NURSING CARE PLAN

ASSESSMENT
Subjective: “Hindi ko alam kung bakit ganito ang paa ng baby ko.” (I don’t know why
my baby’s feet are like this) as verbalized

DIAGNOSIS
• Knowledge deficient regarding condition, prognosis, treatment, selfcare, and discharge needs. •

INFERENCE
Clubfoot or Talipes Equinovarus is a congenital anomaly in which the foot is plantar flexed at the ankle and subtalar joints, the hind foot is inverted, and the midfoot and forefoot are adducted and inverted. Contracture s of the soft tissues maintain the malalignme nts. The exact cause of clubfoot is unknown, but genetic factors may •

PLANNING
After 8 hours of nursing interventions, the patient will acknowledge feelings and identify health ways to deal with them.

INTERVENTION
Independent: • Review pathology, prognosis and future expectations. •

RATIONALE
Provides knowledge base from which parents can make informed choices. •

EVALUATION
After 8 hours of nursing interventions, the patient was able to acknowledge feelings and identify health ways to deal with them.

by patient. Objective: • • • Request for information. Statement of misconception V/S taken as follows: T: 36.8 P: 120 R: 40

Discuss the deformity and expected treatment in terms the parent s can understand. Encourage parents to hold and play with child and participate in care. Assess and teach parent to assess for signs of excessive pressure on skin, redness, excoriation. Elevate the extremity.

To rule out misconceptions and to provide accurate information about the deformity. To promote bonding between the baby and the parents. These signs require immediate evaluation and intervention.

• •

Stimulate movement of toes. Provide comfort measures such

• •

To promote venous return and prevents edema. To promote circulation Promotes relaxation and

include intrauterine infection, bone infection, vascular and nerve lesions have been suspected. Complicatio ns include “rocker bottom” deformity, disturbance in growth, and recurrent or residual deformity.

as soft music, pacifier, teething ring, or rocking.

may enhance patient’s coping abilities by refocusing attention.

Collaborative: • Discuss the importance of physical therapist.

Physical therapist is important to enhance mobility.

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