Assessmen Nursing Planning Intervention Rationale Evaluation

t Diagnosi
s
Subjective: Impaired skin After 1-2 day of Independent
“Ang dami integrity due nursing -Assess patient -To determine if rashes The goal was met as evidence
kong pantal to presence of intervention,the thoroughly developed in other by absence of rashes.
pantal sa rashes patient will have  parts of the body
katawan” as improved skin  
verbalize by integrity as -Maintain strict hygiene - To maintain skin
the patient evidenced by  integrity at optimal
reduction of   level
Objective: rashes -Monitor laboratory
BP: 110/70 results pertinent to - Clotting factors may
PR:89 causative factors show abnormal result
RR:25  that may increase the
T:37.8   patient risk.
-Promote
patient’s - Rashes may cause
Comfort itchiness

Collaborative
-Give medications as - To relieve any
prescribed discomfort