In: Nursing
NURSING EVALUATION.
1) Oxygenation.
• Patient's breathing pattern is improved.
• Sign of respiratory distress is not present.
• Capillary refill is improved.
• SPO2 is 100%
•Lungs sound are cleared.
2) Fluid and electrolytes.
•Patient's Hydration status is improved.
• Moist mucus membrane is present.
• Patient has achieved appropriate urine output.
3) Nutrition.
• Patient's nutritional status is improved.
• Patient gets more energy.
• Patient's weight is increased.
4) Elimination.
•Patient's elimination pattern is improved.
• Patient relief from discomfort.
• Patient's intake output chart is improved.
5) Activity and rest.
• patient's activity level is improved to some extent.
• Patient can perform daily living activities under supervision.
• Patient can perform ROM exercise.
6) Neurosensory.
• Patient's neurosensory perception is improved.
• Patient's auditory and visual perception is improved.
•patient is oriented about date, time ,place.
7) Protection.
• Risk for infection is reduced to some extent.
• Risk for injury is reduced.
• Risk for bleeding is reduced.
• Patient's safety and nutrition is ensured.
8) Endocrine function.
• Patient follows dietary chart.
• Patient's weight gain or weight loss is maintained.
• Patient's Activity level is improved.
•Patient is engaged in health maintenance behaviour.