Providing Individualized Nursing Care You are caring for a female patient who

Providing individualized nursing care you are caring

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Providing Individualized Nursing Care You are caring for a female patient who has a nursing diagnosis of “Deficient fluid volume.” The short-term goal is for the patient to increase her oral fluid intake to 1,500 mL/d. What will your nursing interventions be? You want the patient to drink, so you offer her iced tea between meals. However, she says she does not like it. How do you ensure that you and the other nursing staff know what fluids to provide to this patient and how often to do so? First, ask the patient which fluids she likes. She responds that she likes fruit juices and that she prefers grape juice, orange juice, and lemonade, as well as coffee with cream. Next, you divide up the 1,500 mL of fluid so that she consumes it throughout the day and not all at once. You determine that the day shift fluid goal is 750 mL, the evening shift fluid goal is 500 mL, and the goal for the night shift is 250 mL.
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You now write the following nursing orders: Offer 8 ounces of fruit juice every 2 hours, especially grape juice, orange juice, and lemonade. Record intake and output every shift to detect improvements in fluid balance. Offer coffee with cream with meals and between meals. Inform the dietary department of the patient’s dislike for tea. Encourage water intake from the bedside water pitcher for additional fluid intake. Assess mucous membranes, tongue, and skin turgor every shift to evaluate signs of dehydration. If you looked at a standard care plan without individualization, it might list nursing interventions such as these: Encourage fluid intake. Record intake and output. Assess for signs and symptoms of dehydration. You can see the difference in the details of nursing care for this patient. In addition, other nursing staff will know specifically how to improve this patient’s fluid status, and no one will bring fluids that the patient does not like to drink. As a bonus, the patient does not have to tell each nursing staff member which fluids she prefers. Evaluating Your Nursing Care You are caring for a patient whose nursing diagnosis is “Activity intolerance related to generalized weakness as evidenced by shortness of breath and increased heart rate when ambulating to the bathroom.” The expected outcome is, Patient will ambulate to the bathroom with minimal assistance by the third hospital day. Your interventions include gradually increasing activity to increase strength. Your nursing orders are the following: Get the patient to sit in a chair for 30 minutes three times per day, increasing the time by 30 minutes each day. Encourage protein-rich foods to help promote healing and strength. Assist the patient to ambulate from the bed to the chair and back two times before sitting up, starting on the second day.
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