Nursing Care Plans: Implementation, Monitoring and Evaluation

This article discusses nursing care plans, including factors that promote or impede comfort, rest, and sleep, activities of daily living, pressure injury prevention, and more. It also provides insights on interventions, assessment, and treatment.

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IMPLEMENT, MONITOR AND EVALUATE NURSING CARE PLANS
By (Name)
Name of the class
Professor’s Name
Name of the school
The city and the state
Date

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1.1
Identify four (4) factors that promote comfort, rest and sleep
Good health
Clean environment
Affordability of basic needs
Place and the kind of job done
1.2
Identify four (4) factors that impede comfort, rest and sleep.
Illness
Drugs and substance abuse
Emotional problems
Noise pollution
2.1
Define activities of daily living.
They are the fundamental tasks that an individual has to accomplish daily.
2.2
List five (5) basic activities of daily living.

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Eating, dressing, going to the toilet, taking a shower, standing and walking.
Activities of daily living Aids used Ways of assisting
3.1 Dressing
3.2 Eating
3.3 Standing
3.4 Walking
Braces
Braces
A simple walking sticks
A trolley walker
Use the brace to support the
right hand from the shoulder
to the wrist.
To support the wrist and the
knuckles to help the joints
move freely without pain
therefore feeding herself.
Use of the walking stick to
support the client to stand.
Use the trolley walker to
assists the client to maintain
balance while walking.
4.1. - Cleanliness helps to reduce the risk of contracting hygiene related diseases.
- Maintaining hygiene determines the perception of other people about us. This helps one to
develop self-confidence.
-Proper hygiene makes one to have self-esteem and is a measure that reflect the body image of
someone. This include one’s character and behavior.

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-Good hygiene and grooming is useful tool observed by one’s role models and also juniors.
4.2. -Age, which depends on someone’s ability to change their position or move independently.
- Nutrition status, people with compromised nutrition status are at high risk of having
pressure ulcers.
- Poor blood flow, when the blood flow in the body tissues is compromised this prone an
individual to pressure ulcers development.
-Mental status, affects people suffering from cognitive disorders who have problems in
comprehending instructions given to them.
5.1 The nurse ensures that the patient is free from falling. Make him/her to have the correct
standing posture by acting as his/her center of motion. Encourage the patient to take a step while
focusing on the transfer direction.
5.2 Elimination is the excretion of the urine and feces. If a patient requires help, the nurse must
be care to use protective devices to help the person get rid of the waste in the body.
5.3 Comfort and good sleeping period is a driving force to obtain health services of patient which
involves nurse interventions and constructive ways of helping the patient to achieve optimum
health state.
5.4 Nurses conduct the nutrition screening. They should identify and deal with any malnutrition
accordingly. Nurses’ partner with the dietitians to provider diet related information to the patient
as a part of treatment.

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5.5 Nurses should ensure the patient’s mouth cleanness. This depends on the patient’s mouth
condition. The patient needs a lot of attention and care therefore the nurse should ensure the
brushing after the meal.
5.6 The patient may the nurse to bath the entire body or give a partial bath while the rest is
washed by the patient depending on the condition of the body.
5.7 A nurse can prevent falls of an elderly and being proactive and ensuring the correct medical
assessment after be very fall. This should be done immediately after fall to avoid future cases.
5.8 When a patient is at high risk of getting pressure sores, the nurse has to advocate for a
special resting place like a substituting air pressure mattress to help in skin preservation.
5.9 Preventing deconditioning will require a number of activities like physical therapy, medical
management, good nutrition, psychological support. Independence of the patient in doing some
activities should be encouraged from time to time.
6.1 Biofeedback and bladder training
6.2 Antimuscarinics and phosphodiesterase inhibitors
6.3 External urethral barrier and weighted vaginal code
7.1 Janice environment for toileting can be safe and easier by introduction of raised toilet seats
and fixing of enough rails to help her get the right position. The floor around Janice’s toilet
should not be slippery and the floor should be dry always.
7.2 Use of bed pads that are placed under the Bobs body while on the bed.

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8.1 Dangers; This is the where one ensures there are few cases of harm to rescuers at the time of
resuscitation. One should ensure personal and patient’s surroundings are safe. Use of gloves and
other protective equipment.
8.2 Responsiveness; in this situation one is supposed to assess the patient to check whether
he/she is responsive by shaking the shoulders. If there is no response, one should take the next
action immediately.
8.3 Send; Here one should call using a mobile phone or send one of ur companion to seek for any
nearby help according to the area protocol. While waiting for rescue team one can assess the
patient by ensuring proper air circulation and breathing through the airways.
8.4 Airway; one has to check whether the victim airways are open. Try to position the victim to
ensure that there is no obstruction in his/her airways. Stop overcrowding to allow for enough air
circulation.
8.5 Breathing; one is supposed to ensure lies on the right posture. Make the patient to lie on his/
her back. Tilt the head and chin to ensure all the airways are open. Observe and listen to the
victim to determine whether breathing is normal.
8.6 Defibrillation; If the rescue team arrives with the automated defibrillator, it can be used to
deliver shock to the victim to facilitate early defibrillation in areas where there is no rhythm
recognition when compression is done manually.
9.1 Maintain the bed and limb rest so as to give joints support below and above the fracture site
when turning and moving. Put a bed board under the mattress and support the fracture point with
the pillow or the blanket. Maintain the integrity of traction and ensure all the clamps are
functioning. Evaluate the splint extremities for resolution of dropsy. Help with placement of

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welkin below the bed wheels as indicated and keep the patient at an appropriate position to
maintain the long axis of the fractured bone. Maintaining or initiating the electrical stimulation
while administering alendronate drug to the patient as indicated.
9.2 The nurse should assess the respiratory status of the patient, obtain the allergic reactions to
some medication identify the current medication the patient is taking and then administer the
prescription as well as monitor their response to the drugs. the nurse should also teach the patient
how to deal with the condition like purpose of medication and current available materials to
relief the effects.
9.3 Observing the patient visual acuity and ability to eat different types of food so as to
recommend the best meal for her/him.
Determining the health body weight, height and age so as to refer to dietitian for further nutrition
assessment of the patient.
Conserving the patient’s energy by giving him/her time to rest before meal and cut of food for
the patients if he/she lacks endurance.
Checking on patient’s laboratory results such as serum total protein, hemoglobin, albumin,
vitamins and minerals (Doenges et al 2016)
10.1 Nurses can prevent pressure injury through a couple of ways. They can reduce the patient’s
pressure, ensure good nutrition, inspecting the kin of the patient and reducing the skin moisture.
10.2 There are some measures that are used by nurses to prevent constipation. They observe the
normal of defecation, the paint’s family maintain a diary of bowel behaviors, they review the

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client’s medication that affect normal habits and encourage eating of fiber daily to facilitate
digestion.
10.3 Nurses should ensure the offer the needed assistance to patient by providing supportive
device like walkers, the floors should always remain dry the right dose for every medication
should be observed as the create proactive care relationship with the elderly.
10.4 Nurses should assess the respiratory status, changes in mental status, ability to raise
secretions and the. Quality of cough.
11.1 Cognitive decline; A nurse is supposed to instruct caregivers to only give one instruction to
the patient at a time. This is because the patient with visual impairments cannot multitask more
than one instruction.
11.2 Sensory deficits; The nurse would suggest ways for the caregivers to ensure a daily routine
of activities to the patient. This daily routine activities act as a memory aid that helps the patient
to remember each of the activity performed every day.
12. A clinical handover is transferring the professional responsibilities to another person to be
accountable and care for patient or a group of patients. It provides the nurse with a consensus-
based method of communicating the needs of the patient.
13.1. Mr. Roy may be allergic to penicillin. This is because all the symptoms he has e.g.
shortness of breath, wheezing, itching and body rashes are associated with the penicillin allergy.
13.2 As a nurse I will ensure I conduct the penicillin skin test which takes between two to three
hours to be complete. if the test is positive the treatment will entirely depend on how severe the

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reaction is. if anaphylaxis occurs will epinephrine auto injector as I seek the best solution to the
problem.
14.1 After surgery one is supposed to take a deep breathe in and then slowly through the nose
while expanding the lower rib cage and allowing the belly to move forward. Relax for 4 seconds
then breathe out completely through the lips without forcing. Take a rest and repeat 10 times
every hour.
If one is recommended to cough after surgery, he/she is supposed to lie on the back and rest the
feet on the bed. Support the incision firmly with the hands and depending on the type of the
surgery try to cough. If the cough is accompanied by some mucous, repeat the coughing until
there is no more mucous (Howell et al 2015).
14.2 Assuring the overall cleanness of all the areas.
Minimizing auditory clutter.
Eliminating and organizing the area clutter.
Minimizing the hospital room clutter.
15.1 The patient may develop other diseases that are as results of UTI.
The treatment of UTI may be mistaken for delirium.
15.2 If the wrong diagnosis is made the child may dehydrate to death.
The illness may only stop its symptoms and remain in a child’s body
15.3 The surgery may get done on the abdomen while the problem is mental.

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There is the risk of continued suffering if the genesis of the problem is no solved
15.4 Lack of exercise may prolong the healing period.
Risk of getting paralyzed if the case is not handle carefully
15.5 Chronic back and knee pain needs some kind of therapy which is hard to administer because
of the patient condition.
The patient may have to depend on supportive devices the rest of his life.
15.6 depression may lead to other mental dis orders that severely affect the patient’s health.
The patient is at a risk of developing nutrition diseases if lack if weight loss continues.
16.1 A small break or chip in the denture is ok. We have to report only major damages
Dentures should be stored in labelled denture cup with cool water if not being used
While cleaning, it is ideal to place the dentures in a sink half filled with water and without
a lining surface.
16.2 The chosen statement does not correlate with the proper maintenance of dentures.
Dentures should be taken care of to avoid breakages. Detergents may corrode dentures and
toothpaste should never be used in cleaning. Proper care is needed while not wearing them.
16.3 Using lemon and glycerin for oral care is good for oral cavity.
Mouthwashes with alcohol available from pharmacy is good to kill unwanted bacteria in
mouth.
Mouthwashes should be free from alcohol, hydrogen peroxide and sodium bicarbonate that
causes halitosis.

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16.4 To maintain oral cleanness one needs to use mouth wash, floss and toothbrush and always
seek assistance from a dentist for more care. Brushing twice a day with a toothpaste with fluoride
in it and replacing toothbrush with anew every month is the best way to maintain your oral
hygiene.

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References
Doenges, M.E., Moorhouse, M.F. and Murr, A.C., 2016. Nursing diagnosis manual: Planning,
individualizing, and documenting client care. FA Davis.
Howell, D., Molloy, S., Wilkinson, K., Green, E., Orchard, K., Wang, K. and Liberty, J., 2015.
Patient-reported outcomes in routine cancer clinical practice: a scoping review of use,
impact on health outcomes, and implementation factors. Annals of Oncology, 26(9),
pp.1846-1858.

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