ASSESSMENT NURSING GOAL PLANNING IMPLEMENTATI EVALUATION

DIAGNOSIS ON

SUBJECTIVE: Impaired skin Short term: After 30 mins Instruct the Goal met. The
“Kumakalat integrity The patient of nursing patient to keep patient was
ang rashes at related to will be able to intervention , the skin clean able to
sobrang alteration in know how to the patient and dry. demonstrate
makati ang skin lessen the will be able to behaviors and
balat ko” as appearance as itching and demonstrate Inform that techniques to
verbalized by manifested by spreading of behaviors and never massage prevent skin
the patient. presence of rashes in the techniques to over an area of breakdown.
rashes. skin. prevent skin skin where
OBJECTIVE: breakdown. there is skin
-Presence of Long term: breakdown.
rashes The patient
-Frequent will be able to Recommend in
scratching determine on keeping the
-Disruption of how to nails short and
skin surface prevent any not to use tight
altered clothings.
sensation and
demonstrates
understanding
of plan to heal
the skin
rashes.