1. Ineffective breathing pattern related to perception and cognitive impairment, along with decreased energy and fatigue as evidenced by tachypnea.
2. Altered nutrition: Less than Body Requirements related to decreased appetite and psychological state of depression as evidenced by inadequate caloric intake
3. Risk of injury (falls) related to poor housing conditions and impaired mobility as evidenced by rug on the floor, medications scattered on coffee table and patient’s verbalization of not being able to do anything on her own anymore
4. Ineffective management of therapeutic regimen related to complexity of regimen, knowledge deficit of prescribed regimen, social support deficit and perceived powerlessness as evidenced by increased illness, verbalization by patient that she is not following prescribed regimen and verbalizing the lack of desire to manage illness, medication filled late, lack of home oxygen
5. Ineffective coping related to recent change in health status, inadequate coping method, inadequate psychological resources and situational crisis (her husband’s death) as evidenced by verbalization of inability to cope, lack of appetite, fatigue, depression and emotional tension
1. Identify and describe at least four medical / nursing interventions for the problems listed in 1-5 above.
2. Discuss your rationale for the interventions identified.
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