Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
102Activity
0 of .
Results for:
No results containing your search query
P. 1
NCP

NCP

Ratings: (0)|Views: 6,216 |Likes:
Published by kreny10

More info:

Published by: kreny10 on Dec 12, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOCX, PDF, TXT or read online from Scribd
See more
See less

07/28/2013

pdf

text

original

 
Sakamoto, Karen S.July 28, 2009BSN 4BRot 3 PCMC
NURSING CARE PLAN
I.Mr. AA, 3yoDx: Acute symptomatic seizure 2 to metabolic
        ̊
encep. 2 to AGE
        ̊
Assessment N.Diagnosis Inference Planning Intervention Rationale Evaluation
O:>The patientconsume his bottle whilelying downRisk for aspirationrelated to body positioningwhile bottlefed.Ingestion of milk formula passing tothe normalingestion pathwaythat has a possibilityto obstructor block the pathway because of  poor body positioningthat resultto risk of aspiration.
Short termgoal:
After 5hours of nursinginterventions, the patientwill be abletodemonstratetechniques to preventaspiration.>assess thecondition of the patient.>identify at-risk clientaccording tocondition.>educate the patient andrelative toelevate clientto highest or  best possible position(e.g., sittingupright inchair)>educate the patient andrelative toavoidwashingsolids downwith liquids>advice the patient andrelative notto jump>to obtain baselinedata>to managedifferentintervention>normalgravityhelps thefood godown toyour digestivetractsmoothlythus preventingaspiration>it may justadd up toaspiration if  present>to let thefood beabsorbedAfter 5 hoursof nursinginterventions, the goalwas met asevidenced by patient ableto consumehis milk formula properly andthe absenceof the risk for the patient toexperienceaspiration.
 
around whenthe stomachis full.>Refer to physiciananddigested. Itwill alsohelp the patient notto vomit.II.Mr. LA, 7yoWorking dx: Myositis
Assessment N.Diagnosis Inference Planning Intervention Rationale Evaluation
S: “di komagalaw e.Masakit padin (pointinghis L leg)” asverbalized bythe patient.O:>Observedevidence of  pain>Guarding behavior >Expressive behavior Acute painrelated tounderlying physicalagents of the musclePain is caused by underlyingrare conditionof the musclethat makes the personuncomfortable because of the discomfortthat it gives.After 8 hours of nursinginterventions,the patient will be able tofollow prescribed pharmacological regimen andlevel of pain bedecrease to6/10.>assess thecondition of the patient>determine anddocument presence of  possible pathophysiological/ psychologicalcauses of pain(e.g.inflammation,infections, etc)>Observenonverbal cues behaviors (e.g.how client walks,sits, etc)>to obtain baselinedata>to lessenand avoidthe pain by proper management>toAfter 8 hoursof nursinginterventions, the goalwas met asevidenced bythe patientwas able tofollow the prescribedtherapeuticmanagementto his caseand level of  paindecreased to6/10.
 
(Restlessness)>Diaphoresis>Pain scaleof 7/10>Ascertain client’sknowledge of andexpectations about pain management>Determineclient’s acceptablelevel of pain>Provide comfortmeasures such astouch,repositioning, etc.>Encourage use of relaxationtechniques such as breathing,imaging, etc.>refer to physiciananticipate pain and provide proper care>to be ableto respondtotherapeuticmanagement>to be ableto establish patient’strust in youand not togive further  pain to the patient>to lessenthe pain>to divertattention of  painIII.Ms. RAM, 2yoAdm dx: hepatic abscess
Assessment N.Diagnosis Inference Planning Intervention Rationale Evaluation

Activity (102)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
Margie Tanio liked this
Faye Bruno liked this
Hmsat ALsultan liked this
Marie Mee liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->