Cough ni baby

Assessment Diagnosis Planning Implementation Evaluation

Subjective: Ineffective Airway At the end of 1 hour After 1 hour of
clearance related to of rendering nursing 1.Establish rapport Rationale. To allow nursing care, goal
As per the mother’s Asthma as care, the client’s the client to express was met / unmet /
subjective cues parent/guardian will herself and to partially met, as
evidenced by the
about the client: be able to: release tension and evidenced by:
- “ayan nahihirapan subjective cues feelings.
siyang huminga regarding the
tapos nung presence of
nakaraan niluwa excessive mucus - Attain new
niya ay malagkit na knowledge 2. Grant a calm and Rationale. A calm
plema na parang regarding asthma peaceful environment
laway.” on infants environment allows the patient
without interruption. to concentrate
-“minsan - Identify and focus more
sumasama sa symptoms of completely
gatas niya yung asthma attack
(Wayne, 2019).
plema, ubo din siya
nang ubo.” - Recall and
Nurseslabs
enumerate things
that could trigger
asthma attack 3. Include the
Rationale. Setting
Objective: patient in creating
goals allows the
- Acknowledge the the teaching plan,
learner to anticipate
Associated health teaching beginning with
what will be
condition: Asthma from the student establishing
discussed and
nurses by objectives and
expected during the
- expressing goals for learning at
session. Adults are
satisfaction. the beginning of the
more concerned
Weight = 4 Kg session
with the here-and-
now, problem-
T = 36.3° C
centered education
PR =116 bpm (Wayne, 2019).

RR= 38 rates per

minute
 Rationale. to
4. Provide report changes in
information about color and amount in
the necessity of the event that
raising and medical intervention
expectorating may be needed to
secretions versus prevent or treat
swallowing them. infection.

Rationale. It is
5. Instruct important for the
client/SO/caregiver client’s caregiver
in use of inhalers the needs of
and other medication
respiratory drugs. whenever he/she is
having an asthma
attack.

Rationale. This
6. Encourage/ prevents/reduces
provide fatigue. Keeping the
opportunities for newborn into a
rest; limit activities peaceful and quiet
to the level of environment would
respiratory help her to be at
tolerance. ease.

Rationale.
7. Ask the caregiver Documenting the
to document client’s response
response to drug regarding the drugs
therapy
of the client would
help the health care
provider about the
improvements of
the client.

8. Ask the Rationale. Having

caregiver/SO to a clear mind
deal with would help the
fear/anxiety that SO/caregiver in
may be present giving proper
regarding the interventions
condition of the
about the client.
client.

9. Review Rationale. This

environmental may avoid the
factors (e.g., things that might
exposure to dust, trigger the client’s
high pollen counts, asthma.
severe weather, modification of
perfumes, animal lifestyle or
dander, household environment to limit
chemicals, fumes, the impact on the
secondhand client’s breathing.
smoke; insufficient
home support for
safe care)
Hindi na dede at kulang sa vitamins
Assessment Diagnosis Planning Implementation Evaluation
 Subjective: Insufficient parental At the end of 1 hour After 2 hours of
knowledge of rendering nursing 1. Establish rapport. Rationale. To allow nursing care, goal
As per the mother’s regarding the care, the client’s the client to express was met / unmet /
subjective cues guardian/parent will herself and to partially met, as
importance of
about the client: be able to: release tension and evidenced by:
breastfeeding feelings.
- “Hindi po, sakin ay related to
naka bote po siya supplemental
kase po pag feeding as 2. Grant a calm
dumedede po sya evidenced by and peaceful Rationale. A calm
sakin nadede nya mother’s - Recognize the environment environment
po ung pagod, importance of without allows the patient
verbalization of
gutom kase po breastfeeding and to concentrate
magkasakit po sya interruption.
minsan how it will benefit and focus more
nalilipasan po ako sa pagdede po the newborn completely
ng gutom…” sakin.
(Wayne, 2019).
- “Bona po ung gatas - Eliminate the
Nurseslabs
na pinadedede barriers regarding
kay baby” their wrong
3. Include the
beliefs about
patient in creating Rationale. Setting
- “Mas magastos breastfeeding
the teaching plan, goals allows the
gawa nasa bote
beginning with learner to anticipate
at tipid naman
establishing what will be
kung sakin - Acknowledge the
objectives and discussed and
dedede pero kesa health teaching
goals for learning at expected during the
naman from the student
the beginning of the session. Adults are
magkasakit po nurses by
session more concerned
sya sa pagdede expressing
with the here-and-
po sakin…” satisfaction.
now, problem-
centered education
- “Mahihirapan po
(Wayne, 2019).
talaga ako pag
dumedede sakin
to..naranasa ko
na po kasi sa isa
 kong anak mag
breastfeed
hanggang mag
isang taon..hirap 4. Educate mother Rationale.
po..ang dumi po about benefits of Providing reliable
niya hindi breastfeeding information to the
normal..palagi po mother with regards
siyang nagtatae to her concern may
dahil nga po help to widen its
nadede nya yung view about
pagod at gutom ” breastfeeding

Objective:
5. Discuss the Rationale. During
- Baby feeds importance of lactation, there is
through the bottle. adequate nutrition an increased need
and fluid intake, for energy, and
Weight = 4 Kg prenatal vitamins, supplementation of
or other protein, minerals,
Height = 53 cm vitamin/mineral and vitamins is
supplements, necessary to
T = 36.3° C such as vitamin C, provide
as indicated. nourishment for the
infant and to protect
mother’s stores,
along with extra
fluid intake.

6. Give clear Rationale.

statements,
reliable evidences providing evidence
that will serve as will prove and
proofs that correct false beliefs
in breastfeeding.
breastfeeding will
cause no harm to
babies

7. Assess if the
client Rationale. To
acknowledges the
know if the client
health teachings by
the student nurse
was able to
by letting the client understand and
review about 3 comprehend the
knowledge applied learnings
for pain provided by the
management. students.
Skin rashes
Assessment Diagnosis Planning Implementation Evaluation
 Subjective: Impaired skin At the end of 1 hour After 2 hours of
integrity related to of rendering nursing 1. Establish rapport Rationale. To allow nursing care, goal
As per the mother’s external factors care, the client’s to the mother of the the client to express was met / unmet /
subjective cues parent/guardian will client. herself and to partially met, as
such as humidity as
about the client: be able to: release tension and evidenced by:
evidenced by feelings.
- “Pag pinapawisan redness of skin. - Be knowledgeable
siya nagkakaroon of the 2. Grant a calm and Rationale. A calm
siya ng rashes, treatments/action peaceful environment
ayan namumula s to take environment allows the patient
ngayon si baby whenever a without interruption. to concentrate
(chest) at newborn presents and focus more
nangangati.”. skin rashes. completely
(Wayne, 2019).
- “Iritable siya
ngayon kasi - Understand the Nurseslabs
nangangati siguro external factors
yung rashes niya.” concerning the 3. Rationale. Setting
Include the
newborn’s rashes patient in creating goals allows the
- “ Kapag learner to anticipate
the teaching plan,
pinapahidan ko what will be
beginning with
po ng Aciete para - The patient will establishing discussed and
sa kabag… acknowledge the objectives expected during the
and
nagkakaron po ng health teaching goals for learning at session. Adults are
parnag butlig from the student the beginning of the more concerned
butlig..” nurses by session with the here-and-
expressing now, problem-
satisfaction. centered education
(Wayne, 2019).
Objective:

- Presence of
Rationale. They
redness on the
might require or
infant’s forehead 4. Instruct/review
want knowledge on
and chest with client and care
how to lessen
Weight = 4 Kg provider(s) ways to
Height = 53 cm prevent or limit allergens at home,
client exposures. or they might want
T = 36.3° C to know how to
handle it.

PR =116 bpm

RR= 38 rates per 5. Instruct in signs Rationale. From

minute of reaction and skin rashes to
emergency anaphylaxis,
treatment needs. allergic reactions
can range widely.
The response could
be sudden,
requiring immediate
medical attention,
or it could be
gradual but
progressive,
impacting several
body systems.

6. Emphasize the Rationale. To limit

critical importance life threatening
of taking immediate symptoms .
action
for moderate to
severe
hypersensitivity
reactions
7. Provide
educational Rationale. When
resources and allergies are
assistance numbers suspected or the
for potential for
emergencies. allergies exists,
protection must
begin with the
identification and
elimination of
potential allergen
sources.

8. Assess if the
client Rationale. To
acknowledges the know if the client
health teachings by was able to
the student nurse understand and
by letting the client comprehend the
review about 3 learnings
knowledge applied
provided by the
for pain
management. students.