NURSING CARE PLAN

Assessment Diagnosis Goals Intervention Rationale Evaluation

Subjective: Constipation Independent -To evaluate Short Term: At
"Hindi na regular related to Short term: At 1) Determine clients hydration the end of 4
ang pag dumi ko" anatomical the end of 4 patients fluid status.-Provides hours, objectives
As verbalized by obstruction of hours nursing intake a baseline for were fully met.
the patient the rectum and intervention, 2) Note color comparison, The patient was
inadequate patient will be ,odor. promotes able to verbalize
intake of fluids . able to consistency, recognition of her
:a) verbalize amount, and changes.-To understanding of
understanding of frequency of improve the etiology and
etiology and stool consistency of appropriate
appropriate 3) Instruct on a stool and interventions;
interventions for diet of balanced facilitate passage participate in
individual fiber and bulk through colon.- bowel program
situation.b) and fiber To promote as and
verbalize the supplements passage of soft verbalized the
need to .4) Promote stool relation of her
participate in a adequate fluid diet to her
bowel program intake, including constipation. She
as indicated.c) high-fiber fruit also verbalized
verbalize the juices; suggest the significance
need to increase drinking warm of increasing
consumption of stimulating consumption of
high fiber foods fluids. high-fiber foods
such as fruits
and vegetables
and the need to
increase intake
of fluids to 8-10
glasses
Assessment Diagnosis Scientific Goal Intervention Rationale Evaluation
explanation
Subjective: Chronic pain Unpleasant After nursing >assess for >to identify client >after nursing
“ANG SAKIT NG sensory and intervention the condition with potential for intervention the
TYAN KO” as emotional pain will decrease associated with pain lasting pain reduce from
verbalized by the experience from from a pain scale long term pain beyond normal a pain scale of
patient actual or of 8/10 to 3/10 healing period 8/10 to 3/10
potential tissue >ascertain >to determine
Objective: damage or duration of pain that additional
>guarding described in problem who has intervention
behavior terms of such as been consulted, might be
>restlessness damage, sudden and what drugs beneficial or that
>pale or slow onset of an therapies recurrent
any intensity have been used
>irritable interventions
from mild to >assist client to
>low back pain should be
severe, constant learn breathing
>pain on the discontinue
or recurring technique
hypogastric >to assist in
without an >administer or
region of the anticipated or encourage client muscle and
abdomen predictable end use of analgesics generalized
>pain scale of and a duration of as indicated relaxation
8/10 greater than 6 >different
months. medication of
combination of
drygs may be
used to managed
persistent pain so
that client may
find relief and
increase level of
function.