DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

NURSING CARE PLAN

Name of Patient: Marty John Date of Admission: November 8, 2022 Room: P302
Age: 27 months old Religion: N/I Civil Status: Single Attending Physician: Dr. Ali Lorias

Date / Time Cues Nursing Diagnosis Goal & Objectives Interventions Rationale Evaluatio
n
Fear related to a
November Subjective: traumatic experience After my 6hrs nursing care Independent November
8, 2022 and intervention: 8, 2022
@ 8:00 AM The patient’s Scientific Basis: @ 2:00
mother verbalized Traumatic events are a. Ascertain a. Fear is a PM
“paghuman niyag sudden, unexpected A. I will be able to client’s/significa defensive
tusnob saiyang and shocking and assess the degree nt other’s (SO’s) mechanism in “GOAL
kamot sa mantika, make children feel of fear and reality of perception of protecting PARTIAL
perti niyang hilak scared, distressed or the threat perceived what is oneself, but if LY MET”
hadlok kayo siya overwhelmed. Children by the patient. occurring and left
unya perting tudlo increasing fear is their how this affects unchecked, it After my
sa napaso niya common reaction to B. The patient will be life. can become 6hrs
nga kamot” trauma. able to stop crying disabling to nursing
as a sign of less the client’s care and
Objective: fear. life. interventi
on:
- An b. Determine b. This helps
accidental C. Discuss with the the client’s age in
2nd-degree patient’s SO the and understandin A. I was
burn on the healthy and developmental g usual or able to
right hand unhealthy fear level.. typical fears assessed
- Crying out experienced the
of pain D. The patient will be by individuals degree of
able to actively fear and
communicate with c. Provide toys c. This will reality of
his mother and appropriate for help toddler the threat
would long to be the toddler and to feel better perceived
only on his side. his current state and also to by the
show comfort patient as
and relief. evidenced
by the
d. Instruct the d. Changes in patient’s
patient’s SO to behavior profile.
be patient and could happen
understanding to a toddler
and might C.
affect his Discussed
mental state with the
if don’t pay patient’s
attention well. SO the
e. Educate the healthy
SO of the e. This will and
patient on how help the unhealthy
important their situation of fear as
roles are in the patient evidenced
maintaining way faster by SO
support for their verbalizin
toddler g “hala oh
nurse
natural
COLLABORATI rajud na
VE sailing
f. Refer the edad ang
f. To prevent
patient’s SO to maka feel
further
a specialist that og ana
complications
would help their basta dli
to the
toddler. lang na e
patient’s
tolerate
psychological
basin
behavior.
madala
niya
pagdako”
 D.The
patient
was able
to actively
communic
ate with
his
mother
and was
longing to
be only on
his side
as
evidenced
by the
patient’s
verbalized
“ma, aha
si kuya?
ayo nako?
uli nata
kay
magdula
nami ma”

References:

Herdman, H., et al.,

Raising Children
Network (2022).
Traumatic Events: First
response to help
Children and
Teenagers. Keypoints.
https://raisingchildren.n
et.au/preschoolers/con
necting-
communicating/coping-
with-trauma/trauma-
first-response

Better Health Channel

Mary Joy Anne L. Guarin