Javier, Darryl O.

BSN311-Group 42

ASSESSMENT

NURSING DIAGNOSIS

INFERENCE

GOAL

NURSING INTERVETION

RATIONALE

EVALUATION

Subjective: kelangan ko lagi ng may kasama, lalo na pag naglalakad. Malabo na kasi ang paningin ko. as verbalized by the patient

Risk for falls related to present eye condition specifically blurring of the left eye due to aging process.

Objective: BP: 120/70 T: 36.2 PR: 74 RR: 17

A cataract is a clouding that develops in the crystalline lens of the eye or in its envelope, varying in degree from slight to complete opacity and obstructing the passage of light. Cataracts typically progress slowly to cause vision loss and are potentially blinding if untreated. The condition usually affects both the eyes, but almost always one eye is affected earlier than the other. A senile cataract, occurring in the aged, is characterized by an initial

After the 8 hour shift, the client will be able to demonstrate behavior and lifestyle to reduce the risk factor and the client will be able to establish safety measures.

Assess mood, coping abilities and personality styles

To evaluate clients cognitive status in relation to the clients present condition

After 8 hours of care goals met. Patient was able to establish safety measures.

Monitor vital signs and also the health condition of the patient

To determine physiologic factors that could also affect the risk for accidents (falls).

Assist the client and provide information regarding present eye condition and risk that accompany it

To enhance awareness of the client regarding her present condition

Advise the client to