WESLEYAN UNIVERSITY – PHILIPPINES

College of Nursing and Allied Medical Sciences

Name of Patient (Optional)______________________________________ Diagnosis:_____________________________

Age: _________ Area: ________________________________
NURSING CARE PLAN

Nursing Actions:
Assessment Nursing Diagnosis: Nursing Goals: Indicate if Independent,
Indicate the type of Nursing Indicate if Long Term Goal Dependent or Rationale Evaluation
Diagnosis /Short Term Goal Collaborative Nursing
Action
SUBJECTIVE: Anxiety related to threat Long Term: Independent: After 8 hours of nursing
“hindi ko alam kung to/ or change in health Within 8 hours of nursing 1. Monitor vital signs 1. To identify physical intervention the patient
makakapagtrabaho na status intervention the patient responses associated appeared relaxed and the level
ako kaagad pagkagaling will appear relaxed and the with both medical and of anxiety will reduced to a
level of the anxiety will emotional conditions manageable level.
ko eh” as verbalized by
reduced to a manageable
the patient.
level. 2. Use presence, 2. Being supportive and
touch, approachable
OBJECTIVE: verbalization or encourages
Vital Signs: demeanor to communication.
BP: 130/90 remind client and
Temp: 36.2c to encourage
PR: 64 bpm expression or
RR: 20 bpm clarification of
-Restlessness needs, concerns,
-difficulty in sleeping unknowns, and
-fatigue questions.

3. Accept client’s 3. If deficiencies are not

deficiencies, do threatened, the client
not confront and may feel safe enough
argue and debate to look at the behavior

4. Talking or otherwise
4. Allow and expressing feeling
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences

reinforce client reduces anxiety

personal reaction
towards the
threatens to well-
being
5. To educate the patient
5. Explain everything regarding the disease
necessary to reduce anxiety
regarding the
disease

_______________________________ _______________________________________
Student Name and Level Clinical Instructor

Name of Patient (Optional)______________________________________ Diagnosis:_____________________________

Age: _________ Area: ________________________________
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences

NURSING CARE PLAN

Nursing Actions:
Assessment Nursing Diagnosis: Nursing Goals: Indicate if Independent,
Indicate the type of Nursing Indicate if Long Term Goal Dependent or Rationale Evaluation
Diagnosis /Short Term Goal Collaborative Nursing
Action
SUBJECTIVE: Acute pain related to Long Term: Independent: After 8 hours of nursing
“May nararamdaman disease process secondary After 8 hours of nursing 1. Assess level of pain 1. To determine how intervention the pain of the
akong pain sa may tyan to pancreatic tumors intervention the pain of felt intense the pain patient is relieved or controlled
ko”as verbalized by the the patient is relieved or felt. and promote wellness.
controlled and promote
patient.
wellness. 2. Provide measure 2. To alleviate pain Pain Scale decreased from 7 to
-With pain scale of 7
to promote when present. Non 5 where 10 is the highest and 1
where 10 is the highest comfort and pharmacologic is the lowest.
and 1 is the lowest reduce pain. therapies can also
lessen any pain
OBJECTIVE: felt.
Vital Signs:
BP: 130/90 3. Teach the client 3. Avoiding food that
Temp: 36.2c about dietary may trigger disease
PR: 64 bpm modifications to may lessen the
RR: 20 bpm limit foods high in chance of
fats reoccurrence

_______________________________ _______________________________________

DRUG STUDY
Nursing
Name of Action Drug Form Classifications Indications and Side Effects & Considerations/
Drug/s Contradictions Adverse Effects Responsibilities

Sandostatin Octreotide binds Capsule Octreotide injection is in a Sandostatin® (octreotide Gastrointestinal May impair gallbladder
with high affinity class of medications called acetate) is indicated to function: instruct
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences

Generic to somatostatin Injectable octapeptides. It works by reduce blood levels of Diarrhea, loose patient to report
Name: receptor subtype decreasing the amounts of growth hormone and stools, nausea and abdominal pain
2 and subtype 5 certain natural substances IGF-I (somatomedin C) in abdominal
octreotide and with produced by the body. acromegaly patients who discomfort were each Use with caution in
acetate moderate have had inadequate seen in 34%-61% of patients with renal
affinity to response to or cannot be acromegalic patients impairment
subtype 3. treated with surgical in U.S. studies
Subtype 3 resection, pituitary although only 2.6% of Monitor glucose levels
receptor is found irradiation, and the patients in patients with
in the pancreas bromocriptine mesylate discontinued therapy diabetes and even in
and subtype 5 in at maximally tolerated due to these those who do not have
the small doses. symptoms. These diabetes
intestine. symptoms were seen
Contraindicated for in 5%-10% of patients
untreated decreased with other disorders.
level of thyroid
hormones. The frequency of
these symptoms was
diabetes. not dose-related, but
low blood sugar. diarrhea and
abdominal
inadequate vitamin B12. discomfort generally
resolved more
slow heartbeat.
quickly in patients
abnormal heart rhythm. treated with 300
mcg/day than in
hardening of the liver. those treated with
750 mcg/day.
gallstones.
Vomiting, flatulence,
abnormal stools,
abdominal distention,
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences

and constipation
were each seen in
less than 10% of
patients.

In rare instances,
gastrointestinal side
effects may resemble
acute intestinal
obstruction, with
progressive
abdominal
distension, severe
epigastric pain,
abdominal
tenderness and
guarding.
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences

Student Name and level: ______________________________ Clinical Instructor: ______________________________________

DRUG STUDY
Nursing
Name of Action Drug Classifications Indications and Side Effects & Considerations/
Drug/s Form Contradictions Adverse Effects Responsibilities
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences

BROMOCRIPTINE Bromocriptine is used to treat Capsule Bromocriptine is in a psychotic disorder. nausea. Caution patient to
symptoms of Parkinson's class of medications make position
Generic Name: disease or involuntary movements Tablet called dopamine high blood vomiting. changes slowly
pressure.
Cycloset, due to the side effects of receptor agonists. It diarrhea.
Parlodel certain psychiatric drugs treats significant Instruct patient
(antipsychotics such as hyperprolactinemia uncontrolled high constipation. about frequent
chlorpromazine/haloperidol). by decreasing the blood pressure. rinsing of mouth
stomach cramps.
Bromocriptine belongs to a class amount of prolactin
of medication called in the body. It treats coronary artery heartburn. Inform patient that
anticholinergics that work by acromegaly by disease. this medication
blocking a certain decreasing the loss of appetite. decreases
a stroke.
natural substance (acetylcholine). amount of growth perspiration, and
headache.
This helps hormone in the low blood over heating may
decrease muscle stiffness, sweating, body. It treats pressure. occur during hot
and the production of saliva, and Parkinson's disease weather.
helps improve walking by stimulating the liver problems.
ability in people with nerves that control
a mother who is
Parkinson's disease. movement
producing milk and
breastfeedin
 WESLEYAN UNIVERSITY – PHILIPPINES
College of Nursing and Allied Medical Sciences