UNIVERSITY OF NEGROS OCCIDENTAL-RECOLETOS

Bacolod City

COLLEGE OF ALLIED MEDICAL HEALTH SCIENCES | BS NURSING

Name: NECY TESSA C. ACOSTA Year/ Section/ Group: BSN N41, GROUP A Date: 09/17/2023

NURSING CARE PLAN

Baseline Data of the Client:

Name of the Patient: J.A. I Chief Complaint: Fever and epigastric pain

Age: 12 yrs. old Medical Diagnosis: Dengue High Fever

Sex: Male Attending Physician:

ASSESSMENT NURSING DIAGNOSIS PATHOPHYSIOLOGY DESIRED OUTCOME NURSING RATIONALE EVALUATION

INTERVENTION
Subjective data: Acute pain and Aa. Aegypti female mosquito After 8 hours of Independent: Independent: After 8 hours of
discomfort related to bite (transmitter of DENV) nursing intervention, nursing
“Gasakit akon sulok- dengue as evidenced by client will be able to Establish rapport. To assess intervention, client
sulok” positive guarding alleviate ta pain. precipitating factors. was able to:
behavior, elevated
respiratory rate (26 bpm), Incubation on virus varying Demonstrate use of a. Report that his
facial grimace, and from 3 to 14 days. relaxation skills and Take record and pain was relieved.
Objective data: narrowed focus. diversional activities vital signs. To obtain baseline
as indicated for data. b. Demonstrate use
• (+) Guarding
individual situation of relaxation skills
behaviour
like deep breathing. To indicate the fluid and proper deep
• Respiratory
Measuring Intake balance of the breathing
rate of cycles
Early symptoms: Fever, and output. patient. technique.
per minute.
rashes, abdominal
• Facial
discomfort and nausea, Observations of For accurate
grimace
patient level of pain intervention based
• Narrowed joint and musculoskeletal (scale, frequency, on the patient’s pain
focus. pain. duration). level (scale,
frequency, duration).

Refocused attention
Teach patient and improve ability
relaxation to cope with pain.
techniques (deep
breathing).

Dependent: Dependent:

Administered To provide epigastric

omeprazole prn as pain relief.
ordered by the
physician.