Possible Etiologies (“related to”)Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence Inability to put on clothingInability to wash body DefiCognitive impairmentMusculoskeletal impairmentInability to bring food from receptacle to mouthdaily living] for self DefiOutcome Criteria 1. Client has experienced no physical harm. 2. Client responds to attempts to inhibit agitated behavior. ●[Inability to toilet self without assistance]^ c. Pad side rails and headboard of client with history of SELF-CARE DEFICITd. Prevent physical aggression and acting out behaviors b. Store items that client uses frequently within easy reach. nition: ning Characteristics (“evidenced by”)by learning to recognize signs that client is becoming seizures.agitated. Impaired ability to perform or complete [activities of ●^17
2506_Ch02_014-053.indd Sec1:17 2506 Ch 02 014 - 053 .indd 2. Offer positive feedback for efforts at assisting with own^ 1. Identify aspects of self-care that may be within client’s S 3. When one aspect of self-care has been mastered to the Goals/ObjectivesLong-term GoalShort-term GoalClient will have all self-care needs met.Interventions with Client will be able to participate in aspects of self-care.ec 1 capabilities vary so widely, it is important to know each self-care. client individually and to ensure that no client is set up best of client’s ability, move on to another. Encourage inde-pendence but intervene when client is unable to perform. Provide simple, concrete explanations.capabilities. Work on one aspect of self-care at a time. encourages repetition of desirable behaviors.ent comfort and safety are nursing priorities.to fail.: 17 Positive reinforcement enhances self-esteem and Selected Rationales Because clients’^ Cli-10/1/10 9:33:16 AM 10 / 1 / 10 9 : 33 : 16 AM
