Nursing Care Plan

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Risk for injury After 8 hours of 1.Ask family or 1. To prevent him After 8 hours of
Subjective: related to cognitive nursing intervention significant others to be or her from accidentally nursing intervention
impairment as the child parents will with the patient injury. the child parents was
evidenced by be able to: able to: -Verbalize
“Daghan man syay
samad kay iya gud
banging his head to 2. Ascertain 2. To prevent injury understanding of
nang kaluton
the walls, tapping -Verbalize knowledge of safety in home, community, individual factors
his head with his understanding of needs/injury and that contribute to
ug kusion hand, and tantrums possibility of injury.
kung sapoton at home when not individual factors that prevention and work setting
contribute to motivation.
siya.” as given what he
verbalized by the
possibility of injury. 3. That may result -Demonstrate
wants.
mother 3. Assess mood, in carelessness/ behaviors, lifestyle
-Demonstrate coping abilities, increase risk taking changes to reduce
behaviors, lifestyle personality styles. without consideration of risk factors and
Objective: protect the child from
changes to reduce risk consequence’s
factors and protect the 4. injury.
Eliminate or
-Tantrums at home child from injury. drop all possible 4. This is to prevent
when not given
hazards in the room the patient from any Goal met.
what he wants -
such as razors, unpleasant experience The parent was able
tapping of his head
medications, and due to dangerous to protect their child
with his hand from injury through
matches. objects.
-banging the head to attaining safe
the concrete environment.
walls 5. Provide a calm 5. Help the patient
-Frequent piling or and inviting to feel more relaxed by
lining up of toy and atmosphere. avoiding excessive
throwing it stimulation and
distractions

6. Consider his
6. Accept the child condition and
or individual as what he communicate with him
is. as an equal.
7. 7.
current level of functioning.direct him as to his
chronological age: Encourage
him to express his thoughts
or emotions and respond to
8. him therapeutically.
education and support.
8.
to the child’s feelings
including parents in
9. providing and planning care
child. for the child with Autism.

9.
stop unsafe behavior; provide
close supervision; and give
clear directions abou
acceptable and unacceptable
behavior.

10.
have a strong need for
10. sameness and routines
Anything inconsistent with
with your actions and behavior
around the child the first actions or behaviors
they observed from you, may
cause stress and tantrums.