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  • NCP Muhammad Rezal

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    This nursing care plan is for a 48-year-old patient, Mrs. A, who presented with lumps on her left hand that had been worsening over the past two days. She has a history of three hard, palpable lumps - the first appeared 10 months ago, the second 6 months ago, and the third two days ago. Her vital signs were normal. The nursing diagnosis identified dermatitis related to impaired skin integrity as the priority problem. The expected nursing outcome was that after 2 days of monitoring the lumps, administering anti-pain medication, and applying warm compresses, the patient's dermatitis and vital signs would improve.

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    This nursing care plan is for a 48-year-old patient, Mrs. A, who presented with lumps on her left hand that had been worsening over the past two days. She has a history of three hard, palpable lumps - the first appeared 10 months ago, the second 6 months ago, and the third two days ago. Her vital signs were normal. The nursing diagnosis identified dermatitis related to impaired skin integrity as the priority problem. The expected nursing outcome was that after 2 days of monitoring the lumps, administering anti-pain medication, and applying warm compresses, the patient's dermatitis and vital signs would improve.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views2 pages

    NCP Muhammad Rezal

    Uploaded by

    Rezal
    This nursing care plan is for a 48-year-old patient, Mrs. A, who presented with lumps on her left hand that had been worsening over the past two days. She has a history of three hard, palpable lumps - the first appeared 10 months ago, the second 6 months ago, and the third two days ago. Her vital signs were normal. The nursing diagnosis identified dermatitis related to impaired skin integrity as the priority problem. The expected nursing outcome was that after 2 days of monitoring the lumps, administering anti-pain medication, and applying warm compresses, the patient's dermatitis and vital signs would improve.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    OUTLINE OF NURSING CARE PLAN

    TITLE : Nursing Care Plan of Mr./Mrs./Ms. A


    A Patient with lump (Medical Diagnosis)

    A. IDENTITY
    Patient’s Identity : Mrs. A
    Age : 48 Years old
    B. CASE REVIEW
    1. Chief Complaint
    - lumps on her left hand around 2 days
    2. History of Present Illness
    - there are three hard and palpable lumps found on her left hand.
    3. Past Medical History
    - The first lump appeared 10 months ago but hasn’t been treated yet since the
    patient didn’t feel any pain. It was followed by the second lump appearing 6
    months ago, and the last lump two days ago
    4. Family History
    - There is no
    5. Physical Examination
    - BP: 125/70 mmHg
    - P: 84 bpm
    - RR: 20 bpm
    - T: 36,8 °
    6. Additional Data
    - There is no

    C. DATA ANALYSIS
    1. Data Clustering
    No. Date Focus Data Problem Etiology
    1. SD: Dermatitis Impaired Skin Integrity
    - Mrs A has got lumps
    on her left hand which
    was getting worse
    around 2 days before
    she was admitted to
    the hospital.
    - Totally there are three
    hard and palpable
    lumps found on her
    left hand. The first
    lump appeared 10
    months ago but hasn’t
    been treated yet since
    the patient followed
    by the second lump
    appearing 6 months
    ago.
    OD:
    - BP: 125/70 mmHg
    - P: 84 bpm
    - RR: 20 bpm
    - T: 36,8 °

    2. Nursing Diagnosis and Problems Priority


    1) Dermatitis is associated related to impaired skin integrity

    D. NURSING OUTCOME
    No. Nursing Diagnosis Expected Outcome Nursing Intervention
    1. 1) Dermatitis is After taking nursing - Monitor lumps
    associated related to actions for 2x24 hours the - Give anti pain
    impaired skin patient is expected to - Do warm cmpress
    integrity dermatitis with the results
    of the
    following criteria:
    - BP: 125/70 mmHg
    - P: 84 bpm
    - RR: 20 bpm
    T: 36,8 °

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