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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 seizure activity. The plan includes short term goals of understanding individual risk factors and demonstrating safety behaviors after 1 hour. Long term goals include maintaining safety behaviors after 1 week. Interventions include keeping rails up with low bed, staying with the client during seizures, giving IV fluids and antibiotics as ordered, and discussing the condition with the healthcare team. The rationale is to minimize injury and treat the underlying cause while promoting safety.

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Arianne Nicole Pinuela
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301 views1 page

Nursing Care Plan: Phinma University of Iloilo

The nursing care plan summarizes the care for a client at risk of injury from seizure activity. The plan includes short term goals of understanding individual risk factors and demonstrating safety behaviors after 1 hour. Long term goals include maintaining safety behaviors after 1 week. Interventions include keeping rails up with low bed, staying with the client during seizures, giving IV fluids and antibiotics as ordered, and discussing the condition with the healthcare team. The rationale is to minimize injury and treat the underlying cause while promoting safety.

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 SHORT TERM: INDEPENDENT:
Client verbalized “3 years seizure activity. After 1 hour the client will  Keep side rails up  To minimize injury After 1 hour of nursing
ago gn atake sya seizure verbalized understanding of with bed in the lowest should seizure occur intervention client was able to
nag start 1 year old sya kag individual risk factors that position. while patient is in bed verbalized understanding of
contribute to the possibility of  Stay with the client  Promotes patient individual risk factors that
every 6 months gakadto
falls. during and after safety and reduces contribute to the possibility of
kami sa doctor ya for EEG” falls and can demonstrate
seizure. sense of isolation
during the event. behaviours and lifestyle
changes to reduce risk
factors and protect self from
injury.
OBJECTIVE: LONG TERM: DEPENDENT:
After 1 week client  Maintain IV fluids as  Prevents dehydration
demonstrate behaviours and
ordered by physician.
 Loss of lifestyle changes to reduce
risk factors and protect self
consciousness or from injury.  Administer antibiotic  Treats underlying
awareness as ordered. cause.

 Psychic
symptoms such
COLLABORATION:
as fear and
anxiety.  Discuss condition for  Ensures continuous
the patient with intervention.
other members of
the health care
team.

PREPARED BY: ______________________________________

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