NURSING CARE PLAN-1 Patient Name: - Rab Dino S/O Mola Bux Medical Diagnoses: Hemophilia ASSESSMENT NURSING DIAGNOSIS

Ineffective SUBJECTIVE: protection My wound related to won't stop abnormal bleeding as blood profile. verbalized by the patient.

Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007 INTERVENTION SCIENTIFIC RATIONALE patient EVALUATION After 8 hours of nursing interventions, the patient was able to display homeostasis as evidenced by absence of bleeding.

PLANNING After 8 hours of nursing interventions, the patient will display homeostasis as evidenced by absence of bleeding.

1. Avoid injections, rectal 1. Protects 2.

3.

OBJECTIVE: • Altered blood clotting. • Continuous bleeding. • V/S taken as follows: T: 37.1 P: 78 R: 20 BP: 110/80

4.

5. 6.

from temperatures or rectal procedure related tubes. causes of bleeding. Maintain a safe 2. Reduces accidental environment. Keep all injury, which could result necessary objects within in bleeding. patient’s reach and keep bed in low position Hematest body fluids 3. Prompt detection of like urine, stool, and bleeding or initiation of vomitus, for occult therapy may prevent blood. critical hemorrhage. 4. Presence of bleeding or Monitor for changes in hemorrhage may lead to vital signs and skin color circulatory failure or like blood pressure, shock. pulse, perspiration, skin pallor or discoloration. Evaluate change in level 5. May reflect cerebral of consciousness. bleeding. medication Avoid use of aspirin 6. These reduces platelet products or non steroidal aggregation. anti-inflammatory drugs.

Reference: Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company. Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)