Nursing care plan for ineffective health maintenance

Nursing care plan for ineffective health maintenance

<Definition>
“Ineffective health maintenance” means an individual who is or is at risk of having a health condition due to lack of knowledge to manage the health condition and basic conditions necessary for health. It is in the state of.

<Differences in how to use “ineffective health maintenance” and “ineffective health management”>
“Ineffective health maintenance” is used for individuals who want to change their unhealthy lifestyle such as overeating, lack of exercise, and smoking, and is used for primary prevention to prevent the onset of illness.
“Ineffective health care” is used for patients who need education on self-management of illness or health condition.

<Use behavior change stage model>
When a person changes his / her behavior, it is considered to go through five stages of “indifference period”-> “interest period”-> “preparation period”-> “execution period”-> “maintenance period”. In order to move on to the behavior change stage, it is necessary to understand which stage the person is currently in and to work on each stage.

<Nursing care plan>

Target
You can review your lifestyle in your daily life
Acquire knowledge that can improve health and prevent illness in daily life
You can change your behavior based on your knowledge of prevention
It is possible to continue the transformed behavior and prevent lifestyle-related diseases.

Observation plan
1. Presence or absence of preventive knowledge about lifestyle-related diseases and degree of understanding
2. View of health
3. Presence or absence of stress and how to dissipate
4. Whether or not there is a goal to change behavior
5. Exercise and frequency of exercise to improve health
6. Have you participated in or have participated in a health class (degree and frequency)?
7. Are you actively undergoing a medical examination?
8. How to get information about your health
9. Knowledge and understanding of family lifestyle-related diseases
10. Lifestyle, how to spend the day
11. Living environment
12. Occupation, work content
13. Eating habits (normal intake of fat, salt, sugar)
14. Whether or not you smoke, smoking history, number of cigarettes per day
15. Drinking, frequency, amount, type
16. Whether or not you are taking medicine
17. Eating, overeating and dieting, weight gain and loss
18. Defecation status
19. Skin, oral cavity, scalp, nail condition
20. Sleep time
21. Are you using social support?

Care plan
1. Get involved in an easy-to-speak attitude

<Apathy period>
2. Support for behavior change in health management
-Propose patients to think about the pros and cons of their lifestyle
-Explain the benefits of healthy behavior

<Period of interest>
3. Support for behavior change in health management
-Acknowledge your lack of health behavior and encourage a positive image of yourself after transformation
-Think together about the reasons why you cannot manage yourself about health management
-Get confidence that you can do it well
-Encourage people to declare their actions

<Preparation period>
4. Support for behavior change in health management
-Consider goals according to the subject’s self-management ability and family support ability
-Consider multiple symptom-related solutions and let the subject choose what to do

<Maintenance period>
5. Support for behavior change in health management
-Recognize and praise what you are doing
-Work to get the cooperation of your family and workplace when necessary

Education plan
1. Explain the importance of preventing lifestyle-related diseases
-Explain the health effects of smoking
-Explain the health effects of alcohol overdose
-Explain to keep in mind balanced nutrition
-Explain to maintain proper weight by limiting calories if necessary
-Explain the benefits of exercising
-Explain how to promote defecation (moderate exercise, fluid intake, dietary adjustment, abdominal massage, etc.)
-Explain the need to keep the skin and mouth clean (necessity of hand washing and gargling and how to do it)
2. Explain the importance of stress release methods such as exercise
3. Explain how to utilize health classes and consultation counters
4. Explain how to utilize social support


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