Name: Khan, Shams D.

Section: BSN 3-E Date: August 26, 2023

Patient Name: Simon Earl D. Khan Age: 8 Sex: Male

Nursing Care Plan

PLANNING
NURSING
ASSESSMENT OBJECTIVE IMPLEMENTATIO EVALUATION
DIAGNOSI INTERVENTION RATIONALE
OF CARE N
S
Subjective Cues: The child Independent: Elevating the head of the bed Instructed the mother The mother of the
Disturbed sleep will Instruct the mother can assist to relieve nasal of the child by child reports
 The patient pattern related to breathe easily. of the child to elevate congestion by encouraging showing how to improved ease of
reports obstruction of the the head on the bed mucus evacuation from the elevate the head on breathing.
persistent pain nose The child will have to promote nasal passages. This can ease the bed and explained
and swelling in a better sleep the child's breathing and how it promotes nasal
the right thigh cycle. nasal drainage. lessen the number of times he drainage.
for the past or she wakes up throughout
year, worsening the night due to difficulties The child reports a
over the last 8 breathing. better sleep cycle
days. Encourage the Encouraged the as evidenced by the
 The patient mother of the child to Sleeping on the side can help mother of the child to lack of presence of
describes sleep on his side. to improve nasal airflow and sleep on his side by dark circles under
difficulty moving reduce the risk of airway explaining how it the eyes.
the leg and Instruct mother of the obstruction during sleep. helps improve nasal
limited ability to child to provide a airflow and reduce the
walk or bear quiet and risk of airway The child and
weight on the comfortable It’s important to minimize obstruction during parents
affected leg due environment disruptions that could further sleep. demonstrate
to pain and conducive to sleep disrupt their sleep. A quiet and understanding of
swelling. for her child. comfortable environment can Instructed mother to the treatment
help the child relax, fall asleep administer plan
Objective Cues: Dependent: more easily, and stay asleep for
longer, promoting overall well- prescribed allergic rhinitis.
Instruct mother to being and recovery. medications to the
 Vital Signs: T:
36.6°C, P: 93, R: administer child such as
prescribed Administering medications antihistamines or
44, BP: 130/80,
O2: 99% medications to the before bedtime can provide decongestants which
Physical child to relieve nasal the child with relief from nasal works to reduce
Findings: congestion before congestion, allowing them to inflammation and
 Swelling, bedtime. breathe more easily and sleep congestion in the
warmth, and more comfortably. These nasal passages, to
redness in the medications, such as relieve nasal
right thigh. antihistamines or congestion before
 The surgical site decongestants, work to reduce bedtime.
shows signs of inflammation and congestion
infection (e.g., in the nasal passages, making Instructed mother of
tenderness,
 possible it easier for the child to
discharge). breathe and sleep without the child to provide a
 Limited range of interruption. quiet and comfortable
motion in the environment
affected leg, conducive to sleep for
particularly in the her child.
hip and knee
joints

.
Difficulty with
weight-bearing
and ambulation,
requiring
assistance.
 Radiological
findings show
incomplete bone
healing in the
femur.
 Vital Signs: T:
36.6°C, P: 93, R: 44,
BP: 130/80, O2: 99%
  Physical
Findings:

Reference/s: Rhinitis. JHM. (2022, April 12). https://www.hopkinsmedicine.org/health/conditions-and-diseases/rhinitis