POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

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

NURSING CARE PLAN

Name of Patient: _ Daydayan, Clementino _______
Age: _71___ Sex:_ _ M____ Civil Status: _SEP- Separated _______ Attending Physician:__Dr.Benigsos _______
Occupation: ____________ Religion: _ Catholic___ Diagnosis: _Benign Prostatic Hypertrophy ____________
Address:_ Barayong, Magsaysay, Davao Del Sur Chief Complaint___ urine output ______
Ward:__ Room No: _319 Bed No: _319_____ Date of Admission: _October 12, 2023__

Date/ Cues Needs Nursing Scientific Basis Goals/Objectives/ Nursing Interventions Rationale Evaluation
Time Diagnosis Criteria
 Subjective elimination Urinary pain is a sensation After my 8hrs of Independent:  Provides information After 8 hours shift
Data: pattern: retention of physical or shift the patient will to aid in determining the goals were
excretory Related to mental hurt, or be able to: - Assess pain, noting choice/effectiveness of
function (bowel, Inadequate suffering that location, intensity (scale partially met:
‘mag lisod kog interventions.
lihok pag ihi’ as bladder and skin) relaxation of causes distress or - report pain of 0-10), duration. The patient was able
pelvic floor agony to the one relieved.  It can improve the
Octo verbalize by the - - Assess client’s to report pain
Gordon’s muscles; experiencing it. - controlled, overall quality and
ber significant other's relieved. controlled,
patient Functional pelvic organ appears relaxed effectiveness of the
12, -Funda book page knowledge of appears relaxed and
Health Patterns prolapse; and be able to treatment by ensuring that
2023 590 contributing causes, be able to rest or
weakened
rest or sleep the client has a strong
bladder
treatment plan, specific sleep appropriately.
appropriately. support system, better
3:23 muscle medications, and The patient also was
adherence to the treatment
PM therapeutic procedures. able to move and
plan, and an improved
understanding of their able to urinate
Dependent: properly
condition.
Objective Data: - Inject IM or IV
Ceftriaxone Rocephin 1
 Reports to 2g OD or q12 as
of pain  to treat chronic
ordered by the
bacterial prostatitis or Uti
 facial physician.
causes bacterial infection
grimace upon
Collaborative: and given to relieve severe
urination
pain, provide physical and
 Restless The Physician prescribes mental relaxation
autonomic Ceftriaxone Rocephin 1 to
response 2g OD every after meal to in
collaboration of the nurse
administers and some  to treat chronic
specialist doctors like bacterial prostatitis or Uti
Urologist causes bacterial infection
with the help of specialist
doctors and They would
have access to the patient's
medical history, test
results, and other relevant
information to make the
most appropriate treatment
decisions.
Student Name:_Salas, Hannah Lynn M._______ Year & Sec.: _BSN2-E_____ Group No.: ____20-B_______ Rating:____________
Reference: __ NURSING 2023 DRUG HANDBOOK & Funda book Criteria: Promptness (5%)________ Assessment (15%)________ Objectives of care (10%)________
Evaluation (10%)________
Format/Neatness (15%)_________ Nursing Diagnosis (15%)________ Nursing Action (30%)________ Clinical Instructor: Mr. Rommel Wacan Canete, RN