NURSING CARE PLAN OVARIAN CANCER

Assessment Background Nsg Dx Planning Objective Nsg. Interventions Rationale Evaluation

Subjective / Knowledge (PES) SMART (Independent
Objective Dependent/Collabora
cues tive)
Decreased Risk for After 8 hrs of 1. Monitor vital signs; 1.Indicators of After 8hrs of nursing
Objective tissue Ineffective appropriate nursing palpate peripheral the adequacy of intervention the
Cues: perfusion can Tissue intervention the pulses, and note capillary systemic patient was able to
-Pale in be temporary, Perfusion patient will refill; assess urinary perfusion, demonstrate adequate
appearance with few or related to demonstrate output and fluid/blood perfusion, as
(conjunctiva) minimal reduction/int adequate perfusion, characteristics. Evaluate needs, and evidenced by stable
-capillary refill consequences erruption of as evidenced by changes in mentation. developing vital signs, palpable
less than 4 sec to the health blood flow: stable vital signs, complications. pulses, good capillary
-Edema of the patient, pelvic palpable pulses, good refill, usual mentation,
-Restlessness or it can be congestion, capillary refill, usual 2.Inspect dressings and 2. Proximity of individually adequate -
-first day of more acute or postoperativ mentation, perineal pads, noting large blood urinary output and
post protracted, e tissue individually adequate color, amount, and odor vessels to the free of edema, signs of
hysterectomy with inflammatio urinary output and of drainage. Weigh pads operative site thrombus formation.
potentially n, venous free of edema, signs and compare with the and/or potential
V/S taken as destructive stasis of thrombus dry weight if the patient for alteration of
follows: effects on the formation. is bleeding heavily. clotting
BP-90/60 patient. When mechanism
mmhg diminished increases the risk
PR-68bpm tissue of postoperative
RR-18cpm perfusion hemorrhage.
T-36.5 C becomes
P/s: 7 chronic, it can 3.Avoid high-Fowler’s 3. Creates
result in tissue position and pressure vascular stasis by
or organ under the knees or increasing pelvic
damage or crossing of legs. congestion and
death. pooling of blood
Hysterectomy in the extremities,
is the surgical potentiating the
removal of risk of thrombus
the uterus. It formation.
is most