nurse care plan
Assessment
Diagnosis
Planning
Intervention
Rationale
Evaluation
Subjective:
1. “kagabi nung dinala ako dito, sobrang sakit ng puson ko at nahihirapan ako umihi”
2. “may bukol dito sa may puson ko at masakit din sa likod ko ( she pointed the lower right side of her back).”
3. “kinuhaan ako ng ihi, ang sabi may impeksyon daw”
Objective:
Afebrile (T:37 C) skin warm to touch
(+) weakness
(+) pain at the suprapubic area and lower back pain at the right side.
(+) bacteria on the urinalysis result.
Impaired Urinary elimination related to urinary tract infection
Goals:
After 30 minutes of nursing intervention, the patient will be able to gain knowledge on ways of managing Urinary Tract Infection.
Objectives:
Within 15 minutes of nursing intervention, the patient will be able to gain knowledge by :
Enumerating 2/3 specific causative factors of UTI.
Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter.
Shows positive attitude by verbalizing understanding of her condition.
Establish rapport
Assess level of awareness of the mother regarding the child’s condition.
Broaden the knowledge of the mother by teaching:
Hygienic measures e.g. wiping from front to back after voiding or defecating. And keeping area clean and dry.
Encourage to increase fluid intake.
Demonstrate proper position of catheter drainage tubing and bag.
Advise bed rest and keeping self well rested.
Establishing rapport provides comfort and gets trust of the care giver.
Assessment provides baseline ideas on what to teach to the care provider.
Additional knowledge provided to the care giver to help promote the condition of the patient.
To limit risk or avoid infections and vulvar and urethral irritation.
To help maintain renal function and prevent infection.
To facilitate drainage and prevent reflux
To avoid stress
After 30 minutes of rendering nursing intervention, the
Diagnosis
Planning
Intervention
Rationale
Evaluation
Subjective:
1. “kagabi nung dinala ako dito, sobrang sakit ng puson ko at nahihirapan ako umihi”
2. “may bukol dito sa may puson ko at masakit din sa likod ko ( she pointed the lower right side of her back).”
3. “kinuhaan ako ng ihi, ang sabi may impeksyon daw”
Objective:
Afebrile (T:37 C) skin warm to touch
(+) weakness
(+) pain at the suprapubic area and lower back pain at the right side.
(+) bacteria on the urinalysis result.
Impaired Urinary elimination related to urinary tract infection
Goals:
After 30 minutes of nursing intervention, the patient will be able to gain knowledge on ways of managing Urinary Tract Infection.
Objectives:
Within 15 minutes of nursing intervention, the patient will be able to gain knowledge by :
Enumerating 2/3 specific causative factors of UTI.
Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter.
Shows positive attitude by verbalizing understanding of her condition.
Establish rapport
Assess level of awareness of the mother regarding the child’s condition.
Broaden the knowledge of the mother by teaching:
Hygienic measures e.g. wiping from front to back after voiding or defecating. And keeping area clean and dry.
Encourage to increase fluid intake.
Demonstrate proper position of catheter drainage tubing and bag.
Advise bed rest and keeping self well rested.
Establishing rapport provides comfort and gets trust of the care giver.
Assessment provides baseline ideas on what to teach to the care provider.
Additional knowledge provided to the care giver to help promote the condition of the patient.
To limit risk or avoid infections and vulvar and urethral irritation.
To help maintain renal function and prevent infection.
To facilitate drainage and prevent reflux
To avoid stress
After 30 minutes of rendering nursing intervention, the