NURSING CARE PLAN

Name: Date Admitted:

Age: Chief Complaints:
Sex: Diagnosis:
Civil Status: Attending Physician:
Address: Ward/Area:

ASSESSMENT NURSING BACKGROUND PLANNING IMPLEMENTATION RATIONALE EVALUATION

DIAGNOSIS KNOWLEDGE

Subjective Cues: Activity in tolerance Anemia is the most After 8 hours of  Assess  Influences Patient reveals an
related to common nursing patient’s choice of increase inactivity
Patient verbalized imbalance between hematologic interventions the tolerance,
ability to intervention
that she has C/O oxygen supply disorder in which patient will be able perform s or needed demonstrating a
anorexia, palpation, (delivery)and the hemoglobin to have an increase reduction in
normal task assistance.
weakness, nausea demand. level is lower than in activity of or activities  May physiological signs
normal, reflecting tolerance including of daily indicate of intolerance and
the presence of a activities of daily living. neurologica laboratory values
decrease in number living.  Note l changes within normal
or derangement in changes in associated range.
function of red balance/ with
Objective Cues: blood cells within gait vitamin
the circulation. As a disturbance, B12deficien
Patient looks pale,
result, the amount muscle cy, affecting
fatigue,
of oxygen delivered weakness. patient
Tachycardia and
to body tissues is  Elevate the safety or
syncope
also lessened. head of the risk of
bed as injury.
tolerated.  Enhances
Vital Signs: lung
T-36.9 expansion
to maximize
PR-75 oxygenatio
n for
RR-18
cellular
BP-100/80 uptake.