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NURSING CARE PLAN

ASSESSMENT

Subjective:
James verbalized:
"Why do I have to take
medications all the time while
other kids don't?"
Objectives:
a.) James looks upset;
b.) Run away every time his
mom called him for
medication;
c.) Cries when his mom insist
to take the pills.

NURSING
DIAGNOSIS
Knowledge deficit
related to disease
process
secondary to
young age.

PLANNING/LEARNING

INTERVENTION

EVALUATION

OBJECTIVES
At the end of 4 weekly
sessions (30 minutes
per week), James should
be able to:
1.

Recognize need
for medications,
understands
treatments

2.

States an ability
to deal with
health situation
and remain in

3.

control of life
Holly should have
a list of resources
that can be used
for more
information or
support.

Independent:
1. Question Holly regarding previous
experience and health teaching.
This provides baseline on her current
knowledge. This is also important in
assessing how Holly manages when
James asks questions related to his
illness.
2. Assess Jamess physical and cognitive
development
Four year olds are naturally curious and
enjoy learning new things. Use this as
an advantage in coming up with fun
activities in making James understand
his condition and why its important to
take medications
3. Provide physical comfort.
This allows James to concentrate on
what is being discussed or
demonstrated. According to Maslow's
theory, basic physiological needs must
be addressed before patient education.
4. Make explanations short, concise, and within
the level of what a four year old can
understand.
Four year olds have shorter attention
span compared to big kids and adults,
keep teachings short and interesting.
5. Provide a quiet atmosphere without
interruption.
This allows James to concentrate on
what is being taught
6. Establish objectives and goals for learning at
the beginning of the session.
This allows James to know what will be
discussed and expected during the
session.
7. Present a story that contains colourful

Goal met after 4


weekly sessions (30
minutes per week) as
evidenced by:
1.

2.

3.

4.

James
verbalized
understanding
of his
condition and
the
importance of
taking his
maintenance
medication
thru the makeup story as
stated in the
care plan.
James now
takes his
medicines
without any
resistance.
James
verbalized that
his condition is
manageable
and he is not
alone because
other kids in
his support
group also
take the same
medications
that he does.
Holly showed a

pictures that are related to his condition. Ex.


A boy with the same condition as he has.
Four year olds love hearing and telling
stories, their cognitive level allows them
to remember parts of the story.
8. Encourage questions
Learners often feel shy or embarrassed
about asking questions and often want
permission to ask them.
9. Advise Holly to give reward every
medication time. This may not always be a
new toy; a simple hug, kiss, high five,
thumbs up may do the trick since four year
olds love to be acknowledged when they do
something right.
This can be a way of motivating James
and to gain his cooperation.
10. Comfort James every time he cries when
taking the medications and discuss the
importance and benefits of having it.
This gives the child the feeling of
reassurance that parents are with him
and only means him well.
11. Include Jamess in his care plan. This could
include giving him the task of remembering
the time of his medication and how many
pills he should take. Although parents
should still take note the medication time
and dosage regardless if the child
remembers it or not.
Part of the development milestone of a
four year old is to understand the idea
of counting and the idea of time. Kids
feel more in control when they are
involved.
12. Document Jamess responses to learning.
Clear documentation supports continuity
in the learning experience.

Collaborative:
1. Refer Holly to support groups where James
can meet kids with the same illness, as
needed.
Part of the Social and Emotional

list of contact
numbers and
addresses of
resources that
she can use
for more
information
and support.
This includes:
Jamess
attending
physician,
nurse
educator,
hospitals
emergency
number, and
support group.

2.

milestone of a four year old is their


ability to cooperate with other children.
They would rather play with other kids
than with themselves. So, allowing
James to interact with others who have
similar condition and learning needs will
help give him reassurance that he is not
alone.
Refer Holly to Jamess attending doctor, as
needed.
Attending physician may provide
additional knowledge regarding Jamess
current condition and address the other
concerns