NURSING DIAGNOSIS- DEFICIENT KNOWLEDGE

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION

BP: 160/ 110 Deficient SHORT TERM INDEPENDENT SHORT TERM GOALS
mmHg Knowledge GOALS
related to >Identify the client’s learning needs and Within the first 4 hours of Nursing
S: Insufficient Within the first 4 state the objectives clearly before initiating Intervention, the client’s behavior of
> agitation Information as hours of Nursing the health discussion. agitation lessens. She participates in the
evidenced by the Intervention, the >Provide written information or guidelines learning process, exhibits increased
O: client’s feeling of client’s behavior of and self- learning modules about the interest and responsibility for own
>inability to agitation due to agitation lessens. etiology, signs and symptoms, disease learning by searching for more
answer her condition. She participates in processes and treatment procedures about information and asking further questions.
questions the learning pre- eclampsia to prevent confusion and Moreover, she verbalizes understanding
regarding to her process, exhibits misinformation. of her condition, disease processes and
health condition. increased interest >Begin with information the client already treatment.
>verbalizes and responsibility knows about pre- eclampsia and move to (GOALS MET)
inaccurate for own learning by what the client does not know about it,
information searching for more progressing from simple to complex. This
>expresses information and can arouse interest/ limit sense of being LONG TERM GOALS
concerns and asking further overwhelmed.
exaggerated questions. >Deal with the client’s anxiety or other Within one week of Nursing Intervention,
ideas Moreover, she strong emotions. Present information out of the client participates on the discussion
>expresses verbalizes sequence, if necessary, dealing first with calmly. She can now explain the
frustration and understanding of material that is most anxiety producing relationship of the signs/ symptoms to
confusion when her condition, when the anxiety is interfering with the her condition. Moreover, she can perform
performing disease processes client’s ability to learn. the necessary procedures correctly with
procedures and treatment. >Provide an active role for the client in the explanations and can participate in the
>inaccurate learning process. This promotes a sense of treatment regimen successfully.
follow through control over the situation and is a means Furthermore, she is motivated in initiating
of instructions for determining that the client is lifestyle changes to alleviate the
>incorrect task LONG TERM assimilating and using new information. symptoms of the disease.
performance GOALS (GOALS MET)
DEPENDENT
Within one week of >Assess maternal and fetal vital signs
Nursing before and after health teaching/
Intervention, the discussion.
client participates >Monitor client input and output based on
on the discussion doctor’s order.
calmly. She can >Regulate the client’s intravenous fluid.
now explain the >Implement the type of diet ordered by the
relationship of the physician and state it’s rationale to the
signs/ symptoms to client.
her condition. >Administer medications as being
Moreover, she can prescribed: Magnesium Sulfate (Muscle
perform the Relaxant), Hydralazine (Antihypertensive),
necessary Diazepam (Halts Seizures) and explain it’s
procedures indications and adverse effects to the
correctly with client.
explanations and >When antiplatelet therapy is being
can participate in ordered, initiate discussions for it’s proper
the treatment procedures before intake.
regimen
successfully.
Furthermore, she is INTERDEPENDENT
motivated in >Collaborate with nutritionist- dietitians in
initiating lifestyle formulating meal plans for patients with
changes to pre- eclampsia.
alleviate the >Collaborate with medical technologists in
symptoms of the monitoring the physiological changes of the
disease. patient through initiating laboratory
examinations.
>Collaborate with pharmacists in regards
to drugs available for use in antiplatelet
therapy.
 >Collaborate with the client’s family
members or significant other(s) for their
guidance and support throughout the
treatment procedures.
>Collaborate with health support groups to
guide the client for the use of available
resources on their community to address
their health needs.

NURSING CARE PLAN

PLAMO, LORENZ O.
BSN2-1 1800977
NCM 109- MATERNAL AND CHILD HEALTH NURSING