implementation Evaluation Risks

Care Plan Patient Name: Student Name:
Ms. Grace Perkins 04/05/41 case study
Assessment / Cues Problem Planning/ implementation Evaluation
Risks for falls and declining
immobility. Ms. Perkins is
experiencing impaired
physical mobility, a decline in
muscle strength and an
advanced age state.
Ms. Perkins is Deteriorating
mobility aspects and
increased incidence of falls.
Related to unfamiliar
The first line of nursing
intervention is assessing risk
factors increasing the risks of
falls. Undertaking an overall
patient environment is key to
eliminate the risks of falls.
Care of plan for the patient is
to have a secure waistband
warning for health care
providers in the facility to
adopt and implement fall
precaution aspects for the
patient.
There is a need for placing
assistive devices within reach
of the patients and offer
regularly reminder to the
patient.
Enhancing collaboration with
other health care teams such
as physiotherapists and
medication management in
terms in assess patient’s
medication which might have a
contributing factor to the falls
and alteration of patient’s
consciousness, (Boltz,
Assessing the patient
environment is vital to identify
an aspect that increases the
risks for falls. Further, wrists
band wearing offers an alert
for health care staff to be
always reminding on the
needs of the patient.
The usage of assistive devices
is essential for easy access to
personal items. A routine
reminder for the patient is
essential to its usage.
Reviewing the patient
medication process is key in
recognizing side effects that
might have side effects on the
patient. studies shave shown
that the more medication
patients take, the higher the
risks and side effects linked to
interactions of dizziness and
balance. Polypharmacy among
aged adults increases risks for
falls,(Carpenito-Moyet, 2009).

Care Plan Patient Name: Student Name:
The occurrence of disturbed
sleep patterns.
Risks for infection on the
wound area
surrounding s at home with
the presence of
granddaughter.
The patient is having
pressure on the coccyx at
stage 2 and various illnesses,
which are deteriorating her
health status.
Capezuti, Fulmer & Zwicker,
2016).
There is a need to assess the
records of the patterns of
sleeping patterns and
gathering key information from
the caregivers back at home.
There is a need for monitoring
the patient activity level.
Further, a definitive planning
action is to engage the patient
in providing a calm and quiet
environment with decreased
sleep interruptions.
Acute changes occurring for
the older persons are often an
indication of infection
emergences. Assessment of
vital signs is key as they
The elderly often sleepless
and keep awake more during
the night periods.
Undertaking the activity levels
of the patient is key to
establish irritable behaviors.
There is a need for
undertaking nursing lunchtime
napping and in the afternoon.
Assessment of the patient
environment is vital.
Exposures to bright lights and
unnecessary noises are all
linked to the deprivation of
sleep among elderly persons.
(Mauk,
2010)
Assessment of vital signs
during nursing care is
essentials for the patient to
ascertain levels of orientation
and consciousness.

Care Plan Patient Name: Student Name:
Risks of impaired wound
integrity
The patient has impaired
dental formula and lowered
levels of digestion.
The patient is at risk of
impaired skin integrity due to
the multiple medication entry
and falls being experienced.
Further, the presence of
fungal infection on the skin is
deteriorating the patient
state and increasing risks of
infection.
Loss of tooth and old age-
associated problems.
indicate infection occurrence.
Further, assessment of breath
sounds is key to managing the
patient state.
There is a need for undertaking
patient skin regularly.
Checking on any signs of skin
redness and skin texture
change is vital for breaks on
the skin surface.
There is a need for undertaking
factors linked to decreased
nutritional intake.
Assessment of heart rate is
key to assessing the heartbeat
function of the patient.
(Wold,
2013)
Regular assessment of patient
skin is essential for providing
baseline assessment for skin
integrity purposes.
Observation of patient skin
status is key to evaluate the
level of skin integrity.
Aggressive caring is essential
to lower additional infection
and breakdown.
Various factors often affect
the nutrition status of older
persons. Thus it is essential
for proper assessment. The
history of the patient's lack of
permanent teeth can be a
hindrance to the consumption
of certain foods. Further
medication management due
to multiple illnesses can