FIRST CITY PROVIDENTIAL COLLEGE

Narra, Francisco Homes, City of San Jose Del Monte, Bulacan

Patient’s Initial: S.M.A Age: 18 years old

Medical Diagnosis: Acute Tonsillopharyngitis Clinical Area: Pedia ward

NURSING CARE PLAN

Assessment Nursing Planning Intervention Rationale Evaluation

Diagnosis
Subjective: Impaired mucous Short Term Goal: Independent: Short Term Evaluation:
“Hindi kasi siys pala membrane integrity After 30 mins nursing  Provide oral care  to improved mucous After 30 mins nursing
toothbrush, mag to- related to intervention the patient instructions and membrane integrity and intervention the patient
toothbrush lang siya inadequate will demonstrate improved demonstration to the reduced risk of complications was improved to perform
kapag may pasok” Oral hygiene as oral hygiene practices as patient or caregiver such associated with acute oral hygiene practices .
as verbalized by the evidence by acute evidenced by decreased as; Brushing technique, tonsillopharyngitis
patient’s guardian tonsillopharygitis inflammation and pain in flossing technique, and Long Term Evaluation:
the oral cavity. mouthwash rinse. After 2 hours of nursing
intervention By discharge,
Dependent:  to treat bacterial infections, By the patient will able to
Long Term Goal:  Administer prescribed oral administering antibiotics as demonstrate improved
Objective: After 2 hours of nursing antibiotics as ordered by prescribed, the nurse helps to oral hygiene practices and
 Difficulty intervention By discharge, the healthcare provider. eliminate the underlying maintain intact mucous
speaking the patient will infection, promoting healing of membrane integrity,
 Yellowish teeth demonstrate improved the mucous membranes and reducing the risk of
 Difficulty of oral hygiene practices and reducing the risk of recurrent
swallowing maintain intact mucous complications. tonsillopharyngitis.
membrane integrity, Collaborative:
reducing the risk of  Consult with a dental  Collaborating with a dental
recurrent hygienist or dentist for hygienist or dentist ensures
tonsillopharyngitis oral assessment and comprehensive care and may
episodes. treatment uncover underlying oral health
recommendations. issues that contribute to the
patient's condition.