POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

MacArthur Highway,Brgy.Kiagot,Digos City, Davao del Sur, Philippines 8002

NURSING CARE PLAN

Name of Patient: Attending Physician/Midwife:
Age: Sex: Civil Status: Diagnosis: Occupation: Address: Upper Matti, Digos City
Chief Complaint: Ward: Room No.: Bed No.: Date of Admission:
DATE CUES NEEDS NURSING SCIENTIFI GOALS NURSING RATIONALE EVALUATION
/TIME DIAGNOSIS C BASIS OBJECTIVE INTERVENTIONS
CRITERIA
Subjective: Additional Acute vaginal Puerperal & After nursing  Provide This promotes After nursing
knowledge pain related to Postpartum intervention, instruction a sense of intervention, the
“medyo about pain perineal Infections(Pa the patient general well- patient was able
sakit regarding,
manageme laceration as ul Martin, will be able and assist being and to:
akong nt. evidenced by BSN, to: enhances
kinatawo with, the  expressed
facial R.N.,2022). healing. It may
tungod sa  Expres maintenance alleviatio
grimacing. also alleviate
gisi pag s of cleanliness n of pain.
discomfort
panganak” allevia and warmth. associated with  Verbalize
as tion of chills. d
verbalized pain. understan
by the  Verbal ding
patient. ize treatment.
unders  Provide  Performe
Objective:
tandin rapport with To gain trust d
Facial g of the patient. and full activities
Grimacing treatm cooperation like
ent during the pain simple
regime alleviation movemen
Body n. period. ts like
weakness  Demo walking
nstrate or
Restlessne
 ss techni  Advice the To lessen the bending.
ques patient to pain felt by the
that limit body patient.
Impaired enable movements
physical resum
mobility ption
of
activiti
es.

Student Name: DENNIELLE JAY T. VICENTE
Criteria: Promptness (5%)
Format/Neatness (15%)
Assessment (15%)
Nursing Diagnosis (15%)
Year & Sec: BSN 2 C Group No: 1-B Rating:__________
Objectives of Care (10%),,
Nursing Action (30%),
Evaluation (10%)
Clinical Instructor:MA. LERHIE PARADILLO, RN