NURSING CARE PLAN

GOALS/ EXPECTED
CUES/ ASSESSMENT NURSING NURSING
RATIONALE OUTCOMES RATIONALE EVALUATION
DIAGNOSIS INTERVENTION

Subjective data: Impaired physical Cholecystectomy After 8 hours of INDEPENDENT: After 8º of rendering
mobility related to ↓ rendering nursing nursing care, the goals
The patient verbalizes: musculo- skeletal 1. Assist 1. Until healing was met as evidenced
Breaking in the intervention, the patient occurs, activity is
impairment as evidence with by:
by limited range of
continuity of the skin will be able to: activity/progressive limited and advanced
“nahihirapan akong slowly according to
motion, slowed ↓ ambulation .
gumalaw lalong lalo na individual tolerance.
kapag maglakad dahil movements and Imflamation process  Move within range
reluctance to attempt  Increase strength of motion
sa aking condition at triggered and function of
madali akong movement. 2. The longer the
↓ affected body 2. Encourage
mapagod” as verbalized patient remains
Nerve ending part and facilitate early
by the patient immobile the greater
compression ambulation and other the level of
 Move within ADLs when possible.
↓ debilitation that will
Objective data: range of motion Assist with each initial occur.
Pain change: dangling,
 Limited range of ↓ sitting in chair,
motion ambulation.
limited range of motion,
 Slowed movement slowed movements and
 Reluctance to reluctance to attempt 3. To promote
attempt movement movement. 3. Provide patient with optimal level of
 Trouble walking ample time to perform
and requires
↓ mobility related task.
function.

wheelchair to get Impaired physical

around mobility DEPENDENT: DEPENDENT:

1. Administer 1. To relieve mild or

analgesic medication: moderate pain.
Ketorolac IVTT x 4
doses q 8 hours as
prescribe by the
physician.