Name of Student: Patient’s Data

Group #: Area of Exposure: Name of Patient: Age:

Clinical Instructor: Diagnosis:
Physician:

NURSING CARE PLAN

General Objective: To maintain good hygiene and physical comfort.

Assessment Nursing Diagnosis Rationale Specific Objectives Nursing Intervention Rationale Evaluation

Subjective Cues: >Impaired skin Food allergy is an Within 28 hours of Independent -Evaluate effectively After 3 days of
“katol.” integrity related to rendering care, the the signs and rendering care to the
immune system
immunologic patient will be able to: *Assess causative or symptoms of the patient, the patient
(As verbalized by deficit secondary reaction that contributing factors client’s condition. has displayed lesser
the mother) to Food Allergy occurs soon after -Display time healing identified underlying allergic response
-“Nag kaon siya eating a certain of signs and condition or pathology compared to the first
hotdog, gulpi lang food. Even a tiny symptoms of involved in allergic day of admission. The
nag katol lawas hypersensitivity reaction. nutritional status and
amount of the
niya.” response. physical well-being of
-“May butoy2 siya allergy-causing -Maintain optimal *Assess and monitor -Proper intervention the client is partially
sa guya kag tiil” food can trigger nutrition and physical the vital signs of the will be given to the solved for there is still
signs and well-being. client. client. sensitivity of food
Objective Cues: -Participate in intake. The folks of
symptoms such
*Red itchy patches preventive measures. *Assess skin daily. Note - Establishes the client have
noted in both as digestive -Verbalize feelings of color, circulation and comparative participated with the
upper and lower problems, hives increased self-esteem sensation. Describe baseline providing preventive measures
extremities or swollen and ability to manage and measure lesions opportunity for regarding the diet of
*Redness in the airways. Food situations. and observe changes. timely intervention. the client. Patient is
eyes noted quite and able to
*Capillary refill of allergy can cause *Provide and instruct -maintaining clean, manage situations
1 (≤2) severe symptoms in good skin hygiene – dry skin provides with support of her
*pruritus observe or even a life- wash thoroughly, pat relief of itchiness. parents.
*Body Temp of threatening dry carefully. Patting skin dry
36.70C instead of rubbing
reaction known
(36.5-37.50C) reduces risk of
*CR -93 bpm as anaphylaxis. dermal trauma to
(60-90 bpm) Food allergy dry, fragile skin.
*RR – 25 cpm affects an Massaging increases
(12-20 bpm) circulation to the
estimated 6 to 8
*BP – 100/60 skin and promotes
mmhg percent of comfort.
children under
age 3 and up to 3 *Maintain clean, dry, -Skin friction caused
percent of adults. dust free and by movement over
preferably soft linen. wet, wrinkled, or
Common food rough sheets leads
allergy signs and to skin irritation.
symptoms
includes, Tingling *trim and file nails -Long and rough
regularly. nails increase risk of
or itching in the
dermal damage.
mouth and body,
Wheezing, nasal *Health teaching -Minimizes the
congestion or (hypoallergenic food) frequency and
trouble allergic response of
the client.
breathing,
abdominal pain, Collaborative
diarrhea, nausea
or vomiting, *Administer drugs -Decrease pruritus
prescribed by the and management of
dizziness,
physician. the client’s
lightheadedness condition.
or fainting. This is
a problem *Collaborate with the -Reduces allergic
nutritionist and response to food.
because allergy
dietician regarding the Hypoallergenic diet
can affect the specific food and diet will be
breathing pattern regimen of the client. recommended to
of the client does the client.
if not given
*Collaborate with the - Collaboration with
proper
nursing care/ primary co-nurses will
intervention, nurse , and or establish smooth
food allergy may medication nurse way of nursing
lead to severe regarding the intervention,
facilitation of nursing communication and
allergic reaction care of the patient. unity of command.
This will help all
called
medical teams to
anaphylaxis. attain quality health
for the client’s fast
recovery.

*Refer to the CI/Staff -Proper intervention

nurse/Physician for any will be given to the
abnormalities of the client.
client’s condition.