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    Nursing Care Plan (Patient 1) : Subjective: "Meron Pa Rin

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    ROD MARK DOMINIC ESTABILLO
    The nursing care plan summarizes care for two patients. For Patient 1, the plan is to administer medications and provide rest to address involuntary movements and increase activity tolerance. For Patient 2, the plan is to administer pain medications, encourage rest and relaxation techniques, and monitor pain levels to address acute pain and provide pain relief. Both plans aim to meet short-term goals of symptom relief and progress to long-term goals of improved understanding of conditions and ability to perform daily activities.

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    Nursing Care Plan (Patient 1) : Subjective: "Meron Pa Rin

    Uploaded by

    ROD MARK DOMINIC ESTABILLO
    19 views2 pages
    The nursing care plan summarizes care for two patients. For Patient 1, the plan is to administer medications and provide rest to address involuntary movements and increase activity tolerance. For Patient 2, the plan is to administer pain medications, encourage rest and relaxation techniques, and monitor pain levels to address acute pain and provide pain relief. Both plans aim to meet short-term goals of symptom relief and progress to long-term goals of improved understanding of conditions and ability to perform daily activities.

    Original Description:

    NURSING CARE PLAN

    Original Title

    NCP

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    The nursing care plan summarizes care for two patients. For Patient 1, the plan is to administer medications and provide rest to address involuntary movements and increase activity tolerance. For Patient 2, the plan is to administer pain medications, encourage rest and relaxation techniques, and monitor pain levels to address acute pain and provide pain relief. Both plans aim to meet short-term goals of symptom relief and progress to long-term goals of improved understanding of conditions and ability to perform daily activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    19 views2 pages

    Nursing Care Plan (Patient 1) : Subjective: "Meron Pa Rin

    Uploaded by

    ROD MARK DOMINIC ESTABILLO
    The nursing care plan summarizes care for two patients. For Patient 1, the plan is to administer medications and provide rest to address involuntary movements and increase activity tolerance. For Patient 2, the plan is to administer pain medications, encourage rest and relaxation techniques, and monitor pain levels to address acute pain and provide pain relief. Both plans aim to meet short-term goals of symptom relief and progress to long-term goals of improved understanding of conditions and ability to perform daily activities.

    Copyright:

    © All Rights Reserved
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    SUBMITTED BY:

    BSN3-B
    NURSING CARE PLAN (PATIENT 1)
    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    SUBJECTIVE: Activity SHORT TERM DEPENDENT: DEPENDENT: GOAL MET


    “meron pa rin intolerance GOAL: -administer the following -to treat the present illness SHORT TERM
    yung time na related to After 2 hours of medication ordered by the and improve patients energy GOAL:
    hindi ko ma involuntary , rendering attending physician. levels to perform activity -goal met as evidence
    control yung uncontrollable nursing by the client’s
    pag galaw ng movement of interventions the INDEPENDENT: INDEPENDENT: tolerance to activity
    kamay at paa left arm and patient will be -provide adequate bed rest -to preserve energy loss from was increased by the
    ko kalawa foot able to tolerate and advise the client to hyper-mobility of muscles due ability to perform daily
    normal activities restrict activity as much as to uncontrolled, involuntary activities.
    of daily living possible. movements.
    OBJECTIVE: with ease and LONG TERM
    -to conserve oxygen for vital GOAL:
    (-) DOB reports a -advise patient to avoid
    organs. - Gola partially met.
    (-) decreased of strenuous work activities.
    Desaturation assistance. Evident with short
    (-) Erythema term goal attained.
    (-) Mild Fever LONG TERM -provide calm and quiet -to enhance rest and sleep
    GOAL: environment and avoid and gain energy to perform
    VITAL SIGN: After 1 week of destruction in the client activities.
    BP: 130/90 rendering nursing surroundings.
    RR: 19 care the patient
    TEMP: 35.9 would be able to -monitor the clients
    understand the -to identify the baseline data
    02 SAT: 92% tolerance activity and ECG, and prevent complications.
    nature of the
    PR: 62 disease and to be
    vital signs, pulse oximetry
    able to levels.
    comprehend with
    precautionary
    measures so as
    medication
    regimen.

    NURSING CARE PLAN (PATIENT 2)


    BSN 3B

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


    SUBJECTIVE: Acute pain related to SHORT TERM: SHORT TERM: SHORT TERM:
    “medjo masakit disease process. After 30 mins of DEPENDENT Goal is met as evidence by
    parin yung katawan nursing interventions the patient verbalize relief of
    ko” as verbalized by the patient will -Administer medication as -To reduce severe pain or pain and rate is 2/10 from
    the patient verbalize pain relief indicated promotes rest and relaxes 4/10.
    smooth muscle
    Pain Scale: 4/10 LONG TERM: INDEPENDENT:
    After 8 hours of -Promote bed rest -to reduced intra-abdominal
    OBJECTIVE: nursing intervention pressure
    -Facial Grimace the patient will
    BP: 120/80 relieved and -Encourage use of relaxation -to promote rest, redirect
    RR- 21 controlled. technique (deep breathing attention that may enhance
    TEMP: 36.2 exercises or distraction) coping.
    PR: 56
    02 SAT: 98% -Observes and document location -it promotes information about
    of pain scale and characteristics disease progression,
    of pain development of complications
    and effectiveness of
    intervention.
    LONG TERM:
    INDEPENDENT
    -Changing position -make the patient more
    comfortable.
    COLABOARTIVE;
    Encourage significant other have -divert attention of patient.
    a diversional activity.

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