Care plan
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I'm stuck on this care plan!
My patient 80yrs old admitted for Pneumonia with pleural effusion and exacerbated CHF. 10yr Hx of paraplegia which he seems to have overcome to a great degree. I got him as a patient the day he was discharged. All his VSS were normal, lungs were clear, heart rate regular, no visual signs of respiratory distress. He needed minimal assistance with showering because he was in the hospital and was not familiar with the shower but besides that he was completely able to carry out his own ADL's. I was thinking self care deficit for bathing related to environmental barriers as evidenced by patient stating "I'm not use to this shower and am going to need some help"
I'm just feeling that there was not very much intervention needed and i'm making somthing up just for the careplan.
Any suggestions would be great. Thanks!!