Patient’s Name: E. R. V. G.

Age: 1 Gender: Female Civil Status: Child

Medical Diagnosis: Bronchopneumonia Ward: Pediatric Bed No. Crib - 2

GOAL/
NURSING SCIENTIFIC NURSING
CUES DESIRED RATIONALE EVALUATION
PROBLEM REASON INTERVENTIONS
OUTCOME

OBJECTIVE: Readiness for The patient Long-term goal: Independent:

enhanced recovered from
 no cough therapeutic her illness. It Upon discharge  Established  Builds trust & Patient showed
regimen r/t resulted from the patient will: interaction with rapport compliance to
 Afebrile wellness following the the pt.’s nursing
diagnosis pattern of -show normal significant other interventions
 Good cry regulating & vital signs
integrating into (normal temp.,  Provided health
 Conscious daily living the RR & HR) teaching about  To give Patient attained
treatment of the ff: knowledge to progress towards
 No illness that is -remain free of the pt.’s desired outcomes
presence of satisfactory for complications -proper feeding parents
mucous meeting specific
secretions health goals. -show progress -discharge
& enhance medications  To improve
recovery pt.s health
-follow – up status &
care prevent
sickness
 Checked vital
signs
 To reassure
that the
patient is
ready for
discharge