Self Care Deficit: Bathing
Self Care Deficit: Bathing
(_)Actual (_) Potential
| (_)
Neuromuscular impairment (_) Visual disorders (_) Trauma or surgical procedure (_) External devices (_) Aging process |
(_)
Musculoskeletal disorders (_) Immobility (_) Nonfuntioning or missing limbs (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_)
Unable or unwilling to wash body or body parts. (_) Unable to obtain water. (_) Unable to regulate temperature or water flow. |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Perform bathing activity at expected optimal level. (_) Demonstrate use of adaptive devices for bathing. (_) Other: |
(_)
Assess for causative factors. (_) Provide opportunities to relearn or adapt to activity. (_) Teach patient to use affected extremity to accomplish tasks. (_) Consistent bathing routing at ___ am/pm every day. (_) Provide as much privacy as possible by pulling curtains and closing doors. (_) Provide equipment within easy reach. (_) Encourage independence. (_) Reinforce success for task accomplished. (_) OT consult for:
(_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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