NORTHERN LUZON ADVENTIST COLLEGE

Artacho, Sison, Pangasinan

A SEVENTH -DAY ADVENTIST INSTITUTION
Accredited by ACSCU -AAI & IBE -AA
SCHOOL OF NURSING
Tel. No. 075 -632 -2290 http://www.nlac.edu.p h e -mail address: Info@nlac.edu.ph ; dean.nursing.nlac@gmail.com

Nursing Care Plan

Assessment Diagnosis Planning Interventions Rationale Evaluation

Subjective: Severe upon taking its *Evaluate the *The condition of the skin goal met as the
*sir namamanas rheumatic recommended skins overall may serve as the starting pt. has been
disease and medicines the state condition point for prospective
po siya, kaya treatment options in the
encouraged to
hindi po siya bipedal patient should including its have ls/lf diet
management and
makalakad edema able to color texture and and take
indentification of risk for
stand and walk temperature impaired skin integrity in
on his own *analyze the
medications on
edematous patients. time the
patients medical
Objective: history to *health care providers intervention for
The patients determine what can utilize this the pt. is
foot are swollen might be causing information to aid them effective.
because of the the fluid through the decision
fluid trapped in imbalance making process or to
body tissues. *evaluate the actively manage their
patient for the patients .reviewing the
presence of patients medical history
edema.check the may reveal increased
ankles, fluid or sodium intake
sacrum,and tibia *after pushing 1 finger
for any signs of in the affected area and
pitting the removing it
afterward one may
easily indetify edema by
the depression left
behind . a measuring
tape can assess the
degree or extent of
edema in an
individual’s arm or leg