Nursing Care Plan : Nanda Nursing Diagnosis

Nursing Diagnosis for Self Care Deficit

Definition :

Self Care Deficit is used when there is impaired ability to perform or complete bathing / hygiene, dressing / grooming, feeding, or toileting activities for oneself.

Self Care Deficit Related To :
  • Perceptual or cognitive impairment
  • Decreased or lack of motivation (anergia)
  • Severe anxiety
  • Severe preoccupation

As Evidenced By :
  • Consuming insufficient food or nutrients to meet minimum daily requirements
  • Awakening earlier or later than desired
  • Decreased ability to function secondary to sleep deprivation
  • Weight loss
  • Persistent insomnia or hypersomnia
  • Body odor/hair unwashed and unkempt
  • Inability to organize simple steps in hygiene and grooming
  • Constipation related to lack of exercise, roughage in diet, and poor fluid intake
Self Care Deficit Outcome Criteria
  • Performs all tasks of self-care consistently (all ADL*)
  • Experiences normal elimination
  • Sleeps 6 to 8 hours a night without medication
Long-Term Goals
  • Gradually return to weight consistent for height and age or baseline before illness by (date)
  • Sleep between 6 to 8 hours per night within 1 month
  • Demonstrate progress in the maintenance of adequate hygiene and be appropriately groomed and dressed (shave/makeup, clothes clean and neat)
  • Experience normal elimination with the aid of diet, fluids, and exercise within 3 weeks
Short-Term Goals
  • Gain 1 pound a week with encouragement from family, significant others, and/or staff if significant weight loss exists.
  • Sleep between 4 and 6 hours with aid of medication and/or nursing measures.
  • Groom and dress appropriately with help from nursing staff and/or family.
  • Regain more normal elimination pattern with aid of foods high in roughage, increased fluids, and exercise daily (also with aid of medications).

Nursing Diagnosis

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