NURSING CARE PLAN

Subjective data Objective data Nursing Planning Implementation Rationale Evaluation
diagnosis
Verbalizations of  -delayed Delayed growth After 2 hours of  Independent: After 2 hours of 
JAM’s development in and development health teaching 1. advice the -to promote intervention the
grandmother: mmdst: r/t lack of age- the parents will  parents continuous  parents had:
a.) Language appropriate  be able to: appropriate toys,  progress of  -selected 5 out of 
-“hindi siya he failed to do activities AEB a.) know  plays and development 5 toys, activities
makalakad, isang item:  poor  how the toddler  activities for the
taon na siya. -3 other words development in continue to toddler  -stated 5 out of 5
Kailangan pa other than mama language and  progress toward 2. discuss with -to promote normal activities
niya ng tulong, & papa gross motor  expected the parents the  progression on of the child
matutumba kasi -combines two developmental different normal the development
siya” different words milestone by: activities for  and mobility of 
-stating the toddler  child -planned daily
-and nasasabi  b.) Gross Motor  normal activities 3.Encourage the -variety of  activities fir the
lang niya ay he failed to do a toddler should  parents to have activities would child for 1 week 
mama, papa, item: do  plans of   be introduced
 boom-boom” -kicks ball -planning a activities for the
forward variety of  child for 1 week  -stated 3 out of 3
-“magisa lang -jumps in place activities for the 4. Teach parents -to ensure strategies for 
siya naglalaro, -stoops & toddler  strategies to cooperation catching the

hindi ko siya
nababantayan recovers
-walks well -dealing with the
delay as early s catch the child’s
attention attention
child of the
minsan” -walks up steps  possible --the parents
 b.) enhance Collaborative:  planned a check 
-“minsan the toddler to 1.Refer the child -for further  up for JAM
nakahiga lang  perform: to a pediatrician
pediatrician diagnosis of the
siya, walang language & for consultatio
consultationn delayed
ginagawa” gross motor  of delay development GOAL met
within scope of  development

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capabilities by:
-providing
activities
appropriate to
child’s age
-motivating the
child to do the
activities

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Subjective data Objective data Nursing Planning Implementation Rationale Evaluation

diagnosis
Verbalizations of  House: Risk for injury After 2 hours of  Independent: After 2 hours of 
JAM’s -Widely open r/t curiosity and health teaching 1. suggest to the -to minimize intervention the
grandmother: door  developmental the parents will  parents to accidents  parents was
immaturity  be able: childproof the abled to:
-“Hindi pa siya -presence of  house
nakakalakad obstructions to Maintain safety 1.decide to child
 pero mabilis siya JAM’s play area for the child by: 2. advice the - for overall  proof the house
gumapang” -implementing  parents to guidance of the immediately
-child is staying safety  provide closer  child
-“medyo makalat in a single space  precautions observation
observatio n to 2. the parents
minsan ditto, the child didn’t provide a
hindi naman ako -parents not -guarding the closer look to
makapagligpit”  providing close child JAM
  observation
-“gapanglang -know the
siya ng gapang whereabouts PARTIALLY
dyan, hindi siya MET
tumitingin” -free the child
from any injury

-“Mahilig
humawak ngsiyang
kung anu-anong
 bagay”

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ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 
Subjective Data: Ineffective health After 2 hrs. of  The student nurse Goal not met
"Bago namin maintenance related nursing will:
inilabas sa ospital  to inability to seek  intervention,
intervention, the  NOT
 yan, nag-screening
nag-screening out professional caregiver will Independent: IMPLEMENTED
test pa, ang sabi
test pa, help secondary to verbalize the need
normal naman."  financial to seek out >discuss with the > To manage the
(Lola) constraints.  professional help.
 professional  parents/ caregivers underlying
the importance of   problems or the
"Dinala naman yan seeking proper  developmental
 sa center, ang sabi   professional help. delays.
okey naman siya, di
daw lahat ng bata Collaborative:
 pare-pareho." 
(Lola) >refer to proper  >to avail
government affordable/free
Objective Data agencies.  programs and
manage the
>lack of   problems.
consultation
consultation to
 proper health
agency.

>lack of knowledge
regarding child's
growth and
development.

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>lack of time of the

caregiver in infant's
supervision

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