ILOILO DOCTOR’S COLLEGE

BACHELOR OF SCIENCE IN NURSING

West Avenue Timawa, Molo, Iloilo City

NCM 112 (RLE)

CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTES,
INFECTIOUS, INFLAMMATORY AND IMMUNOLOGIC RESPONSE, CELLULAR ABERRATIONS,
ACUTE AND CHRONIC

NURSING CARE PLAN (ULCERATIVE COLITIS)

A Case Study Presented to the Department of Nursing of Iloilo Doctor’s College

PRESENTED TO: MRS.

Arvi Tenderly V. Melliza, RN, M.A.N.
(NCM 112 RLE & SKILLS CLINICAL INSTRUCTOR)

PRESENTED BY:

Coleen Mae C. Camarista BSN III - G

 ILOILO DOCTOR’S COLLEGE
BACHELOR OF SCIENCE IN NURSING
West Avenue Timawa, Molo, Iloilo City

ASSESSMENT NURSING OUTCOME INTERVENTION RATIONALE EVALUATION

DIAGNOSIS IDENTIFICATION
SUBJECTIVE:  Diarrhea SHORT TERM INDEPENDENT: After 24 hours of
related to the GOAL: - Maintaining - Identifying nursing
Patient was inflammatory normal precipitating factors, intervention,
presented to the process as After 8 hours of elimination the frequency of patient will attain
urgent care clinic evidenced by nursing patterns bowel movements, of normal bowel
with complaints of rectal bleeding
intervention, the and the character, elimination
rectal bleeding. with
patient will be consistency, and patterns, relief of
Bright red blood significance of
able to: amount of stool abdominal pain
in stools was also passed is important. and cramping,
bright red  Defecation prevention
noticed in prior
blood in output would - Relieving pain - The character of the of fluid volume
days. reveal no signs
stools. pain is described as deficit,
of blood
OBJECTIVE: dull, burning, or maintenance of
Rationale:  Decrease crampy. It is important optimal nutrition
Temperature: 36.8 frequency of to ask about its onset. and weight,
defecation in a
°C Diarrhea refers range of 1-3
avoidance of
to passage of times a day - Preventing skin - Examines the patient’s fatigue, reduction
Pulse Rate: 93 bpm
loose, unformed breakdown skin frequently, of anxiety,
Respiratory Rate: 20 stools.  Free from especially the perianal promotion of
evidence of skin. effective coping,
cpm pain: grimace
and guarding
absence of skin
Blood Pressure:
breakdown,
120/70 mmHg increased
SaO²: 95% LONG TERM: - Maintaining fluid - monitors daily weights knowledge about
After 24 hours of intake for fluid gains or losses the disease
nursing and assesses the process and self-
a) Skin is warm patient for signs of health
and dry with interventions the

- Coleen Mae C. Camarista (10/5/2021)

 ILOILO DOCTOR’S COLLEGE
BACHELOR OF SCIENCE IN NURSING
West Avenue Timawa, Molo, Iloilo City

satisfactory patient will fluid volume deficit management, and

turgor attain of normal avoidance of
b) Positive for bowel - Maintain an accurate complications.
pallor with no elimination - Maintaining record of fluid I&O as
rashes or patterns, relief of optimal nutrition well as the daily
other lesions abdominal pain weight. The patient
c) Somewhat and cramping, should gain 0.5 kg (1.1
tender with no prevention lb) daily during
hemorrhoids of fluid volume parenteral nutrition
or other deficit, therapy.
lesions maintenance of
optimal nutrition - Intermittent rest
and weight - Promoting rest periods during the day
and schedules or
restricts activities to
conserve energy and
reduce the metabolic
rate.

- Serum electrolyte
- Monitoring and levels are monitored
managing daily, and electrolyte
potential replacements are
complications given as prescribed.

DEPENDENT: - To replace loss

- Administer IV electrolytes
fluids if ordered

- Coleen Mae C. Camarista (10/5/2021)

 ILOILO DOCTOR’S COLLEGE
BACHELOR OF SCIENCE IN NURSING
West Avenue Timawa, Molo, Iloilo City

- Coleen Mae C. Camarista (10/5/2021)