J.L. is a 70-yr old man with

J.L. is a 70-yr old man with a history of a stroke three years ago who lives at the long-term care facility. He has right-sided hemiplegia with little voluntary movement on that side. In the last 24 hours, J.L. has experienced frequent liquid stools. Upon entering the room at the beginning of the shift, the nurse notices a strong fecal odor. J.L. has had decreased appetite in the last week, eating only small amounts of each meal. He is repositioned in bed by the CNAs every two hours and is assisted to his chair by a Hoyer lift for two-hour increments 2-3 times a day as tolerated. Use Clinical Judgment to develop a care plan for J.L. with two priority problems. 1. (Analyzing Cues: Prioritizing Hypothesis): Priority Client Problem 2. (Generating Solutions) Goal: List one goal 3. (Take Actions) Interventions: List 3 interventions 4. Evaluation Outcomes: Write a possible evaluation statement List 3 things you can do to show this patient matters to you and will establish and maintain his dignity? What will the nurse need to do to protect other patients in this situation? SCIENCE HEALTH SCIENCE NURSING NURSING 380

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