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    NCP - Risk For Injury

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    Rene John Francisco
    The document discusses risk factors for injury related to damage to a client's eye. Predisposing factors included an unknown foreign object entering the eye, while precipitating factors included the client's lifestyle, attitude, age of 12, and gender as male. The desired outcome after 4 days of nursing care was for the client to verbalize understanding of safety issues and perform assessments to identify injury risk factors. Interventions included discussing condition monitoring to prevent injury contribution and encouraging stress management. After 4 days the client was able to partially meet goals of understanding safety and asking for assistance due to vision impairment.

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    NCP - Risk For Injury

    Uploaded by

    Rene John Francisco
    2K views3 pages
    The document discusses risk factors for injury related to damage to a client's eye. Predisposing factors included an unknown foreign object entering the eye, while precipitating factors included the client's lifestyle, attitude, age of 12, and gender as male. The desired outcome after 4 days of nursing care was for the client to verbalize understanding of safety issues and perform assessments to identify injury risk factors. Interventions included discussing condition monitoring to prevent injury contribution and encouraging stress management. After 4 days the client was able to partially meet goals of understanding safety and asking for assistance due to vision impairment.

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    NCP- Risk for Injury.doc

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    The document discusses risk factors for injury related to damage to a client's eye. Predisposing factors included an unknown foreign object entering the eye, while precipitating factors included the client's lifestyle, attitude, age of 12, and gender as male. The desired outcome after 4 days of nursing care was for the client to verbalize understanding of safety issues and perform assessments to identify injury risk factors. Interventions included discussing condition monitoring to prevent injury contribution and encouraging stress management. After 4 days the client was able to partially meet goals of understanding safety and asking for assistance due to vision impairment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views3 pages

    NCP - Risk For Injury

    Uploaded by

    Rene John Francisco
    The document discusses risk factors for injury related to damage to a client's eye. Predisposing factors included an unknown foreign object entering the eye, while precipitating factors included the client's lifestyle, attitude, age of 12, and gender as male. The desired outcome after 4 days of nursing care was for the client to verbalize understanding of safety issues and perform assessments to identify injury risk factors. Interventions included discussing condition monitoring to prevent injury contribution and encouraging stress management. After 4 days the client was able to partially meet goals of understanding safety and asking for assistance due to vision impairment.

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    Assessment Risk Related Factors:

    Diagnosis Risk for Injury related to damage

    Rationale Predisposing Factors: Unknown/ unidentified foreign object entered the eye causing irritation Precipitating Factors: Lifestyle Attitude Parental Guidance Age=12 (tend to be active) Gender- Male

    Desired Outcome After four (4) days of nursing care, the

    Intervention

    Justification

    Evaluation After four (4) days of nursing care, the

    Whitish to

    vision/ sensory impairment

    client will be able to:

    Independent Interventions Independent Interventions

    client was able to: 1. Goal partially met. The patient, since he was a child, nods and listens while being taught on how to compensate to changes in ADLs due to impaired vision with the help of the SO in communicating and emphasizing important information.

    cloudy streak appearance in the cornea of the right eye

    1. Verbalize

    Definition: Unable to see Risk for injury as a result of environmental conditions interacting with the Facial maskgrimacing and crying individuals adaptive and defensive resources. Trauma to the eye leading to alteration on the protective barrier

    Perform thorough regarding understanding of assessments safety issues when planning individual factors for client care. that contribute to possibility injury. of Note clients age, gender, developmental stage, decision-making ability, level of competence.

    clearly due to abscess formation of the affected eye

    -Failure to accurately assess or intervene or refer these issues can place the client at needless risk and creates negligence issues for healthcare practitioner. -Affects clients ability to protect self and influences choice of interventions and teaching.

    Strength: Good family support willingness to get well

    Source: Doenges, M.E, et. Al. Nurses Pocket Guide Edition 11. F.A. Company. Philadelphia, Davis

    Discuss importance of self monitoring of condition or emotion that can contribute to injury.

    -Understanding about condition and self monitoring of emotion can prevent contribution to injury

    Encourage use stress -This will help the patient management techniques relax and avoid injury Marked inflammation and altered appearance of the eye

    Evaluate individuals emotional and behavioral -May affect clients view of

    Pennsylvania. 2008. Presence of cloudy to streak appearance of the cornea 2. Show Impairing vision

    response to violence in and regard for own safety. environmental surroundings

    Maintain bed or chair in lowest position, side rails attentiveness in up and with wheels locked. behaviors for lifestyle changes Ensure that pathway to bathroom is unobstructed to reduce risk and properly lighted. factors and protect self from injury. Monitor environment for potential unsafe conditions and modify as needed.

    Risk for Injury

    -to prevent falls due to 2. Goal partially restlessness of the client met. Patient listened to the directions of the SO since he has -To have easy access while limited movement being assisted and avoid due to his condition. injury

    -To note for potential barriers that cause harm to the patient

    3. Modify environment indicated enhance safety.

    Evaluate environment for potential safety hazards as based on age of child and to degree of impairment.

    -School age children tends to be active and sometimes due to it may precipitate them to danger. Monitoring their surroundings can be a preventive tool -To promote patient safety

    Eliminate safety hazards and protect the client from exposure.

    3.Goal partially met. Patient avoids rooming around the area and frequently asks SO to accompany/ assist him in bathing, to toileting etc.

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