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    NCP Actual 1

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    Paolo Vittorio Perdigueros Gonzales
    1. The patient is a child diagnosed with dengue hemorrhagic fever grade 2 who has been on complete bed rest without bathroom privileges for 40 hours. 2. Over the next 40 hours, the nursing interventions will be to monitor the patient and family's self-care abilities and provide education on healthcare practices. 3. The desired outcomes are for the patient to demonstrate self-care techniques, perform activities independently within their ability, and identify community resources to aid recovery.

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    NCP Actual 1

    Uploaded by

    Paolo Vittorio Perdigueros Gonzales
    271 views2 pages
    1. The patient is a child diagnosed with dengue hemorrhagic fever grade 2 who has been on complete bed rest without bathroom privileges for 40 hours. 2. Over the next 40 hours, the nursing interventions will be to monitor the patient and family's self-care abilities and provide education on healthcare practices. 3. The desired outcomes are for the patient to demonstrate self-care techniques, perform activities independently within their ability, and identify community resources to aid recovery.

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    Ncp Actual 1

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    1. The patient is a child diagnosed with dengue hemorrhagic fever grade 2 who has been on complete bed rest without bathroom privileges for 40 hours. 2. Over the next 40 hours, the nursing interventions will be to monitor the patient and family's self-care abilities and provide education on healthcare practices. 3. The desired outcomes are for the patient to demonstrate self-care techniques, perform activities independently within their ability, and identify community resources to aid recovery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    271 views2 pages

    NCP Actual 1

    Uploaded by

    Paolo Vittorio Perdigueros Gonzales
    1. The patient is a child diagnosed with dengue hemorrhagic fever grade 2 who has been on complete bed rest without bathroom privileges for 40 hours. 2. Over the next 40 hours, the nursing interventions will be to monitor the patient and family's self-care abilities and provide education on healthcare practices. 3. The desired outcomes are for the patient to demonstrate self-care techniques, perform activities independently within their ability, and identify community resources to aid recovery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    ASSESSMENT NURSING RATIONALE DESIRED NURSING JUSTIFICATIONS EVALUATION

    DIAGNOSIS OUTCOME INTERVENTIONS


    Subjective cues: Self-Care Deficit: Exposure to dengue After 40 hours of Independent: After 40 hours of
    Patient’s mother bathing related to prone area nursing intervention, nursing intervention,
    verbalized, “wala pa ko discouragement to the patient will be able 1. Monitor the 1. Monitor the the patient will be able
    ya kapaliogo sang na ambulate: complete to: patient’s and patient’s and to:
    hospital ko ya.” bed rest without parents’ potential parents’ potential
    bathroom privileges as Aedes Egypti mosquito 1. Identify individual for self-care for self-care.
    Objective cues: evidenced by unkempt bite areas of weakness measures
    - Limited activity appearance secondary or needs. appropriate to age
    - With complete to disease process. and developmental
    bedrest without 2. Verbalize factors.
    bathroom Dengue hemorrhagic knowledge of 2. Allow the patient 2. Enhances
    privileges as fever grade 2 healthcare practices and parents to satisfaction, and
    ordered ny the Definition: participate in increases the
    doctor. Impaired ability to 3. Demonstrate planning for care likelihood that care
    perform or complete techniques and when possible to will be continued
    Risk Factors/ feeding, Decreased platelet lifestyle change to help ensure best after discharge
    Weaknesses: bathing/hygiene, count and WBC count meet self care compliance such as from hospital.
    - poor dressing and grroming, needs. bathing everyday 3. Teach the
    environmental or toileting activities 3. Teach the appropriate skills
    health care for oneself. appropriate skills necessary for self-
    - poor physical Prone to bleeding and 4. Perform self –care necessary for self- care in the child’s
    health and care infection activities within care in the child’s terms, with
    - unable to take a Source: level of own terms, with sensitivity to
    bath for 5 days Doenges, M. et. Al., ability. sensitivity to developmental
    (2010). Nurse’s pocket developmental needs for practice,
    Guide: Diagnoses, Avoid excessive 5. Identify personal needs for practice repetition, or
    Wellness/ Strengths Interventions and activities that could and community repetition, or reluctance
    - cooperative Rationales. (12th cause bleeding resources that can reluctance. 4. Confidence in self-
    behavior edition). Philadelphia, provide assistance. 4. Provide care will enhance
    - strong family F.A. Davis Company. opportunities that self-esteem.
    support. Pp. 708-713. will enhance the
    Noncompliance to child’s confidence
    desired minimal in performing self-
    activity of the client care.

    Collaborative:
    Complete bed rest
    without bathroom 1. Review instructions 1. Provides
    privileges from other clarifications,
    members of the reinforcement;
    healthcare team and allows periodic
    Self care deficit: provide a written review by
    bathing copy. client/caregiver.

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