The patient reported being unable to move the right side of their body. An examination found right-sided paralysis and risk of infection due to neuromuscular involvement. The nurse advised turning the patient every hour, encouraging oral fluids and proper hygiene, and range of motion exercises to prevent bedsores and infection.

2. Subjective: “Di ko Right sided paralysis Risk for infection After 1hour of ● Encourage to turn ●Prevent Bedsores After 1hour of
po magalaw yung related to the Nursing Intervention the patient side to Nursing Intervention
kanang parte ng neuromuscular the patient will side
Goal was met. The
katawan ko” as Difficulty in turning involvement identify intervention ●To promote wellness
● Encourage oral fluid patient was able to
verbalized by the pt. the body to prevent risk of and avoid to avoid
intake identify intervention
infection. dehydration
to prevent risk of
●Reduce existing risk infection.
Objective: Bedsores ● Advised to maintain
proper hygiene factor
●Advised the ●Prevent muscle
Risk for Infection relatives to do range atrophy
of motion exercises
●Encourage the ● to decrease for
patient to do deep having pneumonia
breathing & coughing
exercise