COLLEGE OF HEALTH SCIENCES

NURSING DEPARTMENT

NURSING CARE PLAN DENGUE

NCM 107 RELATED LEARNING EXPERIENCE PEDIA WARD
CARE OF MOTHER, CHLID, ADOLESCENT (WELL CLIENT)

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective Data: Risk for injury Short term:  Establish good working condition  to gain patient’s trust Short term:
abnormal blood with the pt and SO.  assist in determining
Objective Data: profile as After 3 hours of  Assess the patient’s condition> pt. ‘s ability to protect After 4 hours of
Patient manifested evidenced by Nursing Monitor vital signs. self and comply with Nursing
the following which decrease Interventions the  assess for possible causative required self- Interventions, pt will
put this at risk for platelet count. patient’ will factors temporarily impaired protective actions. have demonstrate
injury. demonstrate arterial blood flow.  Minimizes injury to techniques behavior,
behaviors that will  Monitor quality of all pulse. occur. lifestyle changes to
 Low platelet improve thee  maintain optimal cardiac output.  Permits detection of risk factors and
count tissue perfusion.  review lab values and note bleeding in GI tract. protect self.
 Abnormal customary baseline data  Promote shealing and
blood profile Long Term: boost the resistance Long Term:
 Tissue of the body against
Hypoxia Pt After 2-3 days of infection. After 1 days of NI,
may manifest. NI, the patient will  To obtain baseline the patient’s will
 Sensory demonstrate data. have been free from
dysfunction increase tissue  To promote injury
 Broken Skin perfusion AEB relaxation and
 Malnutrition normal Hgb level alleviate.
count  Minimized tendency
of trauma or
bleeding.
SUBMITTED BY: SUBMITTED TO:

JOHN KOBE M. TOMAGAN JELIBEE T. GERMINA, RN, MAN

BSN 2 B Clinical Instructor
GROUP 3