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CRITERIA

Promptness: 5% ____
Ateneo de Davao University Cues: 20% ____
E. Jacinto Street, 8016 Objectives: 10% ____
Davao City Nursing Diagnosis: 15% ____
Nursing Interventions: 40% ____
Evaluation: 10% ____
 Name of Student: Paolo Anton C. Espinosa/Year/Section: BSN/1F Subject: Adult failure to thrive r/t degenerative condition Date: 3/25/2021
Total: 100% ___

NURSING CARE PLAN (NCP)


ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 Adult failure to thrive r/t  Short-term Goals:  I will interact with the patient 1. To determine the
degenerative condition and to help her adjust to Shorterm Goals:
Date: January 27, 2020 patients current
Time: 1:00 pm socializing medical,
She said she loss apetite,  After 8 hours of  Goal Met, After 8
intervention my cognitive, hours of
want to be alone and does  I would like to know more
Subjective Data: patient temperature emotional and Administering
not want to socialize with about the patient and the
 Patient will return to normal. perceptual status medications
anyone. patients stressors affecting her
verbalized “She current situation. to the effects to Patients
had stated on  Long -term Goals: temperature and
the patients
admission that  blood pressure has
 HyperthermiaShe has a  To attend activites I would like to know and help functional
she misses improve the nurtritional status lowered and
temperature of 39.0⁰C and socialize with abilities.
working because of the patient and Coordinate returned to normal
other patients.
she enjoyed She had a recent hospital  To be able to do with the patient and
2. Assits the paitient
nutritionist so we can find Long-Term Goals:
sewing before things she loved
admission for pneumonia. and let her family
vision changes which was sewing and ways to stimulate intake
be envolve to  Patient now has self
made it difficult have boost of self
 I would like to encourage the develop goals for confidence and
to do” confidence.
patient to talk about positive socialize with other
dealing with life
aspects to her problems and people
and illnesses
introduce the concept of situations.
 “She also stated  Patient will have
mindfulness(living in the
her loss of better state of mind
moment)
apetite and not 3. To if she is eating and know how to
socializing with the right food and handle her problems
others when  I will indetify the factors the right amount
invited” causing her high temperature of intake.
and consult with the doctors  Patient is now
Coordinate with eating properly and
the patient and is in the right weight
Objective Data:  I will monitor the patients nutritionist so we
 Vital signs: temperature, blood pressure, can find ways to  Patients
respiration, heart rate and temperature and
Temp-39.0⁰C stimulate intake.
rhythm every 6 hours. I will blood pressure has
4. To improve
HR-99 beats/min. also monitor the patients lowered and
laboratory studies and consult mental health returned to normal
RR-32 breaths/minute with the doctor if there are and help improve
BP: 160/100 any problem. the patients self
confidence.
 Social isolation
 I will promote surface cooling by
 Decreased means of undressing, cool
5. To know what are
appetite envirnment, cool,tepid sponge the factors and
bath, and monitor the use of how we can help
blankets with bath. her lower her
temperature and
 Administer medications as make it turn back
indicated by the doctor of the to normal
patient and to treat the
underlying cause of high
temperature and provide high 6. To know if the
caloric diet to meet increased medicine is
metabolic demands. working and
helping her
reduce her illness

7. To help her lower


her temperatue
and minimize
shivering

8. To know if the
patient is getting
better and having
all her needs
brought by us to
help her improve
faster.

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