College of Nursing and Allied Health Professions

Bachelor of Science in Nursing Program

NURSING CARE PLAN

Name: Aznar, Jan Rose L. Year/Block: BSN 2-7 Comments of Faculty:

Pt’s Identifier/Client’s Initials: G.M
Date: 04-26-24
Assessment Nursing Diagnosis Planning goal/Desired Nursing Interventions Scientific rationale Evaluation
outcome
Significant Data NANDA-based, PES; AEB or The patient will: (include The nurse will: Why? What happened with
risk factors outcome criteria) outcomes:
Subjective Data: “Bigla na lang Impaired Verbal Short term: • Monitor the patient’s vital • To have a baseline data Short term:
akong nahihirapan magsalita” Communication related to After 1-2 weeks of nursing signs After 1-2 weeks of nursing
as verbalized by the patient. cerebrovascular accident intervention, patients will • This can help the patient intervention, the patient
(CVA) as evidenced by garbled demonstrate improved ability • Encourage the patient to use express their needs and ideas demonstrates improved ability
speech. to verbalize basic needs and alternative communication effectively, despite the speech to verbalize basic needs and
respond to simple yes/no methods, such as writing or impairment. respond to simple yes/no
Objectives Data: questions with at least 80% gesturing. Provide questions with at least 80%
Vital signs: accuracy. communication aids (e.g., • Communication aids can accuracy.
BP- 179/90 mmHg HR- 88 whiteboard, picture board) and facilitate interaction and
bpm train the patient and family on improve the patient's ability to Long term:
RR- 19 D.O their use. convey information. After 4-8 weeks of nursing
O2 sat- 95% The patient will increased intervention, the patient is able
 Garbled speech Independence. Supporting the • Maintain a calm, supportive • This can help the patient feel to participate in structured
 Right-side patient in regaining environment to minimize more comfortable and conversations, expressing
hemiplegia independence in everyday patient's anxiety and engaged in communication. thoughts and ideas with at
 Able to follow communication tasks, such as frustration. least 70% intelligibility.
commands expressing basic needs, • Educating the patient and
 with left side participating in conversations, • Educate the patient and family can empower them to
 Able to write and conveying important family on communication actively participate in the
answers to questions information. techniques and strategies to communication process and
facilitate interaction. promote effective
communication.

Long term:
After 4-8 weeks of nursing
intervention, patients will be
able to participate in structured
conversations, expressing
thoughts and ideas with at
least 70% intelligibility.

D.O
The patient will enhanced
quality of life. Improving the
patient’s overall quality of life
by restoring their ability to
effectively communicate with
others, participate in social
activities, and engage in
meaningful interactions.