Name: Martha

Age: 24 years old

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: Infection r/t Short term Goal: 1.Avoid soap and just -Can irritate the After 8 hours of
Ang kati-kati po ng After 8 hours of rinse with water to delicate tissue of the nursing intervention,
bacterial invasion
pwerta ko. As nursing intervention, clean external vagina and patient was able to
as manifested by manifest signs of
verbalized by the the patient will vulva
vaginal itching minimized itching
patient manifest signs of 2.Avoid douching. - it removes healthy
minimized itching, bacteria that line the and discomfort.
Objective: and discomfort vagina. These bacteria
Is knowledgeable on
(+) Restless help protect against
proper perineal
(+) Discomfort Long term Goal: infection. hygiene.
Looks anxious After 8 hours of 3.Allow more air to
Afebrile nursing intervention, reach the genital area Goals partially met.
the patient will be -Wear clean,
V/S: knowledgable about preferably white, -Cotton increases air
BP 110/70 proper perineal cotton underwear. flow and decreases
PR 64 bpm hygiene. -Wearing loose-fitting moisture buildup.
RR 12 cpm clothes and not -Moisture enhances
wearing panty hose growth of the
microorganisms which
cause external vaginal
itching
-Not wearing -can trap or increase
underwear at night perspiration and set
when sleeping up an environment
for vaginal/vulval
irritations.
4.Maintain good
hygiene
- keep the vulva clean
and dry
- external genitals
should be cleaned at
least once each day

Dependent:
1.Provide optimal - It is essential to
relief with determine the cause
doctors prescription. of itching with a
- application of a practitioner before
topical yeast infection using any medicine.
cream
- topical anesthetic - soothe itching by
creams or sprays numbing the skin
often contains where they are
benzocaine applied

Prepared by:
Jasmine Rose A. Roselada
BSN-II Lad (Group 1)