MISSION

VISION
MABINI COLLEGES, INCORPORATED
“MABINI COLLEGES shall cultivate a CULTURE of COLLEGE OF NURSING AND MIDWIFERY
EXCELLENCE in education.”
Governor Panotes Avenue
Daet, Camarines Norte
“MABINI COLLEGES provides quality instruction, research and
extension service programs at all educational levels as its monumental
contribution to national and global growth and development.
Specifically, it transforms students into:
1. God – fearing
2. Nation – loving
3. Law abiding
4. Earth caring
5. Productive, and
6. Locally and Globally competitive persons

NURSING CARE PLAN (HODGKINS LYMPHOMA) LUNG CENTER OF THE PHILIPPINES

ASSESSMENT NURSING PLAN OF CARE NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTION
Subjective: Hyperthermia Short term: Independent:
“ Ang init ng related to risk After I hours of  Monitor vital  Vitals sign provide After an hour
pakiramdam ko” for infection appropriate signs more accurate patient fever
nursing  Provide tepid indication of core subside to 36.5 to
Objective: intervention the sponge bath. Do temperature 37.5 degrees
 Temperature patient’s not use alcohol  TSB helps in lowering celsius
:38. 4 temperature will  Remove excess the body temperature
degrees decrease to 37 clothing and and alcohol cools the
Celsius degree Celsius covers skin too rapidly,
 RR: 35 ycle  Promote a well causing shivering.
per minute Long term: ventilated area Shivering increases
 Hot, flush After 4 hours of to patient metabolic rate and
skin appropriate  Advise patient body temperature
 Increased nursing to increase oral  This decrease warmth
respiratory intervention the fluid intake and increase
rate patient’s vital  Maintain bed evaporative cooling
 Diaphoresis signs will return to rest  To promote clear flow
 Warm to normal range;  Provide high of airway in the
touch with a calorie diet patient’s area.
temperature of  Educate and  Additional fluids help
36.5 to 37.5 advise support prevent elevated
degree Celsius, system (relative) temperature
pulse rate 60 to to do TSB when associated with
100 beat per patient feels dehydration
minute hot. Luke warn  Reduce metabolic
And respiratory water only. demands or oxygen
rate of 12 to 20 Make sure that consumption

CHARMIE E. JIMENEZ BACHELOR OF SCIENCE IN NURSING MABINI COLLEGES INC.


VISION
“MABINI COLLEGES shall cultivate a CULTURE of
EXCELLENCE in education.”
MISSION
MABINI COLLEGES, INCORPORATED “MABINI COLLEGES provides quality instruction, research and
COLLEGE OF NURSING AND MIDWIFERY extension service programs at all educational levels as its monumental
contribution to national and global growth and development.
Governor Panotes Avenue Specifically, it transforms students into:
Daet, Camarines Norte 1. God – fearing
2. Nation – loving
3. Law abiding
4. Earth caring
5. Productive, and
6. Locally and Globally competitive persons

NURSING CARE PLAN (HODGKINS LYMPHOMA) LUNG CENTER OF THE PHILIPPINES

cycles per minute armpits and  To meet increased
groins were metabolic demands
included in  Teaching the support
doing TSB system, the right way
 Monitor VS and to do TSB will help in
recheck knowing what to do in
case the patients
temperature increases
 To know the
effectiveness of
nursing interventions
done and to know the
progress of patient’s
Dependent: condition
 Provide  These drugs inhibit the
antipyretic prostaglandin that
medications as serve as mediators of
indicated pain and fever.

CHARMIE E. JIMENEZ BACHELOR OF SCIENCE IN NURSING MABINI COLLEGES INC.

 MISSION
VISION
MABINI COLLEGES, INCORPORATED “MABINI COLLEGES provides quality instruction, research and
“MABINI COLLEGES shall cultivate a CULTURE of COLLEGE OF NURSING AND MIDWIFERY extension service programs at all educational levels as its monumental
EXCELLENCE in education.” contribution to national and global growth and development.
Governor Panotes Avenue Specifically, it transforms students into:
Daet, Camarines Norte 1. God – fearing
2. Nation – loving
3. Law abiding
4. Earth caring
5. Productive, and
6. Locally and Globally competitive persons

NURSING CARE PLAN (HODGKINS LYMPHOMA) LUNG CENTER OF THE PHILIPPINES

ASSESSMENT NURSING PLAN OF CARE NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTION
Subjective: Activity After 4 hours of Independent:
“Hindi ako makatulog intolerance nursing  Evaluate  Establishes patient’s After 4 hours of
dahil sa ubo ko” as related to interventions, the patient’s capabilities or needs nursing
verbalized by the exhaustion patient will response to and facilitates choice interventions, the
patient associated demonstrate a activity. of interventions patient was able
with measurable  Provide a quiet  Reduces stress and to demonstrate a
Objective: interruption in increase environment excess stimulation, measurable
 Fatigue. usual sleep intolerance and limit visitors promoting rest. increase
 Dyspnea. pattern inactivity with during acute  These measures intolerance
 V/S taken as because of absence of phase. promote maximal inactivity with
follows: discomfort, dyspnea and  Elevate head inspiration, enhance absence of
T: 37.7 excessive excessive fatigue. and encourage expectoration of dyspnea and
P: 90 coughing and frequent secretions to improve excessive fatigue
R: 22 dyspnea position ventilation.
BP: 100/70 changes, deep  Facilitates healing
breathing and process and enhances
effective natural resistance
coughing.  Fluids especially warm
 Encourage liquid said in
adequate rest mobilization and
balanced with expectoration of
moderate secretions.
activity.
 Promote
adequate
nutritional
intake

CHARMIE E. JIMENEZ BACHELOR OF SCIENCE IN NURSING MABINI COLLEGES INC.


VISION
“MABINI COLLEGES shall cultivate a CULTURE of
EXCELLENCE in education.”
MISSION
MABINI COLLEGES, INCORPORATED “MABINI COLLEGES provides quality instruction, research and
COLLEGE OF NURSING AND MIDWIFERY extension service programs at all educational levels as its monumental
contribution to national and global growth and development.
Governor Panotes Avenue Specifically, it transforms students into:
Daet, Camarines Norte 1. God – fearing
2. Nation – loving
3. Law abiding
4. Earth caring
5. Productive, and
6. Locally and Globally competitive persons

NURSING CARE PLAN (HODGKINS LYMPHOMA) LUNG CENTER OF THE PHILIPPINES

 Force fluids to at
least 3000 ml
per day and
offer warm,
rather than cold
fluids.

Collaborative:
 Administer  Aids in reduction of
medications as bronchospasm and
prescribe: mobilization of
mucolytic or secretions
expectorants

CHARMIE E. JIMENEZ BACHELOR OF SCIENCE IN NURSING MABINI COLLEGES INC.