The nursing care plan addresses Miguel Mendoza who is experiencing diarrhea related to infectious processes or parasites based on his mother's report of fever, lack of appetite, black paste-like stools, vomiting, and abdominal discomfort. The goal is for Miguel to reestablish normal bowel functioning through interventions like monitoring his abdomen, restricting solid foods, providing fluid and dietary changes, administering antidiarrheal medication, increasing hygiene and discussing a possible formula change.
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NCP Diarrhea
The nursing care plan addresses Miguel Mendoza who is experiencing diarrhea related to infectious processes or parasites based on his mother's report of fever, lack of appetite, black paste-like stools, vomiting, and abdominal discomfort. The goal is for Miguel to reestablish normal bowel functioning through interventions like monitoring his abdomen, restricting solid foods, providing fluid and dietary changes, administering antidiarrheal medication, increasing hygiene and discussing a possible formula change.
Subjective: Diarrhea related to Goal: 1. Auscultate 1. For presence, The client’s mother infectious processes; The client will abdomen. location, and verbalized that: parasites reestablish and 2. Restrict solid characteristics of • “May fever siya maintain normal food intake, as bowel sounds. nung Friday pa. pattern of bowel indicated. 2. To allow for bowel “ functioning. 3. Provide for rest/reduced • “Hindi siya changes in intestinal workload. kumakain.” dietary intake. 3. To avoid • “Kahapon 4. Weigh infant’s foods/substances cheeseburger at diapers. that precipitate hot fudge lang 5. Administer diarrhea. ang kinain niya.” antidiarrheal 4. To determine • “Yung dumi niya medications as amount of output parang paste na indicated. and fluid color black, 6. Provide prompt replacement needs. tatlong beses na diaper change 5. To decrease ganun ang and gentle gastrointestinal dumi.” cleansing. motility and 7. Discuss possible minimize fluid • “Nagsuka siya change in infant losses. ng 2 beses nung formula. 6. Because skin Saturday, 1 8. Increase oral breakdown can beses kagab.i” fluid intake and occur quickly when • “Masaki tang return to normal diarrhea is present. tiyan.” diet, as 7. Diarrhea may be • “Nagkaron siya tolerated. result of intolerance ng sipon at to specific formula. rashes sa braso kagabi” Objectives: • Febrile • Rashes (arms) • T= 39.6 • PR= 126
Name: Gerald Age: 3 Years Old Current Diagnosis: Imperforate Anus Nursing Care Plan Cues/Clues Nursing Diagnosis Planning Nursing Intervention Rationale Evaluation
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