EMILIO AGUINALDO COLLEGE

Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines Tel. Nos.
(046) 416-4339/41 www.eac.edu.ph

Abigail Anne Daphne G. Nursing Care Plan

BSN 2-10 CMCA RLE
PROBLEM 1: ACTUAL NURSING PROBLEM
A female patient came to the hospital for a check up because she's not feeling well for the
past few weeks and she's experiencing loss of appetite
Assessment Diagnosis Planning Intervention Evaluation
Subjective: - Due to the - Stop Independent - By the end
- The patient experience travelling - Monitor of the
verbalized of the - No sexual bleeding of consultation
“gutumin, patient, she contact the patient the client is
madami is - The patient - Monitor vital already
cravings, anembryoni should stay signs informed
motion c pregnancy at home and especially that she is
sickness have a bed blood pregnant
din ako rest pressure - The bleeding
nun.nasuka - Diet - Educate the is under
kada byahe modification patient about monitoring
tapos like sweet food intake - And give
feeling foods while pregnant medication
bloated” - Life style and the so the baby
- Bleeding and proper importance of will stay
- No history of treatment it. alive and
high blood and - Assess patient healthy.
pressure as management weight, height,
stated by the age, and BMI. Goal met.
patient
Dependent
Objective: - Progesterone
- Blood medication
Pressure: - Diet
120/90 modification
- Facial
grimace
- Normal
results for
blood work
- ECG results
are also
normal
- G1P0
 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines Tel. Nos.
(046) 416-4339/41 www.eac.edu.ph

PROBLEM 2: ACTUAL NURSING PROBLEM

A 1st time pregnant patient immediately go to the ER, because of non- stop bleeding

Assessment Diagnosis Planning Intervention Evaluation

Subjective: - Due to the - Stop the Independent - 8 hours of
- Verbalized bleeding bleeding - Check vital nursing
by patient that - To lower signs. intervention
“naka ilang happened, the - Asses the the patient was
spot at the patient blood patient’s level able to
bleeding experience pressure of knowledge verbalize the
nako d 120/80 and anxiety understanding
ngayong miscarriag mmhg about the of the patient’s
araw, ang e - To reduce situation miscarriage.
sakit sakit pain - Have the - The patient’s
ng puson - Health patient to be blood
ko, at teaching recite pressure
feeling ko about after positive initially
hihimatayin care after thing to say reduced to
na ako sap having a to herself 130/90mmhg
ag aalala.” miscarriage and remind - Be able to
- Bleeding her that is understand and
- Rate pain this is familiarize
8/10 normal yourself with
- General during 1st prenatal check-
body time ups, manage
weakness pregnant yourself
Dependent appropriately
Objective: - Have a bed before, during
- Blood rest and after
pressure: - Avoid pregnancy, and
150/80mmhg being take care of
- Discomfort stressed yourself and
caused by - Rest from your baby's
the pain being health.
- 3 weeks workaholic Goal met.
pregnant
- G1P0
 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines Tel. Nos.
(046) 416-4339/41 www.eac.edu.ph

PROBLEM 2: POTENTIAL NURSING PROBLEM

A 30-years-old patient came to the clinic for her follow-up check up

Assessment Diagnosis Planning Intervention Evaluation

Subjective: - The patient - Develop an Independent - A week of
- Food intake experiencin appetite - Formulate nursing
that exceeds g reeducation an eating intervention
body needs Situational plan with plan with the the patient
- Verbalized low self- patient. patient, was able to
by patient Esteem - Diet using verbalize the
“non-stop modification knowledge understandin
ung - Life style of g of the
cravings ko and proper individual’s patients’
kahit kakain treatment height, body body
ko, and build, age, changes.
lumalake managemen gender, and Goal met.
yung braso individual
ko, patterns of
nahihirapan Long-term eating,
na ren ako - The patient energy, and
yumuko, will be nutrient
sumasakit able to requirements
ung likod ko accept the - Emphasize
at alam changes in the
kong her body importance
nadadagdag of avoiding
an pa lalo fad diets.
ang aking
timbang” - Dependent:
Objective: - Consult with
- Blood dietitian to
pressure determine
110/80m caloric and
mHg nutrient
- Diffiden requirements
t for
- Gain of individuals
weight weight loss.
- Dark
pigmenta
tion of
elbow
and
underarm
also
neck.
 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines Tel. Nos.
(046) 416-4339/41 www.eac.edu.ph