DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program
NURSING CARE PLAN

Name of Patient: _Patient JA_________ Date of Admission: _October 30, 2021 @8:15AM Room: _108_
Age: _12 years old_ Sex: _Female_ Civil Status: _N/A_ Chief Complaint: five attacks of acute cystitis
Religion: ___N/A___________ Attending Physician: ___Dr. J. Kook____

PROBLEM SCIENTIFIC BASIS GOALS/OBJECTIVES NURSING RATIONALE EVALUATION

INTERVENTIONS
October 31, 2021 Deficient knowledge related to After 8 hours of providing October 31, 2021
@8:15AM unfamiliarity with nature and nursing interventions, the @3:00PM
treatment of condition aeb patient will be able to: 1. Explain to the client 1. Frequent
recurrent acute cystitis about UTI risk factors recurrences of GOAL MET
Objective: a. Verbalize knowledge and treatment in UTI may indicate
 consequently BASIS: of causes and layman’s term. that the client has After 8 hours of providing
(+) 5 attacks of Acute cystitis or urinary tract treatment of acute difficulty nursing interventions, the
acute cystitis infection caused by pathogenic cystitis understanding the patient was able to:
 Dysuria microorganisms in the urinary disease and a. Verbalized
 Increased tract, specific to the bladder. It is complying with knowledge of
frequency and common in school age children, prescribed causes and
urgency in and female. Usually, bacteria that therapeutic treatment of acute
urination enter the urinary tract system are management. cystitis
removed by the body before they Using of layman’s
can cause symptoms. But, due to term will help the
poor hygiene, bacteria overcome client understand,
the natural defenses of the body, given her age.
therefore causes infection. Thus,
the unfamiliarity with nature and 2. Instruct to avoid 2. It irritates the
treatment causing deficient colored drinks such bladder and tend
knowledge. soft drinks. to aggravate the
frequent or
urgent need to
urinate.
3. Teach the client 3. To resolve the
about measures to current infection
prevent urinary tract and prevent a
 infections. recurrence.

a. Do not bath in a a. Bacteria in the

tub. bath water
may enter the
urethra.

b. Encourage not to b. This results to

REFERENCES: ignore the need to stasis of urine
Vera, M. (October 24, 2021). void or pee. or cessation in
Urinary Tract Infection Nursing urinary flow.
Care Plans.
c. Perineal hygiene c. This will help
https://nurseslabs.com/urinary
after bowel in preventing
-tract-infection-nursing-care- movement. Wipe the migration
plans/ from front to back. of the
pathogen in
the urethral
opening and,
in women, the
vaginal
opening.

4. Encourage to drink 4. To flush bacteria

plenty of water. from urinary tract.

5. Instruct to contact 5. Healthcare

your provider if you provider will give
have difficulty aid to the
emptying your problem.
bladder

Edelyn Santoyo
Name of Student

DRUG STUDY
 Medication Mode of Action Dosage Indication(s) Contraindication(s) Side Effects Adverse Effects Nurses Responsibilities
Generic Name: Vitamin E's anti- 11mg/day Treat and -Hypersensitivity does not  CNS:  Verify any medication
Acetate d’ Alpha atherogenic (16.4 IU) prevent vitamin -Blood clotting/bleeding usually Dizziness, order and make sure
Tocopherol Vitamin activity involves deficiencies disorders cause side tiredness, it’s complete. The
E the inhibition of -kidney problems effects headache order should include
the oxidation of - liver problems when used the drug name,
Brand Name: LDL and the -high blood fats in EENT: blurred dosage, frequency
Bloom E accumulation of (cholesterol/triglyceride recommend vision and route of
oxLDL in the s) ed doses administration. If any
Classification: arterial wall. It also - recent or planned  element is missing,
Vitamiin appears to reduce surgery check with the
oxLDL-induced GI: practitioner.
apoptosis in Nausea,  Check the patient's
human endothelial diarrhea, medical record for an
cells. Oxidation of stomach cramps allergy or
LDL is a key early contraindication to the
step in Hypersensitivit prescribed
atherogenesis as y: rash, medication. If an
it triggers a itching/swelling allergy or
number of events contraindications
which lead to the exist, don't administer
formation of the medication and
atherosclerotic notify the practitioner.
plaque. In  Take the vitamin with
addition, vitamin E food.
inhibits protein  Recommend dietary
kinase C (PKC) allowance of vitamin
activity. PKC plays as per patient’s age.
a role in smooth  Encourage patient or
muscle cell guardian to speak up
proliferation, and, if something seems
thus, the inhibition amiss.
of PKC results in
inhibition of
smooth muscle
cell proliferation,
which is involved
in atherogenesis.
REFERENCES:
DrugBank. (n.d). D-alpha-Tocopherol acetate. https:// go.drugbank.com/drugs/DB14002
FDAR:

F Deficient knowledge of the condition

D Consequently five attacks of acute cystitis

A Administered medication as per doctor’s order; Encouraged to

increase oral fluid intake; Taught patient preventive measures such
wiping from front to back after bowel movement or every urination;
Watched out for unusualities.

R After 8 hours

Patient verbalized knowledge and adhere to treatment regimen.

CUS:

Collaboration:

C I am concerned that sister of the patient made her eat junk foods and
drink juices.

U I am uncomfortable since it was instructed that the patient should

avoid those foods due to her condition.

S It is a safety concern. Can you educate them of the dos and don’ts
again?

Ethico-Moral-Legal Consideration:

Nursing Action  Educate the mother that scolding the child is

not helpful.

 Educate the mother that the child might not

be able to button his uniform correctly since at
his age he is playful.

 Educate the mother about the child’s

development and learnings at this age.
Beneficence. It is about doing good.
Ethical Principle
Upheld Encouraging the mother about the best action for her
child’s behavior is essential. Thus, addresses the
idea that a nurse's actions should promote good.
Reflection:
Being in a pediatric unit is a lot different to being in an adult inpatient medical unit, I
guess. With children, it means delivering care through a family centered lens, a concept
that will be new to me. As a student within the nursing curriculum, we are taught the
importance of developing a trusting relationship with our patients. However, in a
pediatric settling, nurses and other healthcare professionals have an additional
responsibility to develop a relationship with the patients’ family.

When I will be dealing in the pediatric unit soon will enable me to realize that confidence
plays a vital role in not only providing optimal patient and family centered care, but also
in the development of my role as a student nurse. While I realize, my confidence has
been on the lower end these days, I realize that these feelings will subside as I continue
to grow my knowledge and develop my own routines into how I develop a care plan that
meets both the needs of my patient and their respective families in the clinical setting
soon.

Being a student nurse brings many challenges every day. Whether it’s completing an
assignment, frantically trying to get a certain skill signed off or ironing your uniform after
a twelve and a half hour shift ready for another the next day. However, these challenges
do not compare to the ones many patients encounter daily and I am forever putting my
own life into perspective to realize how truly lucky myself and many others are to have
good health. Working within the field of pediatrics I guess would be incredibly rewarding
and a joy to meet and care for so many courageous children and families. The strength
and resilience they have to face each day is remarkable and gives me the motivation to
deliver the best care I can in the future, because my patients deserve nothing less.