Hydrocephalus N C P BY BHERU LAL

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NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Hydrocephalus Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMENT NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION


DIAGNOSIS
Ineffective • After 8 hours 1. Monitor temperature. 1. Fever may reflect • After 8 hours
SUBJECTIVE: cerebral of nursing Administer tepid sponge damage to of
My son’s head tissue interventions, the bath in presence of hypothalamus. Increased nursing
is perfusion patient will fever. metabolic needs and interventions,
abnormally related to demonstrate oxygen consumption the patient was
large) as decreased improved vital occur (especially with able to
verbalized by arterial or signs and absence fever and shivering), demonstrate
the mother. venous blood of which can further improved vital
flow. signs of increased 2. Monitor Intake and increased ICP. signs and
ICP. output. Weigh as 2. Useful indicators of body absence of
OBJECTIVE: indicated. Note skin water, which is an signs of
• Restlessness turgor, status, and integral part of tissue increased ICP.
• Irritability mucous membrane. perfusion.
• Changes in
vital signs 3. Maintain head or neck
• V/S taken as in midline or in neutral 3. Turning bed to one side
follows: position, support with compresses the jugular
T: 37.5 small towel rolls and veins and inhibits
P: 90 pillows. Avoid placing cerebral venous
R: 22 head on large pillows. drainage that may
cause
Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)

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