Goals/Objectives[Unwillingness to bathe regularly]Interventions with willingness to do so by time of discharge from treatment.[Excessive ritualistic behavior][Disabling anxiety][Irrational fears] DefiClient will be able to take care of own ADLs and demonstrate a 1. Urge client to perform normal ADLs to his or her level of [Uncombed hair; dirty clothes; offensive body and breath odor; [Eating only a few bites of food off meal tray][Lack of interest in selecting appropriate clothing to wear, Long-term Goal[Incontinence]^174 Short-term GoalClient will verbalize desire to take control of self-care activities within 5 days.tory level]dressing, grooming, or maintaining appearance at a satisfac-disheveled appearance]^ ability. enhances self-esteem. ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSuccessful performance of independent activities Selected Rationales
2 2506_Ch08_161-175.indd 0174 506 Ch 08 161 - 175 .ind 7. If client is incontinent, establish routine schedule for toilet- 5. Keep strict records of food and fl 3. Offer recognition and positive reinforcement for independent 2. Encourage independence, but intervene when client is unable^ 6. Offer nutritious snacks and fl 4. Show client how to perform activities with which he or she is d 0 and may therefore require additional nourishment at other be unable to tolerate large amounts of food at mealtimes schedule, as need is determined, until he or she is able to ing needs. Assist client to bathroom on hourly or bihourly is necessary to formulate an accurate nutritional assessment.fulfitimes during the day to receive adequate nutrition.accomplishments. (to perform. performed without diffisimple, concrete demonstrations of activities that would be clean dress and combed your hair.”) enhances self-esteem and encourages repetition of desired having diffibehaviors. 174 ll this need without assistance. culty. Client comfort and safety are nursing priorities.When anxiety is high, client may require Example: culty under normal conditions. “Mrs. J., I see you have put on a uids between meals. uid intake. Positive reinforcement This information Client may 1 10/1/10 9:35:06 AM 0 / 1 / 10 9 : 35 : 06 AM