Nursing 104

N104: Essentials of Nursing Care – Health Safety Study Guide o Inability to make thoughtful judgments o Cognitive impairment that interferes with the patient's ability to choose healthy behaviors o Ineffective coping that interferes with the patient's ability to choose healthy behaviors o Lack of resources • Health-seeking behaviors related to: o Changes in the patient's situation that increases the patient's desire to seek health information o Awareness of the need for specific behaviors • Ineffective management of the therapeutic regimen relatedto: o Complexity of the regimen o Cost of the regimen o Side effects of treatments in the regimen o Availability of services Planning During the planning phase, the nurse and patient collaborate to identify goals, outcomes, and interventions related to health maintenance. Expected outcomes related to healthmaintenance might include: • The patient will identify areas for improvement in health maintenance. • The patient will maintain or improve the health status. • The patient will make appropriate health choices. • The patient will actively participate in the treatment regimen. • The patient identifies and utilizes positive ways of dealing with the stress. Implementation Implementation of the plan of care will include the patient, family, nurse, and other healthcare team members. As the interventions are implemented, the nurse will continually reassess and adjust the interventions to produce a plan the patient can and will follow. Interventions related to health maintenance might include: • Assess the patient's feelings and reasons for not following the treatment regimen. • Involve the patient in all aspects of care anddecision-making. • Assess for external factors that influence compliance with a treatment regimen. • Help the patient arrange a daily schedule that incorporates the treatment regimen. • Identify support groups the patient canutilize. • Refer to social services for financial assistance. • Help the patient identify a healthy lifestyle to promote the health maintenance. • Refer the patient to community services for appropriate follow up after discharge. • Provide education relative to healthmaintenance. o Alteration in communication skills

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