NCP- GESTATIONAL DIABETES
ASSESSMENT
Subjective:
 She felt like her diet
was uncontrolled
 she was fond eating
chocolates, fruit
shakes and ice cream
Objective:
 Spotting on the first
trimester
 Physiologic changes
during the 3rd
trimester
 Deviations from her
vital signs in the 3rd
trimester
DIAGNOSIS
Infection, risk for decreased
tissue perfusion
PLANNING INTERVENTION RATIONALE EVALUATION
Short term:  establish rapport  to build patient’s Short Term
 after a minutes of trust  after a minute of
health teaching  monitor vital sign nursing intervention,
about her condition  for baseline date goal was met as the
the patient should patient verbalized
be able to verbalized  strict monitoring of understanding about
knowledge and food intake  to know her food gestational diabetes
understanding about intake that can Long Term
gestational diabetes  referred to a contribute to her  after a week of
Long term dietician condition nursing intervention,
 after a week the goal was met as the
patient will be able  for proper diet patient learn to
to manage her manage her condit
condition and apply
proper diet to her
foods and
understand possible
complications
NCP- OVERWEIGHT

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Imbalanced, more than body Short term:  establish rapport  to build patient’s Short Term
 She felt like her diet requirements related to  after hours of health trust  after hours of
was uncontrolled excessive intake in teaching the patient nursing intervention,
 she was fond eating relationship to metabolic should be able to  monitor vital sign  for baseline date goal was met as the
chocolates, fruit need understand patient understand
shakes and ice cream complications that complication that
Objective: may occur due to  strict monitoring of  to know her food may occur due to
 Spotting on the first overweight food intake intake that can excessive eating
trimester Long term contribute to her Long Term
 Physiologic changes  after a week the  a dietary plan that condition  after a week of
during the 3rd patient will be able consist short and nursing intervention,
trimester to demonstrate long term  this will contribute goal was met as the
 Deviations from her methods to lose to self-monitoring patient demonstrate
vital signs in the 3rd weight  educate the patient and self-control that methods to lose
trimester about proper is effective to lose weight
nutritional intake weight

 referred to a
dietician  to give
enlightenment to
the patient on what
is the benefit of
proper nutritional
intake

 for proper diet

PROBLEM: Gestational Diabetes

FIRST LEVEL ASSESSMENT: Health Deficit

SECOND LEVEL ASSESSMENT: Inability to recognize presence of health condition due to lack of or inadequate knowledge

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOMES
Subjective: Inability to recognize After nursing  establish  To build trust  Home visit  notebook The will be able to
 She was fond the presence of intervention, the rapport  Health  pen apply what they
eating health problem due family will be able to:  This will teaching learned during health
chocolates, to:  assess the serve as a teaching and learn
fruit shakes  Inadequate  Understand family’s level baseline data manage and promote
and ice knowledge and have of knowledge about the healthy lifestyle
cream about knowledge regarding the family
gestational on how to Gestational
Objective: diabetes manage and Diabetes
 Deviations reduce  to give know
from her vital diabetes  health on what the
signs in the mellitus educates the family should
3rd trimester family on do to avoid
ways to developing
avoid this kind
gestational
diabetes  to help them
practice
 make a proper meal
dietary plan intake
for the family
PROBLEM: Obesity

FIRST LEVEL ASSESSMENT: Excessive intake of certain nutrients

SECOND LEVEL ASSESSMENT: Inability to recognize presence of health condition due to lack of or inadequate knowledge

CUES/DATA ANALYSIS OF THE OBJECTIVE NURSING RATIONALE METHODOLOGY RESOURCES EXPECTED

PROBLEM INTERVENTION REQUIRED OUTCOMES
Subjective: Inability to recognize After nursing  establish  To build trust  Home visit  notebook The will be able to
 She was fond the presence of intervention, the rapport  Health  pen practice and apply
eating health problem due family will be able to:  This will let teaching proper nutritional
chocolates, to:  assess the the family balance by eating
fruit shakes  Inadequate  determine family’s acknowledge healthy foods like
and ice knowledge healthy food perception of health vegetables and fruits
cream about that good for nutritional concern and that will prevent
 She felt like balanced them balance will lead to overweight
her diet was nutrition  practice cooperation
uncontrolled  lack of living healthy  health
 knowledge lifestyle educates
about proper about the  to inform
Objective: diet risk factors of what
 Deviations obesity problem will
from her vital they faced I
signs in the  make a the future
3rd trimester dietary plan and how will
for the family they
overcome it

 to help them
practice
proper meal
and balanced
food intake