- I&O and daily weights
- Monitor blood and urine electrolytes and osmolality and blood glucose
- Measures to promote adequate nutrition
- Strategies to prevent injury
- Assessment of oxygenation
- Assessment of bladder and urinary output
- Assessment for constriction due to dressings and casts
- Pad side-rails
- Mittens to prevent self-injury; avoid restraints
- Strategies to prevent injury
- Reduce environmental stimuli
- Adequate lighting to reduce visual hallucinations
- Measures to minimize disruption of sleep-wake cycles
- Skin care
- Measures to prevent infection
- Maintaining body temperature
- Maintain appropriate environmental temperature
- Use of coverings—sheets, blankets to patient needs
- Administration of acetaminophen for fever
- Cooling blankets or cool baths; avoid shivering
- Support of cognitive function
- Support of family
- Provide and reinforce information
- Measures to promote effective coping
- Setting of realistic, well-defined, short-term goals
- Referral for counseling
- Support groups
tina sui
(Tina Sui)
#1