RLENCM107

Nursing Care
Plan
Presented by Caryl Alodia P.
Canal
 CASE
SCENARIO
Annabelle is a 22 year - old female who is in her
12th- week of pregnancy. She was admitted to the
hospital due to stomach pain on her lower
abdomen. She complains pain with foul odor while
urinating. She denies having fever, chills, vomiting,
but experiences back-pain.
 Plannin
Assessment Diagnosis G oal gIntervention Rationale Evaluation
Subjective: Lower Patient will be - force fluid - to eliminate
Goal Met:
-Patient says "Hirap akong abdominal pain relieved pain intake infection
The patient
umihi saka masakit yung r/t inability to when urinating
- Refer to - To relieve from
puson ko pag umiihi." expelled urine
the prescribe lower
-"medyo mapanghi yung as evidence by
Patient will be doctor patient a abdomen pain
ihi ko tapos madalas infection found
relieved from proper 8 hours after
sumakit yung likod ko", in the result of
backpain medication nursing
as patient verbalized. urinalysis
- Assisst - to intervention
patient into a relieve
Objective: Goal Met: No
lateral or back pain
-Infection found on signs of
Back pain r/t side lying
urinalysis backpain
pregnancy as positon
- Facial grimace - To relieve throughout the
evidenced by
-Restlessness - Apply cold lower admission
positive
- T: 36°c and hot abdominal pain
pregnancy test
RR: 14 cpm compress
result
HR: 100 alternativel
bpm BP: y near the
100/70 hypogastric
-positive urine pregnancy region
test result