CUES NURSINGDIAGNOSISGOAL ANDOUTCOMECRITERIAINTERVENTION &RATIONALEIMPLEMENTATION EVALUATIONSubjective cues: The patient verbalized, Nuay gane yo aki kosa ta pwede ase. Man kwento unrato acabar duri!duri lang."#$ have nothing to do here. Talk a little then sleep."%bjective &ues: 'atient is o(ten seen lyingon bed, sleeping and resting. )e looks eager to do soething when awake but is incapableo( doing so due to his cast. )e *e+cient diversional activity relatedto decreased engageent inrecreational and leisure activities.,(ter - hours o( nursing intervention, the patient will be able to: . /0press interest in using leisure tie eaning(ully. . /0press interest and participate in activities that can be provided #listen to radio or usic daily1. . 2eport satis(action with use o( leisure tie. ,ssess leisure activity pre(erences. $denti(y the type o( things patient pre(ers to do.2ationale: To encourage the patient3s interest. Seek help (ro (aily to provide resources that relieves boredo and stiulates interest. 'rovidesupplies and set tie to indulge in hobby. ,llow patient to select activity (ro given options, &ounicate patient3s desires to his watcher. ,sk volunteers #(riends, (aily, or hospital volunteer1 to read story, books, or agazines to patient at speci+c ties. /ngage patient in conversation while carrying out routine care. *iscuss patient3s (avorite topics as uch as possible.2ationale: 'ersonal contacthelps alleviate boredo. *eterined what activities that interest the patient and ay help hi iniize his boredo. ,sked the (aily i( they have soe resources that they ight have brought to stiulate the ind o( the patient such as toys, gaes on cellphone and writing aterials. ,llowed patient to select activity (ro given options to stiulate thinking. ,ssisted the patient with activities such as writing and drawing, &ounicated the patient3sdesires to his watcher. ,dvised to watcher to tell the patient soe stories to divert his attention. Talked with the patient as uch as possible during the entire shi(t.4oals are et.,(ter - hours,the client was able to e0press interest in using leisure tie eaning(ully, e0press interest and participate in activities that can be provided and report satis(action with use o( leisure tie. talks to other patients randoly to setaside his boredo.&onversation conveys caring and recognition o( patient3s worth.NURSING CARE PLANNURSING CARE PLANCUES NURSINGDIAGNOSISGOAL ANDOUTCOMECRITERIAINTERVENTION & RATIONALE IMPLEMENTATION EVALUATIONSubjective cues:The patient verbalized, )inde yo ta pwede ase enya io pies."#$ can3t ove y (eet.1%bjective cues: 5iited range o( otion Slowed oveent 5iited ability to per(or gross and +ne otor 6ith cast on le(t leg. The watchers tend to the patient3s needs. The watcher carries the patient when needed.$paired physical obilty related to losso( integrity o( bone structures,(ter - hours o(nursing intervention, the patient will be able to: 7erbalize the understanding o( the situation and individual treatent regien andsa(ety Maintain position and(unction o( skin integrity as evidence o( absence o( any ulcers. Maintain and increase the(unction o( a8ected *eterine (actors that contribute toiobility.2ationale:Toidenti(y contributing (actors Note presence o( (ractures2ationale: 9ecause it ay restrict oveent *eterine the degree o( iobilityin relation to suggested scale2ationale:assess (unctional obility *eterine presence o( coplications related to iobility #pneuonia,eliinationprobles,decubitus12ationale: To assess presence o( coplications ,ssist client in the reposition the sel( on a regular schedule.2ationale: To proote optiu level o( (unction and prevent coplications. Support a8ected body part using pillows2ationale: To aintain position and (unction and reduce risk o( pressureulcers. /ncourage ade:uate intake o( ;uidsand nutritious (ood. ,ssessed di8erent contributing (actors related to iobility. Noted the presence o((ractures. *eterined the degree and the presence o( coplications that arerelated to iobility. ,ssisted client into a co(ortable position on a regular schedule. 'laced support on the a8ected part to reduce the risk (or pressure ulcers. ,dvised patient to drink plenty glass o( water and eat nutritious (ood (or (asthealing.4oals are et. ,(ter - hours o( nurse!patient interaction, the patient will be able toverbalize the understanding o( the situation and individual treatent regien and sa(ety,aintain position and (unction o( skin integrity as evidence o( absence o( any ulcers. and +nally aintain and increase the(unction o( a8ected part.part. 2ationale:$t proote well!being and a0iizes energy production.