RationalesEvaluation / Outcome Criteria1. Identify reason for difficulty in dressing / self-care, e.g., physical limitations in motion: apathy / depression;Underlying cause affects choice of interventions / strategies. Problem may be minimized by adaptation of clothing or may require consultation from other specialists. Pt states that he can’t reach tube insertion site.2. Be alert to underlying meaning of verbal statements. May direct a question to another, such as “Are you cold?” Meaning, “I am cold and need additional clothing.” Pt. Verbalizes concern for SO caring for him after he gets home “I can’t expect her to do it all” May indicate that he feels powerless to “do it all”3. Supervise but allow as much autonomy as possible. Eases the frustration over lost independence. Pt. Can do ADL’s with limited assistance. Cannot reach tube site to clean or maintain.4. Allot plenty of time to perform tasks. Tasks which were once easy (e.g., dressing, bathing) are now complicated by decreased motor skills or cognitive and physical change. Time and patience can reduce chaos resulting from trying to hasten this process. Limited assistance in ADL’s and following Pt’s direction allows Pt to have control. Home health aide / RN needs to understand this after discharge.OUTCOME/GOAL STATEMENT: Short Term: Pt will verbalize feelings of concern regarding at home maintenance of self with SO prior to discharge. Long Term: (after discharge) Pt will work with home health care giver to relief frustration and avoid further depression. ...
