NURSING CARE PLAN

ASSESSMENT NURSING PLAN INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS
Subjective: Impaired comfort Short Term Goals:  Establish -To build the trust Goals were met.
-Patient verbalized related to After 2 hours of rapport of the patient and After 2 hours of
tiredness, sore perceived lack of nursing intervention the parents. interventions:
throat and presence ease and relief the client would be
of rashes all over able to:  Make -Environment The patient was
her body environment changes to the able to verbalized
 Verbalized a changes to patient’s feeling of
Objective: feeling of improve the preferences might improved comfort.
-Patient is febrile improved patient’s give him or her a She was also able
with a temperature comfort comfort. feeling of control to demonstrate how
of 38oC. and increase to use coping
 Demonstrate comfort. mechanisms when
how to use in distress as well
coping  Monitor the -To monitor as decreased her
mechanism patient’s vital whether the high temperature.
when in signs patient’s
distress. specifically temperature is
the increasing or
 Decrease temperature. decreasing so that
temperature we can perform an
immediate action if
ever problem may
occur.
 Provide -This will help a
several patient to practice
 relaxation independent
techniques and coping with the
comfort techniques that
measures that will help her to
may decrease improve her
discomfort comfort. These
techniques help
a.) Deep shift the focus
breathing away from the
exercises and current
meditation to experienced
decreased the discomforts.
level tiredness

b.) Giving a
warm water to
relieved
discomfort
cause by sore
throat.
-Acetaminophen is
 Administer
the best
acetaminophe
medication to take
n as ordered.
to lower fever
when currently
pregnant, but
prescription
should always be
considered before
 giving.
 Bathe or
shower in a -This will help
desired water your skin to avoid
temperature damage as well as
with irritation caused
nondrying by rubbing of
soap and let towel after bath.
your skin dry
instead of
toweling off.

a.) use cool

compress to
calm itchy,
irritated skin.

Long Term Goals: Goals were met.

After 2 days of After 2 days of
nursing intervention intervention:
the client would be
able to: The client was able
to maintain the
 Initiate -This will help her
 Maintain a desired level of
continuous in acquiring the
desired level comfort throughout
practice of the desired comfort
of comfort the process of her
above step by step until
recovery.
presented she is fully
techniques and recovered.
measurements
throughout the
whole process
of recovery.