Care plan
Uploaded by CaseyP on Oct 07, 2017
ASSESSMENT DIAGNOSIS GOAL INTERVENTIONS EVALUATIONS
ACTIVITY-REST Only sleeps four hours a night Insomnia Patient will focus on increasing the number of hours of sleep per night. Patient should be prescribed with sleeping pills.
Patient should also be instructed to sleep in a dark and quiet room. Monthly evaluation should be used to reveal the number of hours of sleep
O2-CO2 102 beats per minute Tachycardia Patient will work to reduce her beats per minute. Patient should be taught techniques such as carotid sinus massage, valsalva maneuver, and dive reflex. The patient will be evaluated to determine her heart beats per minute.
ELIMINATION Little blood in vomit, dehydration Stomach ulcer Patient will reduce the occurrence of vomiting. Patient should drink more water to reduce the impact of dehydration. Antibiotics should also be prescribed to treat the stomach ulcers. Patient will undergo several X-rays to determine the extent of stomach ulcers.
INGESTIVE Binging and purging, stomach pain, difficulty swallowing, multiple dental caries, taking diuretics and laxatives Bulimia Patient will increase her daily food consumption. Patient will be prescribed with multivitamins to increase her appetite. Patient’s weight will be measured to determine the extent of bulimia.
AFFLIATIVE Confused, no eye contact, no smile Major Depressive Disorder Patient will work on becoming more social. Patient will be exposed to social gatherings to develop and sustain social relationships. Patient will be asked to reveal the number of new friends.
PHYSICAL INTEGRITY Lethargic, obsessed with losing weight Depression Patient will cultivate greater self-esteem. Patient should be sent to a counselor to build self-esteem. Patient will be asked to state what she likes about herself.