Assessment Explanation of the problem Objective Intervention Rationale Evaluation/Expected

outcome
S> Masakit lang yung sugat The patient is experiencing STO: DX: DX:
STO: MET
ko” pain due to his operation and  Achieve timely - Monitor v/s and - To obtain baseline  Patient verbalized there are
O> Monitor patient’s I&O, needs minimal assistance with resolution of current recorded data no pain in the amputated
monitored v/s his ADL problem without - Assess pt’s general - To know what area
complications condition problem and
A> Impaired physical LTO: MET
LTO: - Determine clients interventions should
mobility related to status of health be prioritize.  Patient was able to
amputation of 3rd and 4th  Identify interventions understand the
to prevent patient for TX: - To assess degree of importance of cleaning
digit fingers secondary to - Provide stump care interference
any risk of infection the wound and for
vehicular accident and injury on a routine basis: TX: follow checkup thus, he
inspect the area, - Provides an can prevent infection
cleanse and dry opportunity to and injury
thoroughly, and evaluate healing
rewrap the stump
and note
with an elastic
bandage or air splint,
complications
or apply a stump (unless covered by
shrinker (heavy immediate
stockinette sock), for prosthesis).
“delayed” prosthesis. Wrapping the
- Instruct client to stump controls
elevate amputated edema and helps
area form the stump
into a conical
shape to facilitate
the fitting of the
prosthesis.
- to allow blood flow
and prevent it from
further injuries
FELIX, MA. CECILIA C.

BSN 3D-C