Care Plan Help

Hello,

I have a careplan due that must have 2 diagnoses. 1 goal and 3 outcomes per diagnosis with 3 interventions w/ rationale and references per outcome.

My client is bedfast, w/ right side hemiplegia, decreased function in legs bilaterally, 4 fingers amputated off one hand, has tremors, cannot speak (can nod yes or no)

He has a stage I pressure ulcer on saccral area and also has dementia

Diagnosis 1:

Impaired skin integrity R/T pressure on sacral area and immobility AEB stage I pressure ulcer on sacral area

GOAL: client's skin will remain intact

OUTCOMES:

• Client will have oral fluid intake of at least 500ml by end of shift
  
• Client will indicate any altered sensation or pain in sacral area by end of shift
  
• Client will participate in measures that will help maintain skin integrity by end of shift
  

Diagnosis 2:

Impaired bed mobility related to body weakness and deterioration AEB limited ROM in all limbs and hemiplegia

GOALS: client will increase exercise and activity in bed

OUTCOMES:

• Client will complete one ADL by end of shift w/o assistance
  
• Client will participate in exercises by end of shift
  
• No real clue
  

I haven't done any interventions yet, because I feel like I'm painting myself into a corner. I think a big problem is that the client is non-verbal, and that limits my teaching options, since the patient won't be able to acknowledge demonstrate much of what is taught.

Any help or feedback would be appreciated. I've tried looking everywhere, and am just stuck.

Thanks in advance!