NOEL T.

Cabamongan
A211N

NURSING CARE PLAN

NAME : Patricia Dianne
Assessment Ruiz
Diagnosis Scientific ROOM : PEDIA
Planning WARD / BED #14 Rationale
Intervention Evaluation
AGE : 5 yrs. old analysis DATE ADMITED : Sept. 13, 2010
ADDRESS : Short Term: Independent:
MEDICAL DIAGNOSIS : DENGUE
Subjective: Risk for After 4 hrs. 1.monitor vital >Provides After 4 hrs of
constipation Inadequate body nursing signs and input baseline data nursing
“ nilagnat sya, related to movement/exerci interventions and output of the interventions
humina kumain poor eating se the patient will pt. patient show
biscuit at and drinking be able to: >to gain sign of interest
konting tubig habits 2..Encourage the strength to eat.
lang as gain appetite mother to give
verbalized by and increase food as often or Goals met
the mother Low food and fluid intake the pt. ask.
fluid intake prevent dark
Objective: colored
foods/liquid intake >for easy
>Body malaise swallowing
>behavioral Abdominal pain 4. demonstrate
changes feeding method
>pale skin color such as:
>watery stool >manage size of
Illness due to bites
V/S Infection >cut all solid food >to prevent DHN
> Temp 35.9 c into small pieces
> PR : 92 cpm
> RR : 20 bpm 5. Instruct the
> BP : mother to
100/60mmHg Low peristalsis increase fluid >analgesic tp
movement intake of her reduce body
child. temperature
(fever)
Dependent:
Constipation >Give medication >to increase
as prescribe by body stamina.
Dr. >Paracetamol
>for proper
>Vitamin C. management
and further lab.
Collaborative: test
Refer to doctors
>to establish
optimum dietary
plan
Refer to dietitian