NURSING CARE PLAN #1

ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS
Subjectives: - After pain related to At the end of 2-3 days of  Provide rapport  At the end of 2-3 days of nursing interventions,
“- Sakit kaayu akong tinahian body response to nursing interventions, the with the patient. the client was partially able to:
paghuman ug panganak” as infective agent, client will be able to:
verbalized a patient properties of infection.  Verbalize  Give Antibiotic to  Verbalizes understanding of the
understanding of condition.
the patient.
the condition.
Objective:  Be free from the infection.
 VITAL SIGNS
T: 36 ⁰C  Be free from the
R: 17 cpm infection.
 Keep the area
P: 75 bpm .
clean and dry
BP: 120/80 mmHg

 Perform perineal
care

 Encourage to take
iron supplements


 NURSING CARE PLAN # 2

ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS
Subjectives: - Acute pain related to At the end of 2-3 days of  Assess location  Helps in the At the end of 2-3 days of nursing interventions,
“- Sakit kaayu akong tinahian body response to nursing interventions, the and nature of differential the client was partially able to:
paghuman ug panganak” as infective agent, client will be able to: discomfort or diagnosis of
verbalized a patient properties of infection. pain, rate pain tissue involveme  Patient will identify/use individually
 Patient will on a 5–10 scale. nt in the appropriate comfort measures.
identify/use infectious
Objective: individually process.
 VITAL SIGNS appropriate  Patient will report decreased level of
T: 36 ⁰C comfort pain/discomfort
 Provide  Promotes sense
R: 17 cpm measures. instruction of general well-
P: 75 bpm
regarding, and being
BP: 120/80 mmHg
assist and enhances
 Patient will with, maintenan healing.
report ce of cleanliness Alleviates
decreased level and warmth. discomfort
of associated with
pain/discomfort chills.

 Instruct client in  Refocuses

relaxation client’s
techniques; attention,
provide diversion promotes
ary activities positive attitude,
such as radio, and enhances
 television, or comfort.
reading.

 Apply local heat  Heat promotes

using heat lamp vasodilation,
or sitz bath as increasing
indicated. circulation to the
affected area
and promoting
localized
comfort.

 Administer  Reduces
analgesics or associated
antipyretics. discomforts of
infection.
 NURSING CARE PLAN # 3

ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS
Subjectives: - Risk of infection At the end of 2-3 days of  Provide rapport  To promote cooperation At the end of 2-3 days of nursing interventions,
“- Sakit kaayu akong tinahian related to body nursing interventions, the with the patient. the client was partially able to:
paghuman ug panganak” as response to infective client will be able to:
verbalized a patient agent, properties of  Verbalizes understanding of the
 Verbalize  Perform perineal condition.
infection.  To provide comfort and
understanding of care
also to check for infections
Objective: the condition.  Be free from the infection.
or lesions in the area
 VITAL SIGNS
T: 36 ⁰C
 Be free from the  Keep the area  To prevent microorganism
R: 17 cpm
infection. clean and dry grow and avoid skin
P: 75 bpm
irritation
BP: 120/80 mmHg
 Give Antibiotic to  To treat or prevent some
the patient. types of bacterial
infections

 to treat and prevent iron

 Encourage to take
iron supplements. deficiency including iron
deficiency anemia