ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Independent: After nursing

Ineffective After of intervention
breathing nursing Auscultate sounds This to detect
pattern related intervention at least every 4 decreased /
to Respiratory hours. adventitious
Distress breath
Syndrome as sounds
evidenced by
tachypnea
Objective:
Vital signs
HR: 110bpm
RR: 75 cpm
T: 36.2 C

Dependent:

Collaborative:
Assess the family’s Encourage
response to child’s the parents
illness and or to participate
hospitalization, in their
utilized the child’s illness
principle of family within their
centered comfort
caregiving. level.