Scribd Logo
Upload

Welcome to Scribd!

  • 21 views

    NCP Format

    Uploaded by

    Suzete Pagaduan
    The nursing care plan assessed a patient with acute pain, flushed skin, and tachypnea. The plan was to monitor vital signs, encourage fluid intake, provide a calm environment, and advise rest to reduce pain and normalize vital signs within 4 hours. After intervention, the patient's pain score decreased to 4/10, temperature lowered to 38.5°C, and respiratory rate reduced to 21 breaths per minute, partially meeting the goals.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NCP Format

    Uploaded by

    Suzete Pagaduan
    21 views3 pages
    The nursing care plan assessed a patient with acute pain, flushed skin, and tachypnea. The plan was to monitor vital signs, encourage fluid intake, provide a calm environment, and advise rest to reduce pain and normalize vital signs within 4 hours. After intervention, the patient's pain score decreased to 4/10, temperature lowered to 38.5°C, and respiratory rate reduced to 21 breaths per minute, partially meeting the goals.

    Original Title

    NCP-FORMAT (1).docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The nursing care plan assessed a patient with acute pain, flushed skin, and tachypnea. The plan was to monitor vital signs, encourage fluid intake, provide a calm environment, and advise rest to reduce pain and normalize vital signs within 4 hours. After intervention, the patient's pain score decreased to 4/10, temperature lowered to 38.5°C, and respiratory rate reduced to 21 breaths per minute, partially meeting the goals.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    21 views3 pages

    NCP Format

    Uploaded by

    Suzete Pagaduan
    The nursing care plan assessed a patient with acute pain, flushed skin, and tachypnea. The plan was to monitor vital signs, encourage fluid intake, provide a calm environment, and advise rest to reduce pain and normalize vital signs within 4 hours. After intervention, the patient's pain score decreased to 4/10, temperature lowered to 38.5°C, and respiratory rate reduced to 21 breaths per minute, partially meeting the goals.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    COLLEGE OF NURSING

    Nursing Care Plan

    Students Name: Ballesteros, alessandra cherrie l. Year and Section: 1-C


    Patient’s Name: X
    Date of Assessment: May 20, 2020

    ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

    SUBJECTIVE: Acute pain related to After 4 hours of nursing INDEPENDENT: After 4 hours of nursing
    -reported diaphoretic restlessness indicated to intervention patient will be intervention the patient was
    changes in level of able to display reduced -monitor vital signs -for baseline data able to display reduced
    consciousness tension, relaxed manner ease tension and shows relaxed
    OBJECTIVE: of movement. -instruct patient to report -to help monitor patients manner.
    - excessive sweating pain immediately. level of pain and help
    - restlessness PS of 4/10 decrease pain. -PS of 4/10
    - (+) facial grimace
    -provide quiet and calm -to keep patient relax and ---goal met----
    Temp: 39.5 environment. rest properly.

    -advice patient for proper bed -to help reduce pain.


    rest.

    -encourage patient to -to prevent dehydration.


    increase fluid intake.

    -advice patient for leisure -to help patient not to think


    activities. about the pain.

    - Prepare TSB (tepid sponge -to assist with measures to


    bath) to the patient reduce body temperature
    COLLEGE OF NURSING
    Nursing Care Plan

    Students Name: Ballesteros, alessandra cherrie l. Year and Section: 1-C


    Patient’s Name: X
    Date of Assessment: May 20, 2020

    ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

    SUBJECTIVE: Flushed skin related to After 4 hours of nursing INDEPENDENT: After 4 hours of nursing
    -reported flushed skin dehydration and increase in intervention the patient will intervention:
    respiratory rate and body be able to maintain body -monitor vital signs -for baseline data
    temperature. temperature below 39 and Temp-38.5
    OBJECTIVE: respiratory rate below 29. -encourage patient to limit -to help decrease flushed of RR- 21
    -restlessness movement skin and temperature
    -red flush cheeks --goal met--
    -increase respiratory rate -advice to increase fluid -to help body fluid balance
    -warm to touch intake

    RR: 29 cpm -instruct patient for proper -to help patient prevent
    Temp: 39.5 bed rest increase of body
    temperature

    - provide quiet -to reduce stress and


    environment and limit excess stimulation to
    visitors promote rest
    COLLEGE OF NURSING
    Nursing Care Plan

    Students Name: Ballesteros, alessandra cherrie l. Year and Section: 1-C


    Patient’s Name: X
    Date of Assessment: May 20, 2020

    ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

    SUBJECTIVE: Tachypnea related to After 4 hours of nursing INDEPENDENT: After 4 hours of nursing
    -reported fast increase blood pressure and intervention patient will be intervention:
    breathing/breathing hardly respiratory rate able to breathe normally. -monitor vital signs -for baseline data
    BP: 140/90 bpm
    Bp: 130/90 -instruct patient for proper -for effective airway RR: 21 cpm
    OBJECTIVE: RR:20 positioning PS: 5/10
    -tachypnea PS: 4/10
    -anxiety -advice patient to increase -to help body regulate well --goal partially met--
    -loss of consciousness fluid intake
    -PS of 8/10
    -encourage patient for proper -to help decrease pain
    Bp: 190/120 bpm bed rest
    PR: 115
    RR:29 cpm -put side rails up -to provide safety
    spO2: 96%
    -provide quiet and clean -to help prevent any increase
    environment in vital signs

    -advice patient to limit -to help elevate body


    movement circulation

    You might also like