Nursing Care Plan

Patient’s Name: Muhammad Azan. Age: 5 years M. Father Name: Muhammad Shafiq. Ward: Paeds.

Date: 05/12/2014

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Data: Short Term
1. Yellowish Planning: Evaluate adequacy These assessments
discoloration of nutrition and sleep have all been shown
of eyes and Checked
(i).Allay patterns. to have good internal satisfactory level of
Mucous Restlessness.
membrane. reliability. Patient’s attendant
2. Ears are and patient itself.
checked with (ii). Patient will
pen torch for Jaundice related exhibit no signs of Maintained Quiet For quick recovery.
any secretion to disease cold stress. environment.
but no such process as
condition is (iii). At regular Maintained To prevent from Having no adequate
noted. evidence by intervals assess adequate fluid dehydration. fluid intake will
3. Patient’s yellowish patients eyes, intake. lead to further
stands still discoloration of mucous membrane,
then I complications such
eyes/protruded skin integrity. Also as hypovolemia and
measured its perform physical
height with abdominal Monitor intake and hypokalemia.
assessment of liver. output.
measuring cavity.
tape. Patient’s To note any
height is 2.10 complication.
feet. Regular changing in
4. With the help position. To prevent from
of pen torch I bed sore.
checked the
nose patency

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 for any lesion Long term
and blockage. Planning: Review Knowledge This will help them The response of
Nose is patent of the client’s to take further care patient and its
and no lesion 1. Teach client’s family. of their patient. family members
is seen. relatives about the towards seeking
5. Vitals
disease so that they health care was
checked:
Pulse: 90 bpm properly take care positive and they
Temp: 98.7 F of patient at home. are cooperative.
Resp.: 38/min If doctor’s
discharge him.
6. 2. Medications: I gave informal
Skin is assessed. Paeds solution. Kept skin clean and This helped me to education to patient
Patient’s skin is dry. Heptocam syp. moist. note further to aware them about
Partial hair deviations from the disease. Then I
Glare syp.
distribution. Wounded normal. asked them
scars are seen. Glucose D,
Amoxil questions and they
Lesions are present.
125mg/5ml.Syp. answered few of
them. This ensures
some
understanding.
Objective Data: The oil used in
1. Patient’s these things is of
mother told Drink boiled water. Told the client and low quality and
that he has We already know its family members these eatables are
pain in his that water of our to avoid and limit cooked again &
stomach for 6
country is not of eatable things from again in same oil to
days.
2. Day by day good quality. outside such as which person is
he is Therefore to prevent snacks, chips and more vulnerable to
becoming from other other oil cooked diseases not only
weak. infections and water products. jaundice but may
3. They told me borne diseases also leads to cancer
that after this they patient must drink etc.
brought him to boiled water.
hospital.

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