(^) 6. Bathe client, or assist with bath, depending on his or her level 7. Assist client with dressing, oral hygiene, combing hair, and 8. Provide bedpan, commode, or assistance to bathroom as 11. Encourage client to discuss feelings regarding the disability 9. Provide positive reinforcement for ADLs performed inde- 10. Take precautions against fostering dependency by inter- 5. Feed client, if necessary, and provide assistance with con- that the physical symptom is real to the client. It is not with-in the client’s conscious control. of ability. the purpose this disability is serving for him or her. dividual may help client fulfiapplying makeup, as required. and the need for dependency it creates. Help client to see nursing priorities.interferes with the nurse’s ability to provide therapeutic determined by client’s level of ability. care for this client.safety are nursing priorities.tainers, positioning, and other matters, as required. pendently. gains and delay recovery from the disability.encourages repetition of desired behaviors.disclosure and exploration of feelings with a trusted in-comfort and safety are nursing priorities.vening when client is capable of performing independently. Allow ample time for client to complete these activities to the best of his or her ability without assistance. the client to maintain dependency may provide secondary Client comfort and safety are nursing priorities.Positive reinforcement enhances self-esteem and ll unmet needs and confront Client comfort and safety are A judgmental attitude Client comfort and Allowing Client Self-
● 1. Client feeds self without assistance. 2. Client selects appropriate clothing and dresses and grooms Defi 3. Client maintains optimal level of personal hygiene by bathing Outcome Criteriato a specifi c topic. assistance.daily and carrying out essential toileting procedures without DEFICIENT KNOWLEDGE (PSYCHOLOGICAL CAUSES FOR PHYSICAL SYMPTOMS)self daily. nition:unresolved issues. Absence or defi ciency of cognitive information related
188 ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
2 2506_Ch09_176-190.indd Sec1:188 506 Ch 09 176 - 190 .indd Sec 1 : 188 10/1/10 9:35:20 AM 10 / 1 / 10 9 : 35 : 20 AM