NURSING CARE PLAN

ASSESSMENT DIAGNOSIS RATIONALE PLANNING INTEVENTION RATIONALE EVALUATION

Subjective data: Impaired physical Is the limitation in After 6 hours of -note situations -it may restrict Goal partially met
“di ako masyado mobility related to the independent nursing such as surgery, movement
nakaka galaw fractured purposeful intervention the fractures, After 6 hours of
galaw,” as physical patient will be able amputation nursing
verbalized by movement of the to increase intervention, the
patient body of one or strength and -schedule activities -to reduce fatigue patient was
more extremities functions of with adequate rest partially able to
Objective Data: affected body (left during the day increase strength
- Limited range of leg) and function of
Motion -encourage -it enhance self- affected body part.
- Slowed participation in self concept and sense
movement care of independence
- lying on bed
-identify energy -limit fatigue,
conserving maximizing
techniques for participation
ADLs

-encourage -promote optimal

adequate intake of level of functioning
fluids and
nutritious foods

-administer -to permit maximal

medications prior effort and
to activity as involvement in
needed for pain activity