Nursing Care Plan (NCP) for a Patient with Acromegaly

Name: Patient A Date: April 27, 2021 | Time: 6:30 AM / Shift: 7-3
Age/Sex: 40/M Diagnosis: Acromegaly
ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION
Subjective: Knowledge Deficit Short term Independent: Short term
“Eke man balu’y regarding development of After 30 minutes  Establish rapport. Introduce  To gain patient’s trust After 30 minutes of
ning sakit ku. (I disease of nursing self and explain purpose. and ensure compliance. nursing interventions, the
don’t know my interventions, the patient was able to
illness.)” as stated patient will be  Identify patient’s level of  To determine level of participate in learning
by the patient. able to understanding. teaching process.
participate in As evidence by:
Objective: learning process.  Evaluate desire/readiness of  To determine amount or  Shown willingness to
 Ask questions patient to learn. level of information to learn.
repeatedly Long term provide at any given  Shown readiness to
regarding his After 8 hours of moment. learn.
condition. nursing
 Lack of source interventions, the  Determine barriers towards  To provide opportunities Long term
information. patient will be learning. to address barriers such After 8 hours of nursing
 Expresses able to verbalize as language differences. interventions, the patient
confusion. understanding of was able to verbalize
condition, and  State objectives clearly in  To meet learner’s (not understanding of
disease process. learner’s terms. instructor’s) needs. condition, and disease
process.
 Identify outcomes (results) to  To help client realize As evidenced by:
be achieved. importance of learning  “Ngayon alam ko na
the material, providing yung sakit ko.” As
motivation necessary to verbaize by the
learning. patient.
 Shown no sign of
 Select a variety of teaching  To promote patient’s confusion.
strategies (e.g., pamphlets, retention using different
 visual aids, hand-outs). means of accessing
information.

 Provide an environment that is  To facilitate learning.

conducive to learning.

 Discuss one topic at a time;  To keep the client

avoid giving too much focused and prevents
information in one session. client from feeling
Explain the patient about overwhelmed.
progressive features of the
disorder.
Clarify patient’s doubts and
questions regarding
hyperpituitary disorder.

 Use short, simple sentences

and concepts. Repeat and  To facilitate learning.
summarize as needed.
Use gestures and facial
expressions that help convey
meaning of information.

 Provide written information or

guidelines and self-learning  To reinforce the learning
modules for client to refer to, process and allows the
as necessary. client to proceed at his
own pace.
 Provide positive reinforcement.
Avoid the use of negative  To encourage
reinforcers (e.g., criticism, continuation of efforts.
threats)
References:
Doanges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales. (14 ed.). F. A. DAVIS
COMPANY, Philadelphia, Pennsylvania