls. The nurse will determine the risk for falls using the evaluation tool, which includes a client history of atrial fibrillation.

The nurse will place the walker near the bed to remind client to use walker when getting up to go to the bathroom. The nurse will explain how to use the walker, by moving the walker first, and then move the body to make sure the client knows how to use the walker. The nurse will also teach the client the importance of using the walker when walking through the halls in order to prevent the future. This outcome of using the walker was partial. The client will use a walker while in the hospital to falls, this will also help promote activity and will give the met. When reminded the client would use the get to the bathroom in order to maintain safety. client something else to do instead of laying in bed all day. After teaching her the importance of using the|walker and what could happen if she fell she said she would try to make it a habit.

The client will be educated on how to reduce it. The nurse will assess for additional factors leading to risk. This outcome was not fully met. I asked about the risk of falls at home. Falls because sometimes medications can increase the risk for her house and the hazards that were there for falls. Falls but I wasn’t able to talk about using. The nurse will teach the client the benefit of using nonskid |nonskid rugs or bathroom devices. But she rugs and safety devices in the bathroom. This is important to |understands the importance and will ask her to teach so that the client can recognize clutter and slippery daughter and physician when she is discharged. The nurse will instruct the client and daughter how to correct identified hazards to make sure everything that could cause a fall is prevented.

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