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Patriarca, Janna Mae H. Nursing Care Plan Client: Mr. Ying

The nursing care plan is for an 84-year-old patient, Mr. Ying, who is at risk of falling due to dizziness when moving or standing up. The nursing diagnosis is risk of fall related to dizziness. The plan is to keep the patient free from falling incidents by securing bed and chair side rails, advising on the use of an assistive device and moving slowly when standing up. This intervention aims to promote safety and prevent dizziness-induced falls through protection, balance support and gradual blood pressure adjustment. The evaluation found the patient had no falls and understood the preventive measures.

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janna mae patriarca
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2K views1 page

Patriarca, Janna Mae H. Nursing Care Plan Client: Mr. Ying

The nursing care plan is for an 84-year-old patient, Mr. Ying, who is at risk of falling due to dizziness when moving or standing up. The nursing diagnosis is risk of fall related to dizziness. The plan is to keep the patient free from falling incidents by securing bed and chair side rails, advising on the use of an assistive device and moving slowly when standing up. This intervention aims to promote safety and prevent dizziness-induced falls through protection, balance support and gradual blood pressure adjustment. The evaluation found the patient had no falls and understood the preventive measures.

Uploaded by

janna mae patriarca
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
  • Nursing Care Plan

PATRIARCA, JANNA MAE H.

NURSING CARE PLAN

CLIENT: MR. YING

ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION


DIAGNOSIS
Risk of fall Patients would a) Secure side rails in a. Side rails have The patient was free
Objective : related to be free from patient’s bed and been shown to of falling accidents
o elderly 84years old dizziness when falling incidence chair. protect patients and he could
o recommended to use moving up or after nursing b) Advice the patient and from falling either comprehend the
assistive device like cane standing up as interventions. family members to in hospital or at preventive measures.
or walker, evidenced use the help scheme home.
o Vital Signs (BP can feeling of and describe its b. Assistive device
indicate orthostatic dizziness upon advantages. can help the
hypotension), standing up. balance of
o Patient claimed dizziness patients to move
when standing up in the c) Advise the client to
around safely.
past year. move slowly when
getting up and wait for
c. This will
Subjective : awhile on a sitting
position before promote blood
o "Sometimes I feel circulation and
unsteady when I am standing up
prevent dizziness-
walking". induced
orthostatic
o "I use or have been hypotension.
advised to use a cane or
walker to get around
safely".

PATRIARCA, JANNA MAE H. NURSING CARE PLAN CLIENT: MR. YING ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVA

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