Defi[Inability to speak]Inability to sit on or rise from toilet or commodeInability to fl●Inability to manipulate clothing for toiletingInability to get to toilet or commode [impaired mobility]Impaired ability to put on or take off necessary items of DefiInability to wash body or body parts; obtain or get to water Inability to bring food from a receptacle to the mouthdaily living ADLs independently]Possible Etiologies (“related to”)[Paralysis of body part][Inability to see][Inability to hear]Inability to carry out proper toilet hygienePain, discomfort^ sources; regulate temperature or flclothing; maintain appearance at a satisfactory levelclothing; obtain or replace articles of clothing; fasten SELF-CARE DEFICIT (IDENTIFY SPECIFIC AREA) ning Characteristics (“evidenced by”) nition: Impaired ability to perform or complete [activities of ush toilet or commode owSomatoform Disorders ●^187
2506_Ch09_176-190.indd Sec1:187 2506 Ch 09 176 - 190 .indd Long-term GoalBy discharge from treatment, client will be able to perform ADLs independently and demonstrate a willingness to do so. 3. Encourage independence, but intervene when client is unable Interventions with Goals/Objectives 4. Ensure that nonjudgmental attitude is conveyed as nursing 1. Assess client’s level of disability; note areas of strength SClient will perform self-care needs independently, to the extent that physical ability will allow, within 5 days. 2. Encourage client to perform normal ADLs to his or her level Short-term Goalec 1 assistance with self-care activities is provided. Rememberadequate plan of care for client.enhances self-esteem.and impairment. to perform.of ability.: 187 Successful performance of independent activities Client comfort and safety are nursing priorities.Selected RationalesThis knowledge is required to develop 1 10/1/10 9:35:20 AM 0 / 1 / 10 9 : 35 : 20 AM
