COLLEGE OF NURSING

Calayan Educational Foundation, Inc.

XI. NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Health After the whole • Assess client history such as • Provides a basis for information The Goal was met
“Paano ba namin nursing intervention, triggering factors, incidence of
education: required for maintaining the
maiiwasan ang pag the mother and the respiratory infections and After the whole nursing
Prevention of health.
atake ng asthma ng patient will be able to:  interventions taken intervention the patient is
asthma attack
aking anak?” as related to • Assess family’s history of allergies • Reveals familial tendency to able to verbalize
verbalized by the • Verbalize airway reactive diseases understanding of triggering
mother’s longing
patient’s mother understanding of • Instruct child to avoid exposure to agents and prevention
for information • Prevents transmission of
triggering agents persons with respiratory infections measures for asthma
about preventive microorganisms by airborne
and prevention droplets. attacks.
measures, as
measures for
OBJECTIVE: evidenced by • Provides information on how to
asthma attacks. • Instruct the child to refrain from
expressed prevent situations that may
ASSESSMENT: stressful situations and strenuous provoke an attack.
desire for
activities.
V/S increased • Limits exposure to factors that

control of health • Instruct parents to modify the home can trigger an attack.
T: 35.8
practices. environment
RR: 27
PR: 119 • Educate parents/child about proper • Avoids transfer of
BP: 100/70 techniques in handwashing microorganisms
S: 98%
• Encourage breathing exercises and • Prevents attack before it begins
 
controlled breathing and relaxation. and increases ventilation.
 
  • Discuss with parents and child the • Teach actions to be taken to
  signs and symptoms indicating the prevent a severe attack and
when to notify the physician.
onset of an attack
  • Reduces exposure to factors that
• Educate parents about the effect of precipitate an attack.