Step 1: Introduction
Nursing is a health care profession that deals with the care of patients and their family to assist in the recovery of the patient to their health status. The basic principle of nursing revolves around benevolence, nonmaleficence, beneficence, fidelity, human dignity, autonomy, and social justice.
Assessment, diagnosis, planning, implementation, and evaluation are the five steps of nursing care. Nurses closely monitor the recovery of patients and report it to the direct physician. Nurses are in charge of managing medication while prescribing medication lies within the authority of physicians.
The diagnostic statement is a formal written statement that consists of actual diagnosis, causative factors (etiological factor) followed by signs and symptoms.
- Lack of improvement of condition despite administering medication, accompanied by dementia.
- Disrupted skin integrity over coccyx related to the inability of the patient to turn himself in bed, caused by reduced mobility from the paralysis.
- Overweight related to an unhealthy lifestyle manifested by the lack of physical activity and poor eating habit.