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St.

Anthony’s College
San Jose, Antique
Nursing Department
NAME:M.L.H.
AGE:55 years old
Dr.: Dr. Baria
CC: NURSING CARE PLAN
CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
SUBJECTIVE: “Hindi Inability of usually GENERAL: After 8 INDEPENDENT:
ako makapangihi.” As continent person to hours of Nursing Set a toileting schedule. A toileting schedule Goals patially met.
verbalized by the patient. Impaired urinary reach toilet in time to intervention, the guarantees the patient
avoid unintentional patient will be able to of a designated time
elimination loss of urine. reduce or has no for voiding and
incontinent episodes. reduces episodes of
functional
incontinence.
OBJECTIVE:
Bp: 150/90 Tell the patient to limit Restricting fluid
PR: 119bpm fluid intake 2 to 3 hours intake and voiding
RR: 15 before bedtime and to before bedtime
void just before reduces the need to
bedtime. disrupt sleep for
voiding

Explain to patient and Successful functional


SPECIFIC: caregiver the rationale continence requires
After 2 hours, the behind and consistency in use of
patient will receive implementation of a a toileting program.
assistance for toileting toileting program.
in a timely manner.
Educate caregivers and Functional continence
family members about is promoted when
the importance of caregivers responding
responding immediately promptly to the
to the patient’s request patient’s request for
help with voiding.
for assistance with
voiding.

DEPENDENT:

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