FACILITY NAME
COMPREHENSIVE PLAN OF CARE
PROBLEM/NEED
Potential for
complications associated
with diagnosis of Chronic
renal failure.
GOAL(S)
Will maintain optimal
quality of life within
limitations imposed by
disease process as
evidenced by:
__ Maintaining activity
involvement as desired
__ Participating with selfcare daily
__ Participating with
therapy as ordered
by/through review date.
Will maintain optimal fluid
balance, with no s/sx of
dehydration or fluid
overload through review
date.
Will maintain adequate
level of comfort, as
evidenced by no
indications of unrelieved
pain, itching, muscle
cramps through review
date.
APPROACHES
Assess/record/report to
MD prn:
 Blood pressure
changes
 Confusion
 Fatigue
 Edema
 Hair/skin/nail texture
changes
 Itching or burning of
skin
 Nausea/vomiting
 Joint pain
 Muscle
spasms/cramping
 Restless leg
syndrome
N
See care plans for related
problems:
__ Dialysis
__ Altered cardiac output
__ Delirium
__ Fluid imbalance
__ Infection
__ Nutrition
__ Skin integrity
ALL
Monitor weight and
record as ordered or per
protocol. Notify MD, RD
of significant weight
changes.
N,C
Monitor and record intake
and output as ordered.
N,C
Diet as ordered:
____________________
Resident Name
www.careplans.com
Med Rec#
DEPT
N,C,DM
Monitor meal intake and
record. Notify nurse if
intake <50% of 2 or more
meals.
C
Vital signs as ordered or
per protocol and record.
Notify MD of significant
abnormalities.
N
For itching: cool oatmeal
bath, skin lotion, use of
fat-based soaps.
N,C
Room #
REVIEW
MD Name
_
FACILITY NAME
COMPREHENSIVE PLAN OF CARE
PROBLEM/NEED
GOAL(S)
Chronic renal failure
(continued)
APPROACHES
Discuss with resident
and/or family any
concerns, fears, issues
regarding dx or treatment.
SW
Obtain and monitor lab/
diagnostic work as
ordered. Report results to
MD and follow up as
indicated.
N
Administer medications
as ordered and monitor
for side effects,
effectiveness.
N
Fluid restriction as
ordered. Coordinate with
dietary dept to ensure
fluid intake is within
ordered range.
N
Ensure that snacks and
beverages offered comply
with all dietary and fluid
restrictions.
ACT
Patient/resident
education:
N






Resident Name
www.careplans.com
Med Rec#
DEPT
REVIEW
Disease process
Encourage small
meals
Fluid restriction
Foods to avoid
(potatoes, tomatoes,
bananas, oranges)
Grief/coping
mechanisms
Skin care
Room #
MD Name
_