DAVAO DOCTORS COLLEGE
Gen. Malvar St., Davao City
                                                                                               Nursing Program                                                              GRADE:
                                                                                  NURSING CARE PLAN
Name of Patient: ___________                                                                                        Date of Admission: Room: _______________________________
Age: ______Sex: _______ Civil Status: ___________                                                                          Chief Complaint: _________________________________
Religion:  ______________                                                                                            Attending Physician: _________________________
 DATE &
  TIME              CUES                    NURSING DIAGNOSISGOAL & OBJECTIVES     NURSING INTERVENTIONS                                            RATIONALE                 EVALUATION
             Subjective:                                    After    8hrs.     Of Engage client in non-                                                                   After    8hrs.     Of
                                                            nursing intervention, pharmacological pain                                                                    nursing intervention,
              “Sakit na kayo” as Acute pain r/t physical the patient will be management techniques:                                                                       the goal is partially
             verbalized by the                              able to understand                                                                                            met as evidence by
             patient.               agents such as laboring and engage non-           Encourage use of                                       To promote relaxation the patient is able to
                                                            pharmacological            comfort measures                                        and enhancing feeling of understand         and
                                                            measures to reduce         (back or leg rubs,                                      well-being.                engage          non-
             Objective:                                     discomfort or pain.        back      rest,  and                                                               pharmacological
                                                                                       repositioning).                                                                    measures to reduce
                 Uterine                                                             Provide for a quiet                                    To       promote      non- discomfort or pain.
                    contraction                                                        environment.                                            distracting environment to
                 Scattered         SCIENTIFIC BASIS                                                                                           provide            optimal
                    movement                                                                                                                   opportunity for rest and
                 Facial grimace                                                                                                               relaxation        between
                 Pain       Scale:                                                                                                            contractions.
                    5/10                                                              Offer                                                  To provide emotional
                                                                                       encouragement,                                          support,     which     can
                                                                                       provide information                                     reduce fear, lower anxiety
                                                                                       about labor progress                                    levels, and help minimize
                                                                                       .                                                       pain.
Reminder: Please provide references for your scientific basis discussion and every rationale. Follow APA 6th ed. Guidelines for in-text citations and writing references.
                                      Name: _____________________________________                                 Clinical Instructor: ______________________________