Republic of the Philippines

UNIVERSITY OF NORTHERN PHILIPPINES

College of Nursing

Tamag, Vigan City, 2700 Ilocos Sur

NURSING CARE PLAN

In Partial Fulfillment

Of the Requirement For The

VIRTUAL RLE

ISPH- Gabriela Silang Pediatrics 2

Presented by:

John Noeh D. Degracia

BSN II-E

Presented to:

Prof. Marichu N. Umayam

 NURSING CARE PLAN 01

ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION EVALUATION

DIAGNOSIS BACKGROUND

Objectives:  Impaired Comfort There are many health Short Term  Establish a trusting Short Term
related to problems that can cause relationship with the
 Sunken eyeballs  Patient will have  Patient verbalized
abdominal pain as stomach pain for children, patient.
 Vital signs normal bowel decrease in pain less
evidenced by including bowel problems-  Administer pain
movement than 3 on 1-10 scale.
PR: 139 BPM loose bowel constipation, colic, or medications as ordered.
 Patients will be Goal Met
movement. irritable bowel, infections-  Encourage the patient for
RR: 28 CPM able to verbalize  Patient had normal
gastroenteritis, kidney or fluid intake for the loose
decrease in pain bowel movement. Goal
T: 38 C/ Axilla bladder infections, or bowel movement.
less that 3 in 1- 10 Met
Weight: 11 kg infections in the other parts  Encourage listening to
scale.  Patient demonstrated
of the body like the ear or music to distract the
Subjective:  Patient will on how to use coping
chest. On the other hand, patient from pain.
demonstrate how mechanisms when in
 Vomiting loose stools are bowel  Provide imagery/
to use coping distress. Goal Met
 Undocumented movements that appear visualization materials to
mechanisms when
fever softer than normal. They can decrease discomfort Long Term
in distress.
be watery, mushy, or
 Patient Fluid intake
shapeless. In some cases, Long Term:
increased compared to
they may have a strong or
 Patient fluid what he drinks.
foul odor. There are many
intake will be Goal Met
possible causes for loose
increase
stools. They frequently
compared to
happen after eating, but they
what he is
can also occur throughout
commonly
the day.
drinks.
 NURSING CARE PLAN 02

ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION EVALUATION

DIAGNOSIS BACKGROUND

Objectives: Acute Gastroenteritis Acute gastroenteritis is a Short Term  Assess the volume and Short Term
disease state that occurs  Patients will be able frequency of the vomiting  Patients verbalized
 Sunken eyeballs  Related to to verbalize decrease in pain less than
when food or water that is episodes.
 Undocumented abdominal pain as decrease in pain less 3 in 1- 10 scales.
contaminated with than 3 in 1- 10  Monitor the patient’s vital Goal Met
Fever evidence by loose
pathogenic microorganisms scales. signs  Patient vomiting
 Loose Stools bowel movement.  Patient vomiting
(such as Clostridium  Assist the patient for episode will be stopped
Vital signs: episode will be
perfringens, Vibrio cholera, diagnostics – CBC, Goal Met
PR: 139 BPM E. coli,) or their toxins is stop. Urinalysis, and Fecalysis  Patient’s temperature
consumed. Some of its  Cool down will dropped to normal
RR: 28 CPM
symptoms are nausea, patient’s body range Goal Met
T: 38 C/ Axilla vomiting, diarrhea, and temperature.  The vital signs of the
abdominal pain.  The vital signs of patient will became
Weight: 11 kg
the patient will be normal. Goal Met
Subjective: normal
Long Term
 “Patient is Long Term:
experiencing  Patient’s eye will
 Patient’s eyes become normal as a
abdominal pain
will become sign of gaining weight.
and loose bowel
normal as a Goal Met
movement” as
sign of gaining
verbalized by the weight.
mother