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    Planning Intervention Rationale Evaluation: Nursing Care Plan Problem Diagnosis

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    Ricardo Dela Cruz
    This nursing care plan addresses two patient problems: diarrhea and multiple abrasions/laceration on the forehead. For diarrhea, interventions include gradually adding solid foods, collecting stool samples, bed rest, clear liquids, and education on preventing transmission. The goal is for the patient to report less diarrhea after 5 hours. For abrasions/laceration, interventions are handwashing education, sterile dressing changes, antibiotics/immunizations if needed, and monitoring vitals for infection signs. The goal is for the patient to demonstrate no infection after 8 hours.

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    Planning Intervention Rationale Evaluation: Nursing Care Plan Problem Diagnosis

    Uploaded by

    Ricardo Dela Cruz
    35 views2 pages
    This nursing care plan addresses two patient problems: diarrhea and multiple abrasions/laceration on the forehead. For diarrhea, interventions include gradually adding solid foods, collecting stool samples, bed rest, clear liquids, and education on preventing transmission. The goal is for the patient to report less diarrhea after 5 hours. For abrasions/laceration, interventions are handwashing education, sterile dressing changes, antibiotics/immunizations if needed, and monitoring vitals for infection signs. The goal is for the patient to demonstrate no infection after 8 hours.

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    final ncp

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    This nursing care plan addresses two patient problems: diarrhea and multiple abrasions/laceration on the forehead. For diarrhea, interventions include gradually adding solid foods, collecting stool samples, bed rest, clear liquids, and education on preventing transmission. The goal is for the patient to report less diarrhea after 5 hours. For abrasions/laceration, interventions are handwashing education, sterile dressing changes, antibiotics/immunizations if needed, and monitoring vitals for infection signs. The goal is for the patient to demonstrate no infection after 8 hours.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    35 views2 pages

    Planning Intervention Rationale Evaluation: Nursing Care Plan Problem Diagnosis

    Uploaded by

    Ricardo Dela Cruz
    This nursing care plan addresses two patient problems: diarrhea and multiple abrasions/laceration on the forehead. For diarrhea, interventions include gradually adding solid foods, collecting stool samples, bed rest, clear liquids, and education on preventing transmission. The goal is for the patient to report less diarrhea after 5 hours. For abrasions/laceration, interventions are handwashing education, sterile dressing changes, antibiotics/immunizations if needed, and monitoring vitals for infection signs. The goal is for the patient to demonstrate no infection after 8 hours.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Nursing Care Plan

    PROBLEM DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


    Diarrhea Diarrhea After 5 hours Gradually add semisolids and  Semisolids and solids(crackers, yogurt, rice, Goal met:
    related to of nursing solids(crackers, yogurt, rice, bananas, apple) that are stool former. Very After 5 hours of
    presence of interventions, bananas, apple) Caution against cold and hot fluids can increase intestinal Nursing interventions, the
    toxins as manifested by: the patient very hot or very cold fluids motility. patient was able to report
    will report less diarrhea.
    Increased less diarrhea Collection of Stool for observation Helps differentiate individual disease and
    peristalsis. of its characteristics and record it Assesses severity of episode.

    Excreted 5 loose
    liquids stools in a day Promote bed rest. Rest decreases intestinal motility and
    Reduces metabolic rate
    V/S taken as
    follows: Ingest clear liquids(fruit juices, To promote return to normal bowel
    T: 36 C broth) functioning
    P: 61
    R: 19 Avoid foods that Foods that may precipitate gastric
    Bp: 140/80 are oily, spicy and cramping.
    caffeine.
    And “Naapges nga
    sumakit ti tyian ko” as Explain how to prevent  To prevent the ingestion of foreign bodies
    verbalized by the patient transmission of infection(hand that could cause disease and to prevent the
    washing, proper storing, cooking, re occurrence of diarrhea
    and handling of foods)
    Nursing Care Plan

    PROBLEM DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


    Multiple Risk for Infection related After 8 hrs of Instruct individual to ask all Prevents the transfer of harmful agents Goal met:
    abrasions to multiple abrasions and nursing visitors and personnel to wash their towards the patient thus decreasing the After 8 hours of nursing
    and laceration in the intervention, hands before approaching individual. chances of infection intervention, patient was
    laceration in forehead patient will able to demonstrate no
    the forehead demonstrate no Maintain sterile technique for  Prevents the cross-contamination or sign of infection.
    sign of infection invasive procedures. bacterial colonization

     Change dressings as needed or  Prevents bacterial growth


    Objective: indicated
    Temperature 36.8 C
     Administer prophylactic antibiotics Prevents infection from occurring
    Presence of multiple and immunizations as indicated
    abrasions and 3-4 cm
    laceration in the  Monitor V/S specially temperature The increase of temperature reflects the
    forehead inflammatory/ infection process requiring
    evaluation and treatment

    Promote Fluid intake Increases the patient’s immune system

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