PHINMA-UNIVERSITY OF ILOILO
COLLEGE OF ALLIED HEALTH SCIENCES
                                                                       Nursing Department
                                                                              NURSING CARE PLAN
                          NURSING           PLANNING/OUTCOME
  ASSESSMENT                                                                  NURSING INTERVENTIONS                        RATIONALE                     EVALUATION
                         DIAGNOSIS               CRITERIA
Subjective:        •   Acute pain,        After 2 hours of nursing        Independent:                          Independent:                         After 2 hours of nursing
• Mother               localized          intervention the patient will   •    Established rapport               •  To  promote   trust, foster      intervention the patient
  verbalized “she                         be able to:                     •    Assess Vital Signs                   patient’s  cooperation.          was able to:
                       inflammation and                                                                          • To be able to tell if any          • Minimize
  was persistently                         • Minimize persistent
                       persistent cough                                                                             changes occur on the body             persistent
  coughing from                               coughing through
                                                                                                                    and possible signs of                 coughing through
  5am to 12am                                 interventions                                                         ailment getting worse.                interventions
• Dry skin/mucous                          • Verbalize understanding                                             •  For  patient’s care  and  relief
                                                                          •    Monitor the patient’s persistent
  membrane.                                   of causative factors and                                              and to know if the situation • Verbalize
                                                                               coughing
                                              purpose of interventions                                              is worsening                          understanding of
                                              and medications.            •    Instruct the Patient to           •  To  replace  the loss  of fluid       causative factors
                                                                               increased fluid intake               in the  body.                         and purpose of
                                                                          •    Assess the patient’s dietary      •  To  ensure  that  the patient         interventions and
                                                                               and fluid intake.                    is following  on the  amount          medication.
                                                                                                                    of fluid they need to
                                                                                                                    consume.
                                                                          •    Elevate head via semi-fowlers     • Allows respiratory relief for
                                                                               position for cough relief            patient
                                                                                                                  Dependent:
                                                                                                                  • To replace loss of fluid
                                                                          Dependent:                                 and electrolytes and give
                                                                                                                     medication
                                                                          •    Administer IV therapy, as
                                                                               ordered.
PREPARED BY:   NOTED BY: