17

FAMILY NURSING CARE PLAN

METHODS OF
FAMILY RESOUR
GOAL OBJECTIV INTERVETIO NURSE-
HEALTH NURSING CES
OF ES OF NS/MEASUR CLIENT EVALUATI
PROBLEM DIAGNOSI RATIONALE REQUIRE
CARE CARE ES INTERVENTI ON
S D
ON

Cues: Activity After 1-2 After 1-2 Assess Influences Home-visit Time and Patient
intolerance days of hours of patient’s ability choice of effort of reveals an
Subjective: related to student- student to perform interventions or student increase
normal task or needed inactivity
“Maluya ko imbalance nurse nurse – nurse and
activities of assistance. tolerance,
kadugayan, between client client daily living. the client. demonstrati
di nahu oxygen interacti interaction,   ng are
mahuman supply on, the the client Note changes May indicate duction in
akong (delivery) client will be able in balance/gait neurological physiologica
and will be to: disturbance, changes l signs of
trabaho
demand. able to muscle associated with intolerance
usahay” as weakness. vitamin B12 and
verbalized   deficiency, laboratory
by the affecting values
client. patient safety within
or risk of injury normal
  range.
Recommend Enhances rest
Objective: quiet to lower body’s
atmosphere, oxygen
♦ Greater bed rest if requirements,
need for indicated. and reduces
sleep and   strain on the
rest. heart and
lungs.
♦ V/S taken
as follows: Elevate the Enhances lung
head of the expansion to
T: 36.6 bed as maximize
tolerated. oxygenation for
R: 30 cpm   cellular uptake.
P: 80 bpm
Provide or Although help
BP: 110/60
recommend maybe
mmHg assistance necessary,
with activities self-esteem is
or ambulation enhanced
as necessary, when patient
allowing does some
patient to do things for self.
as much as
possible.
 
Plan activity Promotes
progression gradual return
with patient, to normal
including activity level
activities that and improved
the patient muscle tone or
views stamina without
essential. undue fatigue.
Increase
levels of
activities as
tolerated.
 
Identify or Encourages
implement patient to do as
energy saving much as
technique like possible, while
sitting while conserving
doing a task. limited energy
and preventing
fatigue.

Collaborative: Identifies
deficiencies in
Monitor RBC
laboratory components
studies. Hb or affecting
Hct and RBC oxygen
count, arterial transport and
blood gases treatment
(ABGs). needs or
response to
therapy.
 20

METHODS
FAMILY RESOUR
GOAL OBJECTIV INTERVETIO OF NURSE-
HEALTH NURSING CES EVALUATIO
OF ES OF NS/MEASUR RATIONALE CLIENT
PROBLEM DIAGNOSI REQUIRE N
CARE CARE ES INTERVENT
S D
ION

Imbalance After 1-2 After 1-2 Explain to the This will give Home-visit Time and After nursing
d nutrition: days of hours of client: the client effort of interventions
less than student- student knowledge student the pregnant
body Anemia is a
nurse nurse – about the nurse and mother
requiremen normal event
ts related client client happening to condition she is the client. would
Subjective: to iron interacti interaction, a pregnant experiencing. verbalized
deficiency on, the the client women. understandin
“Anemic anemia. client will be able   g about the
na jud ko will be to: Iron deficiency causes and
bisan sa wa able to anemia is effects of
pa ko caused by
verbaliz iron
magmabdo inadequate
s”, as es iron in the deficiency
verbalized understa Blood. anemia
by the nding   before and
client. about Iron deficiency after
the anemia may pregnancy.
Objective: causes cause different
complications
and
Thin the client may
V/S taken effects experience.
as follows: of iron
T: 36.6 P: deficienc
75 y
R: 20 BP: anemia
110/60 before
and after
pregnan
cy.
 22

DRUG STUDY
DRUGS DOSAGE CLASSIF INDICATION CONTRA- MECHANISMS SIDE ADVERS NURSING
FREQUENC ICATION INDICATIO OF EFFECTS E RESONSIBILITY
Y ROUTE N EFFECT
ACTIONS

FOLIC Therapeutic Vitamin Folate Folic acid Vitamin B Nausea Reportedl Obtain a careful
ACID Adult: deficiency, alone complex Gas or y history of dietary
PO/IM/SC/IV B9 macrocytic for  pernicio essential bloating nontoxic. intake and drug
(VITAMI Poor and alcohol usage
1mg/d   anemia, and us anemia for nucleoprotei Slight
N appetite prior to start of
megaloblasti or other n synthesis and Funny flushing therapy.
B9,PTE Child: c anemias vitamin B12 maintenance and
taste in
ROYLG PO/IM/SC/IV associated deficiency of normal feeling of
your Drugs reported to
LUTAMI 1mg/d with states; erythropoiesis. mouth warmth cause folate
C ACID) malabsorptio normocytic, Acts against Trouble following deficiency include
Maintenance
n refractory, folic acid sleeping IV oral
Adult: Feeling contraceptives,
PO/IM/SC/IV syndromes, aplastic, or deficiency that administra
depressed alcohol,
0.4 mg/d alcoholism, p undiagnose impairs or overly tion barbiturates,
rimary liver d anemia. thymidylate excited. methotrexate, phe
Child: disease, synthesis and nytoin, primidone,
PO/IM/SC/IV inadequate results and trimethoprim.
<4 y, 0.3 dietary in production of Folate deficiency
mg/d;>4 y, intake, defective DNA may also result
0.4 mg/d from renal dialysis.
pregnancy, that leads to
Infant: infancy, and megaloblast Keep physician
PO/IM/SC/IV childhood. formation and informed of
0.1 mg/d arrest of bone patient's response
marrow to therapy.
maturation.
Monitor patients
on phenytoin
for sub therapeutic
plasma levels