1. Oral odor due to forgetfulness related to depression. 1.resident be well groomed and dressed properly with no body odors during the stay. 1.provide resident assistance and daily reminders to brush the teeth/bathing etc. 1.
slowed thinking and forgetfulness can make simple tasks harder. 2.risk of skin impairment due to hyperthyroidism 2. make sure resident show no skin injuries through the stay 2.limit the residents salt consumption 2. to lower tissue edema. 3.activity intolerance due to facet of medication related to high blood pressure.
3. Make sure resident display tolerances for the duration of physical activities throughout the stay. 3.
allow the resident take longer time frame to finish the task 3.this aids in increasing activity tolerance. 4. risk of falls due to aches related to hip replacement. 4.resident encounter no falls in the course of the stay 4., relocate the resident to a closer room to the nurses station 4. by means of moving nurses can offer assistance when required.
5.disturbed sleep styles due to fatigue related to depression. 5.make sure resident sleeps four to six hours per day. 5.encorage the client to relax for duration after a bodily activity.
5.fatigue after activity can worsen feeling of depression. 6. risk of infection due to decreased leukocyte characteristics related to diabetes 6.
prevent threat of infection of the resident through the stay. 6.educate the resident and promote correct hand hygiene 6. great manner to prevent infection and cross contamination is through performing hand hygiene 7.
Risk for self-directed harm due to suicidal attempts related to depression, anxiety and worthlessness. 7. Ensure resident does no harm feeling self-destructive or for others during the stay. 7. Assess the level of suicidal foresights,(HADS) . Whether it’s high or low. 7.
the usage of assessments tools determines the level of depression. 8.impaired social interplay due to feelings of worthlessness related to depression. 8.
ensure resident interacts with friends and family throughout the stay. 8.direct the client to self –assist groups or organizations. 8.self-assists groups can assists the client to insight and study the stories of others revel in. 9.
restlesness due to anxiety related to depression 9. make sure that resident keeps a clam repute through the stay. 9. While working with the client, ensure to be calm and non threatening nature 9.
resident feels more comfortable in presence with a peaceful natured care taker.