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Nursing Care Plan: Phinma University of Iloilo

The nursing care plan summarizes the care for a client at risk of injury from seizures. It assesses the client's history of seizures every 6 months. The nursing diagnosis is a risk for injury from losing muscle control during seizures. Short term goals include the client understanding their risk factors and keeping bed rails up with the bed low. Long term goals include demonstrating behaviors to reduce risks and protect themselves from injury. The plan involves keeping the rails up, staying with the client during seizures, and collaborating with others.

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Arianne Nicole Pinuela
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1K views1 page

Nursing Care Plan: Phinma University of Iloilo

The nursing care plan summarizes the care for a client at risk of injury from seizures. It assesses the client's history of seizures every 6 months. The nursing diagnosis is a risk for injury from losing muscle control during seizures. Short term goals include the client understanding their risk factors and keeping bed rails up with the bed low. Long term goals include demonstrating behaviors to reduce risks and protect themselves from injury. The plan involves keeping the rails up, staying with the client during seizures, and collaborating with others.

Uploaded by

Arianne Nicole Pinuela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PHINMA UNIVERSITY OF ILOILO

COLLEGE OF ALLIED HEALTH SCIENCES


Nursing Department

NURSING CARE PLAN


NURSING
ASSESSMENT NURSING DIAGNOSIS PLANNING RATIONALE EVALUATION
INTERVENTIONS
SUBJECTIVE: Risk for injury related to loss SHORT TERM: INDEPENDENT:
Client verbalized “3 years of large or small muscle After 1 hour the client will  Keep side rails up  To minimize injury
ago gn atake sya seizure coordination secondary to verbalized understanding of with bed in the lowest should seizure occur
nag start 1 year old sya kag seizure. individual risk factors that position. while patient is in bed
every 6 months gakadto contribute to the possibility of  Stay with the client  Promotes patient
kami sa doctor ya for EEG” falls. during and after safety and reduces
seizure. sense of isolation
during the event.

OBJECTIVE:
LONG TERM: DEPENDENT:
After 1 week client
demonstrate behaviours and
lifestyle changes to reduce
risk factors and protect self
from injury.

COLLABORATION:

PREPARED BY: ______________________________________

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