NAME OF PATIENT: Marichuchuchu Achu NAME OF STUDENT NURSE: Heddy Lou Padagas

AGE AND GENDER OF PATIENT: Female WARD:

ATTENDING PHYSICIAN: Dr. J. Sallo DATE: October 8, 2022

NURSING CARE PLAN

NURSING SCIENTIFIC
CUES DIAGNOSIS BACKGROUND OBJECTIVES NURSING INTERVENTION RATIONALE EVALUATION

Subjective: Impaired Verbal Verbal communication After 3-5 days of nursing Independent: 1. Standard tracheostomy After 5 days of
Communication includes any mode of care, the patient will use a 1. Assess the client’s tubes allow the vocal nursing care, the
Objective: related to presence of communication form of communication to communication chords to move, but no patient was able to
artificial airway as containing words, get needs met and to relate ability use a form of
airflow passes over
manifested by spoken, written, or effectively with persons and communication to
 The patient difficulty of speaking signed. People environments them if the cuff is get needs met and
manifested: communicate verbally inflated; therefore, was able to relate
through vocalization vocalization is not effectively with
- Little drowsy of a system of sounds possible persons and
- Unable to that has been environments
formalized into a 2. Assess
communicate 2. The patient may use
language. A variety of effectiveness of
- Unable to hand signals, facial
challenges may arise nonverbal
produce when using verbal expressions. And
communication
speech communication to changes in body
methods
- Producing express oneself. posture to
more Misunderstandings communicate with
secretions can arise because of others. However,
around impaired others may have
communication.
stoma difficulty in interpreting
- Presence of these nonverbal
cough techniques. Each new
method needs to be
assessed for
effectiveness and
altered as necessary.

3. Assess for
3. The inability to
 frustration and communicate
anxiety related to enhances a client’s
not being able to sense of isolation and
communicate needs may promote sense of
helplessness.

4. Provide a call light 4. A prompt response

within easy reach at decreases anxiety and
all times. Answer the prompt provision of
light promptly. patient’s needs.

5. Provide alternative 5. Providing a variety of

methods for communication aids
communicating allows the patient more
channels through
which information can
be communicated.

Dependent:
6. Administer 6. Administering
medications as medications may
indicated and enhance patient’s
ordered condition

Collaborative:
7. In collaboration with 7. The talking
the physician and tracheostomy provides
speech therapist on a port for compressed
the possible use of a gas to flow in above
talking tracheostomy the tracheostomy tube,
as indicated and allowing are of
ordered phonation
8. If the patient no 8. These adaptive
longer requires devices can facilitate
mechanical talking
ventilation, consider
the use of a Passy-
Muir valve or
fenestrated
tracheostomy tube