Need help w/EOC's for this patient

[Missionarymom]

I need help with EOC's for this 46yr, F patient. Hx-Developmentally Delayed, Cerebral Palsy, blind, epliepsy, CHF, and chronic anemia. Primary Medical DX: Aspiration Pneumonia.

I have 6 ND...1. Impaired Gas Exchange, #2 Impaired Cardiac Output, #3, Nutrition Less than body requirements, #4 Impaired Mobility,Risk for Falls, #5 Imapired Skin Integrity, and #6 Impaired verbal communication.

I am having the most difficulty with the Impaired Mobility EOC since she doesn't have the cognitive ability to participate in her care. She is on 2L O2, R/C, and swallowing/seziure protocols. She is also retrained w/q2hr turning protocol.

Can anyone help me with this complicated patient???

Thanks.

[Dianacabana]

I need help with EOC's for this 46yr, F patient. Hx-Developmentally Delayed, Cerebral Palsy, blind, epliepsy, CHF, and chronic anemia. Primary Medical DX: Aspiration Pneumonia.

I have 6 ND...1. Impaired Gas Exchange, #2 Impaired Cardiac Output, #3, Nutrition Less than body requirements, #4 Impaired Mobility,Risk for Falls, #5 Imapired Skin Integrity, and #6 Impaired verbal communication.

I am having the most difficulty with the Impaired Mobility EOC since she doesn't have the cognitive ability to participate in her care. She is on 2L O2, R/C, and swallowing/seziure protocols. She is also retrained w/q2hr turning protocol.

Can anyone help me with this complicated patient???

Thanks.

I'm not familiar with what EOC means; could you explain? Are you trying to determine nsg interventions or pt goals?

What is her environment like? How are her senses working? Would a dx of sensory overload or deprivation work instead? Or impaired sensory perception? Just thinking.

[Missionarymom]

EOC's = Expected outcomes.

I just looked up disturbed sensory perception and that does seem more appropriate for this client.

Thanks for the input. I know it will take some practice to get better at determining the appropriate diagnosis along with patient goals and interventions.

:typing

[Daytonite, BSN, RN]

outcomes are based upon what you expect is going to happen as a result interventions and treatments that are going to be performed. so, why are you doing all these thing for the impaired physical mobility? what is it that you expect to see happen with this patient. outcomes, overall, can take 3 general directions of the overall problem or its etiology:

• improvement or cure it
  
• stabilization it
  
• support its deterioration

diagnoses, as well as interventions. as based upon the abnormal assessment data that was found during initial assessment of the patient. it is all related in determining the nursing diagnosis, goals, interventions and evaluation. nursing diagnoses, like medical diagnoses, can be broken down into signs and symptoms that are also the target of treatment and intervention. you are struggling, perhaps, because you have not realized that logic of care planning yet.

[Missionarymom]

Thank you for your input and especially the attached forms. This will help. I am just about finished with my 2nd quarter, so I am still just a NEWBIE. As far as the Impaired Physical Mobility being one of the 6 identified nursing diagnoses, I thought that because she is bedbound were she usually is not when she is in a group home, that would be a condition that needed to be improved upon. How much I could do in a single day of care is the question that I have struggled with. Being able to identify what are the expected outcomes and staying realistic is my biggest struggle at this point. I know that as I continue with my clinical rotations, I will get more proficient at identifying what is the most suitable goal for the day of care.