Scribd Logo
Upload

Welcome to Scribd!

  • 14 views

    PLSP College of Nursing

    Uploaded by

    Pornillosa, Jenaehl Mikhail S.
    Marielle Tapay Date: __________________________

    Copyright:

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

    PLSP College of Nursing

    Uploaded by

    Pornillosa, Jenaehl Mikhail S.
    14 views2 pages
    Marielle Tapay Date: __________________________

    Original Description:

    NCP sample

    Original Title

    NCP

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Marielle Tapay Date: __________________________

    Copyright:

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

    PLSP College of Nursing

    Uploaded by

    Pornillosa, Jenaehl Mikhail S.
    Marielle Tapay Date: __________________________

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    PLSP

    COLLEGE OF NURSING

    NURSING CARE PLAN

    Patient’s Name: Marielle Tapay


    Nursing Diagnosis: ______________________________r/t____________________________ as evidence by__________________________.

    ASSESSMENT PLANNING/GOAL IMPLEMENTATION RATIONALE EVALUATION GOAL MET


    Desired Outcome Independent/dependent Reason for the intervention Expected Outcome
    Nursing intervention
    Pertinent Data: Patient will: Nurse will: Why: Positive result Yes No
    Subjective: 1. Patient will 1. Nurse will teach 1. To strengthen 1. The patient will
    conduct the mother about mother and child effectively
    breastfeeding proper and bonding. breastfeed the
    within an hour effective To give warmth to baby without
    after birth. breastfeeding the newborn child. causing discomfort
    2. Patient will within the first To avoid to the mother.
    perform hour after birth. discomfort during 2. The patient
    breastfeeding and 2. Nurse will conduct breastfeeding. effectively
    proper body and health teaching To ensure proper maintained proper
    perineal hygiene. about perineal care nutritional intake hygiene and
    Objective: 3. Patient will have and advice the of the newborn perineal care.
    Data (Patient) internal patient to take a child. 3. (+) laceration and
    • Conscious and examination after bath every day. 2. To prevent the risk bleeding controlled.
    coherent, 2 hours as 3. Nurse will refer the of perineal 4. (-) GI
    afebrile with ordered. patient to her infection. (gastrointestinal)
    well-contracted 4. Patient will DAT obgyne for internal To promote proper discomfort.
    uterus. once fully awake examination. hygiene. 5. The pain level has
    • V/S (8:00 AM) as ordered. 4. Nurse will give the 3. To determine reduced from 8/10
    110/80; 36.4°c; 5. Patient will take patient light meals laceration or to 3/10.
    20bpm; 81bpm due medications for her breakfast. bleeding in the Infection
    • Height: 154cm as ordered. 5. Nurse will patient’s vagina. prevented.
    • Weight: 55kg administer 4. Due to alteration
    • OB Score: G2P2 medications as of the bowel
    (2002) ordered by the movement of the
    • Pain Scale: 8/10 physician. mother.
    To prevent
    gastrointestinal
    discomfort.
    To obtain proper
    nutrition of the
    mother.
    5. To alleviate the
    pain of the mother.
    Other Medications:
    To boost milk
    production of the
    mother.
    To stabilize blood
    level.
    To prevent local
    and systemic
    infection.
    ➢ If the client goal was not met, briefly describe why and what step would be taken next:
    ___________________________________________________________________________________________________________________________________
    ___________________________________________________________________________________________________________________________________
    ____________________________________
    Submitted by: __________________________

    You might also like