Nursing Care Plan

Lipa City Colleges

Assessment Diagnosis Planning Intervention Rationale Evaluation
Subjective: Risk for acute Short term: Within Independent: Identify the Any kind of past Short term: Within
“I feel like I am support system of the client time for the client
losing my mind. I confusion related to the day, the patient in any of the family would be effective the day, the patient
lose my keys and dementia as will have a stable, and members. depending on the had a stable, and a
wallet all the time. I situation.
am getting worried evidenced by a safe environment To prevent any safe environment
Dependent: Provide
that something may client’s memory with the routing thing that brings with the routinh
be wrong.” As medications to the client anxiety and
impairment. schedule of activities schedule of activities
verbalized by the that can reduce anxiety and confusion to the
client. to decrease the client. to decrease the
confusion prior to the
anxiety and confusion anxiety and
Objective: doctor’s order.
Age: 79 yrs. old of such things. confusion of such
The client speech is Interdependent: things.
low. Long term: After 2 Collaborate with other
Maintains poor eye family members or
months of therapy, the
contact. significant other through
Appears thin and patient will have a less scheduling activities of the
frail. confusion, cognitive client.
impairment, and other
dementia's
manifestations.
 Received by: Mr. Ervill Villegas
Clinical Instructor

Name of Patient: Dina N. Tuno

Care Plan by: Mariel Ebreo
Date Initiated: March 16, 2020
Affiliating Agency: