nico east ave ncp and drug study ob

8/7/2019 nico east ave ncp and drug study OB

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Nursing Care Plan

Subjective Objective Nursing Diagnosis Planning Interventions Rationale Evaluation

“Masakit at kumikirot angang tahi ko”, asverbalized by the patient

-pallor -slowed movement-body maliase

Risk for infection relatedto post operative incision

- After 8 hours of nursingintervention, thepatient will:

Short term:

Identify the riskfactors that arepresent

Have partialunderstandingabout infectioncontrol

Long term:

Client’s fullknowledge inidentifying therisk factors of theinfection

Be free from anysigns andsymptoms of related toinfection

Independent:1.Note risk factors for occurrence of infection inthe incision

2. observed for localizedsign of infection atinsertion sites of invasivelines, surgical incisionsor wounds.

3. Make health teachingsespecially inidentification of environmental riskfactors that could add upon infection.

Dependent:

1. Administer antibiotics asordered by thephysician

To help the patientidentify the present riskfactors that may add upto the infection

To evaluate if thecharacter, presence andcondition of the presentinfection

To help the clientmodify/change/avoidsome of theenvironmental factorspresent which couldreduce the incidence of

infection.

Antibiotics will help killand stop the proliferationand growth of thebacteria which couldcause infection.

After 8 hours of nuintervention, the pawas able to meet tgoals with an evidthe absence of theand symptoms rela

infection.



Subjective Objective Diagnosis Planning Intervention Rationale Evaluation

“Sumasakit ang pusonko” as verbalized by thepatient.

- with pain scale of 8 outof 10-with facial grimace-irritable-with weak and pale

looking- with guarding behavior - with limited movement

Acute pain related todistention of the fallopiantube as evidenced byverbal reports of discomfort and pain

After 8 hours of nursingintervention, the patientwill verbalize and showrelief of pain lessenedfrom 8/ 10 to 6/ 10 in

pain scale

Used pain rating scaleappropriate for age/condition .

Obtained client’s

assessment of pain toinclude location,characteristics,onset/duration,frequency, quality,intensity, andprecipitating factors.Reassessed each timepain occurs/is reported.

Provided comfortmeasures such astouch, repositioning, useof cold packs, nurse’spresence and quietenvironment and calmactivities.

Instructed andencouraged use of relaxation techniquessuch as focusedbreathing, imaging.

Administeredanalgesics, as ordered.

To assess the rate of theintensity, quality andfrequency of pain.

To rule out worsening of

underlyingcondition/development of complications.

To promotenonpharmacological painmanagement.

To distract attention andreduce tension.

To decrease pain attolerable level. Notifyphysician if regimen isinadequate to meet pain

control goal.

Goal met.After 8 hours of nuinterventions, the able to verbalizedshowed relief of

discomfort, painlessened from 8/16/10 in pain scale

nico east ave ncp and drug study ob

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