ASSESSMENT NURSING DIAGNOSIS PLAN OF CARE INTERVENTIONS RATIONALE EVALUATION

SUBJECTIVE: Deficient knowledge After 4 hours of nursing  Determine the  Noncompliance may After 4 hours of nursing
 The patient related to new condition intervention, the patient patient’s be related to intervention, the patient
verbalized, “Bakit as manifested by many will verbalize and understanding of incomplete verbalized and
ba naninilaw ang questions. demonstrate knowledge the disease process, understanding of demonstrated
aking mga mata of and compliance with disease disease transmission knowledge of and
pati ang aking treatment regimen and transmission, and or the compliance with
balat?” infection control complications, treatment regimen. treatment regimen and
procedures. treatment, and signs infection control
of relapse. procedures.

OBJECTIVE:  Teach the patient or  Fecal-oral

ü Asking of many caregiver about transmission occurs
questions disease as a result of
ü Noncompliance transmission: crowded living
with infection Hepatitis A (Viral conditions, poor
control procedures Hepatitis) personal hygiene;
ü Vital Signs: contaminated food,
 BP = 130/90 water, milk, or raw
mmHg shellfish.
 T = 38.3C
 PR = 84 bpm  Teach about  Adequate rest,
 RR = 20 cpm treatment. nutrition, and
prevention of
complications are
the mainstay of
therapy for all types
of hepatitis. Because
the disease is
typically viral,
medications are not
helpful.

 Teach about  Hand washing is the

infection control most effective
procedures. method of
preventing the
transmission of type
 A. Patients usually
do not need to be
isolated unless they
are incapable of or
unwilling to
participate in
infection control
measures. Personal
care items (e.g.,
razors,
toothbrushes)
should not be
shared because the
risk of parenteral
exposure exists. Safe
sex should be
discussed and
encouraged.

 Discuss future need  Even after patients

to avoid blood with hepatitis are
donation. well, they may carry
the virus and should
refrain from blood
donation to prevent
risk of disease
transmission.

 Teach about  Hepatitis can lead to

possible chronic hepatitis
complications and and/or fulminant
long term sequelae hepatitis if liver cells
of hepatitis. do not regenerate.
Chronic hepatitis can
result in cirrhosis
and liver failure.

CH RI ST I AN PAUL V. VI L L AREAL
OLFU BSN 4Y1-4 GROUP 76