NCP PRESENTATION GUIDELINE

WHAT TO DO
• Work together with your group members
• Study your case and make the NCP in the form of PPT (See the example of PPT for
NCP presentation)
• Present your NCP analysis on the day of verbal evaluation
• The presentation is conducted in two meetings and it is considered as verbal
evaluation 1
 PPT Example

NURSING CARE PLAN OF

MISS S
A Patient with Pneumonia
 CASE: MISS S
• A four-year-old girl, Miss S, was admitted to the hospital by her
mother. Her mother said that Miss S has got high fever for two days
with chills and tended to sleep a lot (somnolent). She also told to
the nurse that Miss S breaths look fast and shallow (shortness of
breath) and her body was very weak. The assessment result
showed that BP: 100/60 mmHg, P: 128 beats per minute,
Temperature: 39,5°C, and the respiration: 40 breaths per minute,
rhonchi breathing was found, Hb: 10 gr%, Erythrocyte
sedimentation rate (ESR): 50 mm/hour, leucocytes: 20,000 mm3.
PaO2 decreased to 60 mmHg and PCO2 increased to 51 mmHg.
 ASSESSMENT
• Subjective Data: • Objective Data:
1. High fever 1. BP: 100/60 6. Hb: 10gr%
mmHg 7. ESR:
2. Somnolence 2. P: 128 BPM 50mm/hour
3. Shortness of breath 3. T: 39.5°C 8. Leucocytes:
4. weakness 4. RR: 40 X/min 20.000 mm3
5. Rhonchi 9. PaO2: 60
breathing mmHg
were found. 10. PCO2: 51
mmHg
 DATA CLUSTERING
No. Focus Data Problem Etiology
1 SD: Alteration in depth Inffective Breathing Hyperventilation
of breathing Pattern
Dyspnea

OD: Tachypnea
(RR: 40 x/min)
2 SD: Somnolence Impaired Gas Ventilation-perfusion
Exchange imbalance
OD: Hypoxia (PaO2:
60mmHg)
hypercapnia
(PCO2: 51mmHg)
 DATA CLUSTERING
No. Focus Data Problem Etiology
3 SD: Fever Hyperthermia Biological agent
Weakness

OD: - Increased body

temperature (T:
39.5’c)
- Increased
respiratory rate
(RR: 40 X/min)
- Increased pulse
rate (P: 128 BPM)
- Decreased blood
pressure
(BP:100/60mmhg)
 NURSING DIAGNOSIS AND
PROBLEMS PRIORITY
#1 Ineffective Breathing Pattern related to hyperventilation
#2 Impaired gas exchange related to ventilation- perfusion
imbalance
#3 Hyperthermia related to biological agent
 PLANNING OUTCOME AND
INTERVENTION
No. Diagnosis Expected Outcome Intervention
1 Ineffective After doing nursing Ventilation Assistance (3390):
Breathing implementation for 2 x 1. Position to facilitate
Pattern related 24hours, the client will ventilation/ perfusion
to achieve Respiratory Status: matching (“good lung
hyperventilation ventilation (0403) as down”) as appropriate.
evidenced
Indicator
byBefore
: After
2. Monitor the effects of
position change on
Respiratory
oxygenation.
rate
3. Use fun techniques to
Depth of encourage deep breathing
inspiration
for children.
4. Initiate and maintain
supplemental oxygen as
prescribed
5. Monitor respiratory and
 PLANNING OUTCOME AND
INTERVENTION
No. Diagnosis Expected Outcome Intervention
2 Impaired gas After doing nursing Respiratory monitoring (3350):
exchange implementation for 2 x 1. Monitor rate rhythm,
related to 24hours, the client will depth, and effort of
ventilation- achieve Respiratory status: respirations.
perfusion Gas exchange (0402) as 2. Monitor breathing pattern
imbalance evidenced by: 3. Monitor for dyspnea and
events that decrease and
Indicator Before After
worsen it
Partial
pressure of
oxygen in
arterial
blood
(PaO2)
Somnolenc
e
 PLANNING OUTCOME AND
INTERVENTION
No. Diagnosis Expected Outcome Intervention
3 Hyperthermia After doing nursing Vital signs monitoring (6680):
related to implementation for 2 x 1. Monitor blood pressure,
biological agent 24hours, the client will pulse, temperature, and
achieve vital signs (0802) as respiratory status, as
evidenced by: appropriate
Indicator Before After 2. Initiate and maintain a
Temperatur continuous temperature
e monitoring device, as
Radial pulse appropriate.
Systolic and 3. Monitor respiratory rate and
dyastolic rhythm
pressure 4. Identify possible causes of
changes in vital signs.
THANK YOU