Republic of the Philippines

CATANDUANES STATE UNIVERSITY

Virac, Catanduanes

COLLEGE OF HEALTH SCIENCES

NURSING DEPARTMENT

CASE ANALYSIS (NURSING CARE PLAN)

NCM 109 SKILLS LAB

CARE OF MOTHER AND CHILD AT RISK OR WITH PROBLEMS

NAME:
YEAR/ BLOCK/ GROUP:

1. A premature infant is admitted at Neonatal Intensive Care Unit and is on gastrostomy

feeding. Her mother is anxious about her child’s condition and is hesitant to touch her

child. As a student nurse, you are aware about the nursing responsibilities for a client

on gastrostomy feeding. Please formulate a nursing care plan to this type of client,

include in your plan of care the client’s mother.

NURSING CARE PLAN FORMAT:

ARIAL, FONT SIZE 10, SINGLE SPACING

1 INCH MARGIN ALL SIDES

PAGE ORIENTATION- LANDSCAPE

LONG COUPON BOND

 Prepared by:

SHIRRA MAE O. FERNANDEZ, RN

Clinical Instructor

1. INFANT

Assessment Diagnosis Planning Intervention Evaluation

Subjective: Ineffective  After 12  Vital signs  After 12

infant suck- hours of taken and hours of
Objective: swallow nursing recorded. nursing
 Premature response intervention,  Monitor I&O intervention,
infant that is related to the infant  Provide a the goal is
on prematurity. will improve quiet partially
Gastrostom his or her environment met.
y feeding. food intake. while feeding.  No sign of
 There will  Have the dehydration.
be no sign patient on as  Improved
of near as sitting nutritional
dehydration. position. status.
 Strict
monitoring
baby’s
progress.
 Flush the
tubing after
the feeding.
 2. MOTHER

Assessment Diagnosis Planning Intervention Evaluation

Subjective: Anxiety  Assess  Vital signs  Affirmed

person’s taken and by
level of recorded. nodding
Objective: anxiety.  Maintain a her
 Hesitant to  The client calm non- head.
touch her will respond threatening  The
child. to relaxation manner client is
techniques while free
to working from
decreased with the anxiety
level of client. attacks.
anxiety.  Patients
 The client safety and
will be free security is
from anxiety observed.
attacks.  Health
teachings
related to
relaxation
techniques
are given.