Edwin Lloyd S.

Pineda
BSN 3A – A2
Nursing Care Plan (NCP) for a Patient with Asthma
Name: Zab Portugal Date: January 25,
Age/Sex: 19/M 2021
Time: 11:00 am
ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION
Subjective: Fatigue related After 6 hours of Independent: After 6 hours of
“Mabilis ako to increased proper nursing  Elevated the head of the bed  To facilitate breathing proper nursing
mapagod at work of interventions, the interventions, the
manghina” as breathing patient will be able  Changed position of the  To minimize difficulty in patient was able to
verbalized by the to demonstrate patient every 2 hours breathing demonstrate
patient. decreased fatigue. decreased fatigue
 Encouraged to perform  To improves breathing as evidenced by
Objective: breathing exercise such as patterns improved
 Labored pursed-lip breathing for respiration and less
breathing exhalation restlessness.
 Use of
accessory  Instructed in methods to  To encourage lessens stress, Goal Met
muscle conserve energy such as oxygen consumption, and
 Chest tightness asking for and accepting fatigue
 Restlessness assistance, combine and
simplify activities
Vital signs:
 RR = 31 cpm  Encouraged opportunities for  To prevent aggravation of
 PR = 109 bpm rest condition

 Encouraged the use of  To extend active

assistive devices such as a time/conserve energy for
wheeled walker other tasks

 Encouraged nutritionally  To conserve energy

dense, and easy-to-prepare-
and-consume foods

 Allowed the presence of  To minimize anxiety and

family members and/or fear, and give the client a
significant others sense of security
References:
Doanges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and
Rationales. (14 ed.). F. A. DAVIS COMPANY, Philadelphia, Pennsylvania
Martin, P. (2020). 8 Asthma Nursing Care Plans. https://nurseslabs.com/asthma-nursing-care-plans/8/