NURSING CARE PLAN

NAME OF CLIENT : Ann Batumbakal DIAGNOSIS: HIV

AGE: 26

NURSING Nursing
ASSESSMENT Nursing Goal
DIAGNOSIS Intervention RATIONALE EVALUATION

Short term: Provides knowledge Goal was met,

Subjective Data Deficient knowledge Independent:
After 2 hours of base from which patient After 2 hours of
may be related to Review disease
“hindi ko alam ang nursing intervention can make informed nursing
mga senyales ng sakit unfamiliarity with the patient will process and future
choices intervention the
na ito, Akala ko lang information resources understand and expectations
patient
talagang nanghihina possibly evidenced by discuss more about Stimulates release of understood and
lang ako at mabilis inaccurate follow her status Encourage activity
endorphins in the brain; discussed more
mapagod dahil sa through of  The patient will and exercise at
enhancing sense of about her status
pagkakabuntis ko” as instructions, verbalize level that patient
well-being  The patient
verbalized by the development of understanding of can tolerate
verbalized
patient preventable therapeutic needs understandi
complications Dependent:
Presence of ng of
Long term: Provide
anemia/hypoxemia therapeutic
Method: After 24 hours of supplemental O2
reduces oxygen needs
nursing intervention, as indicated
available for cellular
Interview the patient will uptake and contributes Long term:
correctly perform Monitor laboratory
to fatigue Goal was met,
necessary procedures studies as
After 24 hours
Objective Data and explain reasons indicated: serum
Alert to possible of nursing
for actions or urine
Inability to maintain electrolyte disturbances intervention, the
 The patient will electrolytes; stool
usual routines and determines patient correctly
or specimen
replacement needs. performed
Lack of energy collection
Evaluate renal necessary
perfusion and function

This study source was downloaded by 100000845441881 from CourseHero.com on 09-08-2022 08:56:50 GMT -05:00
 V/S taken as follows:
T: 36. 5 c necessary
Initiate necessary Collab:
PR: 80 bpm lifestyle changes and Refer to a physical Programmed daily procedures and

RR: 16 bpm
BP: 100/80

Method:
Physical examination

Name of Student: Sam Eunice S. Chua

Year/Block #: BSN 2-3 Name of Instructor: CI Sandra
Barnachea

This study source was downloaded by 100000845441881 from CourseHero.com on 09-08-2022 08:56:50 GMT -05:00
Powered by TCPDF (www.tcpdf.org)