Page 17 - Altered Obstructive Nursing Care
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Nursing Interventions Rationales
Helping the patient with setting realistic goals
Establish short-term goals with the patient.
will reduce frustration.
Patient may require help in determining the
Guide the patient in accepting the needed
amount of dependence. safe limits of trying to be independent versus
asking for assistance when necessary.
External resources of positive reinforcement
Present positive reinforcement for all activities may promote ongoing efforts. Patients often
attempted; note partial achievements.
have difficulty seeing progress.
Render supervision for each activity until the
patient exhibits the skill effectively and is The patient’s ability to perform self-care
secured in independent care; reevaluate measures may change often over time and will
regularly to be certain that the patient is
keeping the skill level and remains safe in the need to be assessed regularly.
environment.
An appropriate level of assistive care can
prevent injury from activities without causing
Implement measures to promote independence frustration. Nurses can be key in helping
but intervene when the patient cannot function.
patients accept both temporary and
permanent dependence.
The goal of rehabilitation is one of achieving
Boost maximum independence.
the highest level of independence possible.
An established routine becomes rote and
Apply regular routines and allow adequate time requires less effort. This helps the patient
for the patient to complete task.
organize and carry out self-care skills.
Feeding
Allow the patient to feed himself or herself as It is possible that the dominant hand will also
soon as possible (using the unaffected hand, if be the affected hand if there is upper
appropriate). Assist with setup as needed. extremity involvement.
Ensure the patient wears dentures and Deficits may be exaggerated if other senses or
eyeglasses if required. strengths are not functioning optimally.
Place the patient in a comfortable position for Proper positioning can make the task easier
feeding. while also reducing the risk for aspiration.
Provide patient with proper utensils (e.g., wide-
grip utensils, rocking knife, plate guard, These things expand possibilities of success.
drinking straw) to aid in self-feeding.
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