ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

NURSING CARE PLAN

Defining Characteristics Nursing Diagnosis Outcome Identification Nursing Interventions Rationale Evaluation

Subjective: Long Term: Independent: Goals are met as

Hyperthermia rt/ Illness as evidenced by:
“Gabalik balik ang akon evidenced by low grade fever After 1 day of Nursing  Establish rapport  To gain patient’s
hilanat”, as verbalized by interventions, the patient would with the client will and  Patient was able
the patient. be able to: participation to
 maintains body identify/demonst
temperature below  Accurately measure  Understanding the rate behaviors to
37.5°C (99.5°F) and document the changes in decrease body
client’s temperature temperature or the temperature
every hour or as cause of  maintains body
frequently as hyperthermia will temperature
indicated, or when help guide the below 37.5°C
Short Term: there is a change in treatment and (99.5°F)
Objective: Rationale: the client’s nursing
After 4-8 hours of Nursing condition. interventions.
Vital Signs: Respiratory infections (also interventions, the patient would
called respiratory illnesses) are be able to:  Provide a tepid bath  To relieve heat from
 Temp: 38°C common. These infections or sponge bath. the body.
affect lungs, nose, sinuses, and  identify/demonstrate
throat, especially when have behaviors to decrease  Maintain a clean,  To prevent hot
asthma. They can cause a body temperature cool, well-ventilated flashes and further
runny nose, cough, fever, or  show body temperature environment heat.
sore throat. within normal limits
 Encourage the client  To regulate body
to increase fluid temperature.
intake.
 ILOILO DOCTORS’ COLLEGE
COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

NURSING CARE PLAN

Note: Nursing Diagnosis Dependent:

should be base from
(NANDA- Approved Nursing Administer medication as
Diagnosis) ordered:

 Paracetamol 500 mg  Paracetamol is a

/ every 6 hrs. commonly used
medicine that can
help treat pain and
reduce a high
temperature (fever).