MCN Form 016

Lyceum of the Philippines University

College of Nursing

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
 MCN Form 016

Lyceum of the Philippines University

College of Nursing
Subjective Data: -Acute pain After 6hrs of -The head of the -To relieve heartburn After 6 hrs of
“Ang sakit po ng tiyan ko related to nurising bed should be sensation nursing
at ang init sa pakiramdam irritated intervention, placed on 4 to 8 intervention, the
ng dibdib ko” esophageal the patient inches blocks. client reported
mucosa as will report -To minimize occurrence decreased of pain
Objective Data: evidenced by relieved of -Advised the client of indigestion as evidenced by the
-Abdominal pain with pain verbalization of pain. to avoid food or pain scale from 8/10
scale of 8/10 pain, cough, drink 2 hrs before into 2/10. Goal met.
-Heart Burn -To prevent reflux
heartburn and bedtime or lying
-Cough abdominal pain. down after eating.
-Sore throat
V/S: HR - 100, BP - 120/90, RR - 33,
Temp - 36.4, O2Sat - 99% -Encourage the
patient to avoid -To enhance breathing
activity and pattern and may
remain upright for contribute in relieving
1 to 4 hrs after pain
each meal.

-Advise patient to -To promote proper

avoid tight fitting digestion of food.
clothes

-Instruct the
patient to eat
slowly and chew
food thoroughly.
 MCN Form 016

Lyceum of the Philippines University

College of Nursing