Self-Care Deficit | Nursing Care Plan for Renal Dialysis

Nursing diagnosis: Self-Care Deficit related to intolerance to activity, decreased strength and endurance, pain or discomfort, perceptual or cognitive impairment (accumulated toxins)

Possibly evidenced by
Reported inability to carry out ADLs
Disheveled and unkempt appearance, strong body odor

Desired Outcomes/Evaluation Criteria—Client Will
Self-Care: Activities of Daily Living (ADLs)
Participate in ADLs within level of own ability and constraints of the illness.

Nursing intervention with rationale:
1. Determine client’s ability to participate in self-care activities (scale of 0 to 4).
Rationale: Underlying condition dictates level of deficit, affecting choice of interventions. Note: Psychological factors, such as depression, motivation, and degree of support, also have a major impact on the client’s abilities.

2. Provide assistance with activities as necessary.
Rationale: Meets needs while supporting client participation and independence.

3. Encourage use of energy-saving techniques: sitting, not standing; using shower chair; and doing tasks in small increments.
Rationale: Conserves energy, reduces fatigue, and enhances client’s ability to perform tasks.

4. Recommend scheduling activities to allow client sufficient time to accomplish tasks to fullest extent of ability.
Rationale: Unhurried approach reduces frustration and promotes client participation, enhancing self-esteem.