Javier, Darryl O.

BSN311-Group 42
 ASSESSMENT NURSING INFERENCE GOAL NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVETION

Subjective: Risk for falls A cataract is After the 8 hour Assess mood, To evaluate After 8 hours of
related to a clouding shift, the client coping abilities client’s cognitive care goals met.
“kelangan ko lagi present eye that develops will be able to and personality status in relation Patient was able
ng may kasama, condition in the crystalline demonstrate styles to the client’s to establish safety
lalo na pag specifically lens of the behavior and present condition measures.
naglalakad. blurring of eye or in its lifestyle to
Malabo na kasi the left eye envelope, reduce the risk
ang paningin ko.” due to aging varying in factor and the
as verbalized by process. degree from client will be
the patient To determine
slight to able to establish
Monitor vital signs physiologic
complete opacity safety
and also the
and obstructing measures. factors that could
Objective: health condition also affect the risk
the passage
of the patient
of light. for accidents
BP: 120/70 (falls).
Cataracts
T: 36.2 typically
progress
PR: 74 slowly to cause
vision loss and are
RR: 17
potentially Assist the client To enhance
blinding if and provide awareness of
untreated. information the client
The condition regarding present regarding her
usually affects eye condition and present condition
both the eyes, but risk that
almost always one accompany it
eye is affected
earlier than the
other. A senile
cataract, occurring
in the aged, is
characterized by
an initial opacity Advise the client
in the lens, to set/make To lessen the risk
subsequent safety of accidents
swelling of the precautionary (falls) and to
lens and final measures enhance self-