NURSING CARE PLAN

Name of the Patient: Medical Diagnosis: Uterine prolapse

Nursing Diagnosis: Ineffective therapeutic regimen management related to economic difficulties

Assessment Diagnosis Planning Implementation Evaluation

Interventions: Rationale:
Subjective: Ineffective Short-term goal: Short-term goal:
therapeutic regimen Independent:
“hindi na po namin management related After 15-30 minutes of nursing 1. Establish rapport - To gain patient’s trust and After 15-30 minutes of nursing
sya napapakonsulta intervention, the patient will have a good nurse-patient intervention, the patient was able to:
to knowledge deficit
dahil wala din kami be able to: relationship
pang bayad para sa pa of prescribed regimen - participate to learn in some
check-up at naglalako -participate in the learning 2. Coordinate the therapy to -this approach promotes information that is relevant to her
pa din siya ng gulay process regarding to its the patient’s lifestyle compliance. A “one size fits condition
pang tustos sa loob ng condition process all” is usually ineffective.
bahay” - The goal was met.
as verbalized by the Long-term goal:
patient’s son. Long-term goal:
After 2-4 hours of nursing
Objective: intervention, the patient will After 2-4 hours of nursing intervention,
be able to: 3. Evaluate desire/readiness of -determine amount or level the patient was able to:
- difficult to walk patient to learn of information to provide at
- fatigue -verbalize understanding any given moment -verbalize understanding about her
about her condition. condition
Vital signs: 4. Monitor vital signs -serve as basis for any
BP: 140/90mmHg -verbalized desire to manage alteration in system -verbalized desire management for the
CR: 96bpm the treatment of and functions treatment and prevention of sequelae
RR: 23cpm prevention of sequelae from from illness
T: 35.9 C illness
- The goal was met.
Weight: 45KG 5. Involve significant others in Involving significant others
explanations and teaching. promotes support and
Encourage their support and assistance in strengthening
1 | P a g e NURSING CARE OF CLIENT WITH COMMUNITY ACQUIRED PNEUMONIA,
B S N 2 A 2 - 5 CELLULITIS, IMPETIGO, ELECTROLYTE IMBALANCE, AND TO CONSIDER ACUTE FLACCID PARALYSIS
 Assessment Diagnosis Planning Implementation Evaluation
assistance in following appropriate behaviors and
plans. promoting lifestyle
modification.

Dependent:
-Administer medications as -Hypertensive drugs for high
ordered. blood pressure

Collaborative:
-Provide information regarding
community resources, and
support patients in making
lifestyle changes.

2 | P a g e NURSING CARE OF CLIENT WITH COMMUNITY ACQUIRED PNEUMONIA,

B S N 2 A 2 - 5 CELLULITIS, IMPETIGO, ELECTROLYTE IMBALANCE, AND TO CONSIDER ACUTE FLACCID PARALYSIS
3 | P a g e NURSING CARE OF CLIENT WITH COMMUNITY ACQUIRED PNEUMONIA,
B S N 2 A 2 - 5 CELLULITIS, IMPETIGO, ELECTROLYTE IMBALANCE, AND TO CONSIDER ACUTE
FLACCID PARALYSIS