CHRISTINE JOY A.

ALA 2NUR1
– RLE1

NURSING CARE PLAN

ASSESSMENT NURSING SCIENTIFIC GOALS/ INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS ANALYSIS OBJECTIVES
Subjective: Readiness of The client will Assess the patient Knowing what Within the stay of the
“Maayos ang enhanced verbalize sense of of what type of type of comfort client:
pakiramdam ko” Comfort comfort or comfort is she is will help the
Walang sakit na contentment experiencing: nurse and the The client verbalizes
nararamdaman 1. Relief patient to build sense of comfort and
Demonstrate 2. Ease rapport and to contentment
Objective: behaviors of 3. Transcende what the nurse
Pain scale: 0 rated optimal level of nce will provide.
from 1-10 ease
1- Least painful Ascertain To know what The patient obtained a
10 – most painful Participate in motivation or will the patient positive outcome until
desirable and expectations for expect and what she was discharge
realistic health- improvement the nurse will
Happy and laughing. seeking behaviors focus on.

Relaxed and calm

The client know her
Establish comfort thorugh
context/s in which Help the mother physically,
comfort is to know her psychospiritually,
realized: comfort and environmentally and
1. Physical contentment socioculturally
2. Psychospiritu through
al physically,
3. Environmenta psychospiritually,
l environmentally
4. Sociocultural and
socioculturally
The patient learned new
Giving health To resist health teachings and
teaching carelessness that different ways in
especially to the will be the way to breastfeeding.
mothers in caring have negative
of her baby such feeling of caring
as breastfeeding. the baby.
 CHRISTINE JOY A. ALA 2NUR1 – RLE1

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

SUBJECTIVE: ““Maayos The client will verbalize sense Assess the patient of what type Within the stay of the
ang pakiramdam ko” Readiness of of comfort or contentment of comfort is she is client:
Walang sakit na enhanced Comfort experiencing:
nararamdaman Demonstrate behaviors of 1. Relief The client verbalizes
optimal level of ease 2. Ease sense of comfort and
OBJECTIVE: 3. Transcendence contentment
Pain scale: 0 rated from Participate in desirable and
1-10 realistic health-seeking Ascertain motivation or
1- Least painful behaviors expectations for improvement The client obtained a
10 – most painful positive outcome until
Establish context/s in which she was discharge
comfort is realized:
Relaxed, calm 1. Physical The client was able to
2. Psychospiritual participate in knowing
Participating in comfort 3. Environmental the desirable and
measures 4. Sociocultural realistic health-seeking
behaviors.
SUBJECTIVE: Deficient Knowledge Participate in learning Assess the client’s ability, The client was able to
Hindi ko masyadong [Learning need] process readiness and barriers of participate in the learning
alam kung anong tama (specify) learning process
at mali sa pagpapalaki Exhibit increased in interest
ng bata” and assume responsibility for Assess for personal factors
“ Paano ba gawin yan?” own learning by beginning to The client know all the
look for information and ask Determine client’s most urgent basic information and
OBJECTIVE: questions need from both client’s and able to ask questions.
Inaccurate follow- nurse’s viewpoint
through of instruction or Identify relationship of
performance. signs/symptoms to the Provide an environment that is The client was able to
disease process and conducive for learning understand
Development of correlate symptoms with signs/symptoms of a
preventable causative factors Determine client’s method of disease and know how
complications. accessing information and to deal and prevent it.
include in the teaching plan.
Perform necessary
procedures correctly and Provide health teaching to the
explain reasons for the client about procedures in taking The client was able to
action. care of the baby. perform correctly all the
appropriate procedures.