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 lumps on
her left hand that got
worse about 2 days
before she was
admitted to hospital
- A total of three hard,
palpable bumps are
on his left hand. The
first mass appeared
10 months ago but
has not been treated
since the patient's
onset followed by
the second mass 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 °