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A.

ACTUAL NURSING CARE PLAN

Assessment Nursing Diagnosis Planning Implementation Evaluation


Subjective
 Skin integrity At the end of nursing
“Medyo makati po yung hita,
impairment intervention client will be
kamay ko at paa ko”
related to external able to:
Objectives
factors and poor
 Appearance of ring worm a) Demonstrate the
hygiene
redness and ring shape on personal hygiene
the affected area at b) Perform prescribed
- Both feet/foot treatment regimen for
- Thigh part skin condition
- Rectal area involved; monitor
- Left arm progress
- Finger tip
 Blister in mouth
Vital Sign
BP: 110/80 mmhg
RR: 20 bmp
HR: 60 bmp
Temp: 37.5’C
NURSING CARE PLAN – POTENTIAL

ASSESSMENT NURSING PLANNING IMPLEMENTATION EVALUATION


DIAGNOSIS

 Infection, for risk At the end of Nursing


related to external intervention client will
factors able to minimize
client’s risk of infection
by:

a) Hand washing
before and after
providing care
b) Oral hygiene every
4 hours to reduce
risk descending
infection
c) Cleaning perennial
area by wiping or
washing from area
of least
contamination

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