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Nursing Care Plan

The document outlines nursing care plans for various patients, including those with hypertension, diabetes mellitus, asthma, alcohol-related issues, and smoking. Each care plan includes patient cues, nursing diagnoses, objectives, interventions, rationales, and evaluations to guide nursing practice. The plans emphasize education, monitoring, and lifestyle modifications to improve patient health outcomes.

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0% found this document useful (0 votes)
85 views6 pages

Nursing Care Plan

The document outlines nursing care plans for various patients, including those with hypertension, diabetes mellitus, asthma, alcohol-related issues, and smoking. Each care plan includes patient cues, nursing diagnoses, objectives, interventions, rationales, and evaluations to guide nursing practice. The plans emphasize education, monitoring, and lifestyle modifications to improve patient health outcomes.

Uploaded by

irenetadulanmae
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LICEO DE CAGAYAN UNIVERSITY

Paseo del Rio Campus, Macasandig, Cagayan de Oro City

COLLEGE OF NURSING
1st Semester, Academic Year 2024-2025

NURSING CARE PLAN


(Hypertension)

Name of the Patient: Antonio Edanio


Cues Nursing Objectives Nursing Intervention Rationale Evaluation
Diagnosis

- To facilitate early interventions to


Subjective cues: Risk for After nursing -Monitor blood pressure prevent complications associated with The patient has
Ineffective Health intervention, the client every visits hypertension. demonstrated
”Usahay makasinati ko ug Management will be able to: understanding,
kasakit sakong ulo ug related to lack of -Provide education on -To empower them to take an active role reduced headache
usahay sad agkalipong ko” ● The patient will hypertension and its in their health. Understanding their
knowledge about symptoms, and
condition helps patients recognize
hypertension and verbalize management strategies
symptoms, adhere to treatment plans, and maintained blood
Objective cues: its management. understanding of pressure within
make informed lifestyle choices.
hypertension and -Educate the client the target range.
Bp: 130/90 mmHg its management about the foods they -Knowledge of nutritional choices helps
strategies should eat and those the patient implement dietary changes
-The client experiences that should be avoided. that can effectively manage hypertension
● The patient will
dizziness and reduce associated symptoms.
maintain blood
pressure within -Educate also about
-Numbness of the hands consuming low fat and -To help reduce fluid retention and
target range. lowers the risk of cardiovascular
low sodium.
complications, promoting overall heart
health.
LICEO DE CAGAYAN UNIVERSITY
Paseo del Rio Campus, Macasandig, Cagayan de Oro City

COLLEGE OF NURSING
1st Semester, Academic Year 2024-2025

NURSING CARE PLAN


(Diabetes Mellitus)

Name of the Patient: Malo Beroy


Cues Nursing Diagnosis Objectives Nursing Intervention Rationale Evaluation

Subjective cues: Fatigue related to After nursing -Provide education - To reduce the risk of complications. The patient shows
inadequate glycemic intervention, the client about the importance of awareness of their
"Usahay, dali ra kaayo control and will be able to: a balanced diet low in condition and the
ko kapuyon, bisan og hypertension as sodium and sugar need for dietary
wala pa ko nagbuhat evidenced by the ● The patient will modifications,
og daghan." patient’s report of report a decrease -Regularly check the support, and
patient’s blood pressure -Monitoring vital signs and blood
excessive tiredness in feelings of monitoring are
Objective cues: and blood glucose glucose during visits helps evaluate the
and elevated blood fatigue crucial to improve
levels during visits to effectiveness of management strategies
pressure ● The patient will glycemic control
● Blood glucose assess progress.
maintain blood and overall health
level: 101-120
glucose levels outcomes.
mg/dl -Encourage the patient
within the -Allowing for early detection of any
● Bp: 180/100 to go visit the health
normal range changes that may require intervention.
mmHg center for follow-up
through dietary
management and check-ups
regular
monitoring.
LICEO DE CAGAYAN UNIVERSITY
Paseo del Rio Campus, Macasandig, Cagayan de Oro City

COLLEGE OF NURSING
1st Semester, Academic Year 2024-2025

NURSING CARE PLAN


(Asthma)

Name of the Patient: Jocelyn Maglangit


Cues Nursing Objectives Nursing Intervention Rationale Evaluation
Diagnosis

Subjective cues: Anxiety After nursing intervention, -Provide education on common -Educating the patient about The patient
“‘Gaabay kog inhaler related to the client will be able to: asthma triggers, such as allergens, common triggers empowers them improved asthma
gyud kay dili gyud nako fear of and smoke. to take proactive measures to avoid management
mabal-an kung kanus-a asthma -the patient will identify and exposure. skills, identified
ko atakihon saakoang exacerbati list at least three personal -Guide the patient to create a plan triggers, and used
asthma, mahadlok ko” on asthma triggers and that includes relaxation techniques, -These techniques promote proper inhaler
demonstrate knowledge of such as deep breathing exercises. calmness and enhance respiratory technique, feeling
Objective cues: strategies to minimize function. less anxious and
exposure to these triggers. -Provide a supportive environment empowered.
RR: 18 breaths per where the patient feels comfortable -This support can alleviate anxiety Continued
minutes -the patient will correctly expressing their fears and concerns and improve the patient’s ability to education is
demonstrate the proper about asthma. cope with their condition. crucial for
O2: 94% technique for using maintaining
maintenance inhalers, -Encouraging the client to go visit -Encouraging the patient to seek
-Patient prefers sitting up control.
ensuring effective the nearest health center for further follow-up care promotes ongoing
or leaning forward to medication delivery. check-ups. management and helps prevent
ease breathing. exacerbations.
LICEO DE CAGAYAN UNIVERSITY
Paseo del Rio Campus, Macasandig, Cagayan de Oro City

COLLEGE OF NURSING
1st Semester, Academic Year 2024-2025

NURSING CARE PLAN


(Alcoholic)

Name of the Patient: Nomer Ybanez


Cues Nursing Objectives Nursing Intervention Rationale Evaluation
Diagnosis

Subjective cues: Risk for After nursing intervention, -Educate the client by providing a - To provide essential The patient will
“Gainom kog Impaired Liver the client will be able to: health teaching tool about the effects information about the demonstrate progress
tanduay/redhorse Function and results of drinking too much disadvantages of drinking too toward the established
kauban akong mga related to -The patient will verbalize alcohol on physical and mental health much alcohol. objectives by
pare kay lami man chronic alcohol an understanding of the verbalizing and
kayos paminaw consumption. effects of alcohol on -Encourage the client to incorporate - To enhance the body’s ability understanding the
bay kung physical and mental health regular physical activity and healthy to cope with stress, contributing effects of alcohol on
nakainom ta” eating into their routine, which can to better mental and physical physical and mental
-The patient will create improve mood and overall well-being. well-being and supporting health. The patient is
Objective cues: and practice a recovery from alcohol use. developing
personalized set of coping -Explain the importance of providing personalized coping
BP: 140/80 mmHg strategies to handle care for themselves, especially at an -Educating clients on self-care strategies, engaging in
cravings and stressors, age where their immune system is is crucial, especially for those healthier activities, and
PR: 85 bpm with guidance from weak and at risk for any diseases, help with compromised immune recognizing the
community resources them understand the purpose of your systems or health conditions, as importance of self-care.
teachings. it helps them recognize their
role in health management. .
LICEO DE CAGAYAN UNIVERSITY
Paseo del Rio Campus, Macasandig, Cagayan de Oro City

COLLEGE OF NURSING
1st Semester, Academic Year 2024-2025

NURSING CARE PLAN


(Smoker)

Name of the Patient: Lucy Edrote


Cues Nursing Objectives Nursing Intervention Rationale Evaluation
Diagnosis

1)Assess respiratory status 1)To monitor any changes to the


Subjective cues: “Usahay Ineffective After nursing client's respiratory rate and its The client will be
normal ra akong pag breathing intervention, the client 2)Educate on breathing techniques breathing pattern. able to verbalize that
ginhawa, pero naa say pattern will be able to: 2)To help improve oxygenation she understands the
usahay nga malisud ko” related to 3)Provide in-depth health teachings and enhance lung expansion. risk of cigarette
smoking as -The patient will about the effects of cigarette smoking 3)To enlighten them about the smoking and will be
Objective cues: evidenced by express understanding to their health effects of cigarette to one’s health able to verbalize
difficulty of the health risks 4)To enhance overall health normal breathing
RR: 21 bpm breathing associated with patterns, and will
4)Encourage physical activity
smoking 5)To avoid the risk of having seek information to
O2: 95%
5)Encourage client to quit smoking COPD and to have a better the health center
-The patient will report and teach them effective strategies to lifestyle. about the actions that
-Frequent coughing
a decrease in smoking achieve this goal can help her stop
observed, particularly in
frequency or a 6)To prevent any risk of having a smoking.
the morning
commitment to quit 6)Encourage the client to visit the serious illness.
-Noticeable smell of smoking completely health center for further check-ups
cigarette smoke on breath
.
LICEO DE CAGAYAN UNIVERSITY
Paseo del Rio Campus, Macasandig, Cagayan de Oro City

COLLEGE OF NURSING
1st Semester, Academic Year 2024-2025

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