Taibah University

Al-Madinah Al-Munawara ‫جامعة طيبة‬

Kingdom of Saudi Arabia ‫المدينة المنورة‬
College of Nursing ‫المملكة العربية السعودية‬
Medical Surgical Department ‫كلية التمريض‬
‫قسم الجراحة الطبية‬

Nursing Care Plan (NCP)

Patient Name: Moghetha ALaazim Unit: surgical Room/Bed No 110 Medical Diagnosis: RT diabetic foot
Nursing Diagnosis Patient-Centered
Assessment Nursing interventions Rationale Evaluation
Goals
Subjective Cues:
Constipation Imbalanced To provide Independent:  To determine of -After 6 hours
 Monitoring rustle of lap test. any abnormal from nursing
Nutrition: Less Than appropriate  Weigh daily or as ordered. result intervention was
Body Requirements amounts of  Identifies deficits and  Weighing serves
the patient
deviations from as an assessment
related to nutrients tool to determine intake
therapeutic needs.
Decreased oral stabilize the adequacy of appropriate
 Discuss eating habits nutritional intake
Objective Cues: intake evidenced by toward usual amounts of
- Observe lap and encourage diabetic  Identifies
investigation : constipation range with diet (balanced diet) as nutrients.
deficits and
Low level of normal prescribed by the doctor deviations from And Family
protein , low laboratory  Auscultate bowel sounds. member
therapeutic
level of Note reports of abdominal
electrolyte. values pain, bloating, nausea,
needs. verbalize
- Hard vomiting or constipation .  To achieve understanding
abdomen  Provide liquids health needs of an the
containing nutrients the patient
possible
and electrolytes as soon with the proper
food diet for his saturation
as patient can tolerate
oral fluids then progress condition. that can
to a more solid food as  Hyperglycemia improve
and fluid and
tolerated. nutrition
electrolyte
disturbances can state.
decrease gastric
motility and/or
 Taibah University
Al-Madinah Al-Munawara ‫جامعة طيبة‬
Kingdom of Saudi Arabia ‫المدينة المنورة‬
College of Nursing ‫المملكة العربية السعودية‬
Medical Surgical Department ‫كلية التمريض‬
‫قسم الجراحة الطبية‬

Nursing Diagnosis Patient-Centered

Assessment Nursing interventions Rationale Evaluation
Goals
function (due to
 Perform fingerstick distention
glucose testing.  beside analysis
 Provide diet of of serum
approximately 60% glucose is more
carbohydrates, 20% accurate than
proteins, 20% fats in monitoring
designated number of meals
urine sugar. 
and snacks.
Dependent:
Administer medications like
(Omeprazole).

Collaborative:

1-Refer the patient to an

exercise physiologist, physical
therapist.
2-Consult with
dietitian/nutritionist about
specific nutrition/ dietary .
3- family education .
 Taibah University
Al-Madinah Al-Munawara ‫جامعة طيبة‬
Kingdom of Saudi Arabia ‫المدينة المنورة‬
College of Nursing ‫المملكة العربية السعودية‬
Medical Surgical Department ‫كلية التمريض‬
‫قسم الجراحة الطبية‬

Nursing Diagnosis Patient-Centered

Assessment Nursing interventions Rationale Evaluation
Goals