University of Perpetual Help System Dalta Alabang Zapote Road, Pamplona, Las Pias City NURSING CARE PLAN
N Name: UW W Assessment Subjective:  Makati eto  Kakain na ba? Objective:  Restlessness  Inability to focus attention  Scratching of extremities  Lesions on the skin  Hunger Diagnosis Altered comfort related to pruritus as evidenced by demonstration of discomfort, itching and reddened irritated skin. Room/Bed number: Pavillion 5 Planning Intervention Hospital: NCMH Rationale  The etiology of pruritus helps direct treatment  The application of cool or cold washcloths can depress the itching sensation.  Covering the area with a non-ventilated dressing can increase itching sensation and warmth in the area.  These activities help to temporarily distract the client from the itching sensation. Evaluation
Short Term: Selected: After 3 days of  Determine cause of nursing intervention: pruritus  Patient will verbalize sense of  Apply soaks with comfort, itching washcloths wrung relieved. out in cool water or ice water as  Patient will understand and needed demonstrate ways  Leave pruritic area to decrease itching. open to the air if possible. Long Term: While the patient is  Provide divertional under hospitalization: activities such as  Patient will cease talking with other from scratching her patients extremities.
LAGUIO, JACHEL KATHLEEN DY BSN3B