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NCP Not Finish

1) The nursing care plan is for a neonate at risk for infection due to an immature immune system. The plan aims to keep the neonate free of signs and symptoms of infection through nursing assessments, interventions like administering antibiotics, and evaluations. 2) A second care plan is for a neonate with ineffective airway clearance due to excessive fluid and mucus in the respiratory passages leading to neonatal pneumonia. The goal is to maintain clear, open airways through interventions like suctioning and increasing oral fluid intake via breastfeeding. 3) Both plans draw from nursing theories like Henderson's 14 basic human needs and Abdellah's 21 nursing problems typology to guide assessments, diagnoses, planning,

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Jay Villasoto
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121 views3 pages

NCP Not Finish

1) The nursing care plan is for a neonate at risk for infection due to an immature immune system. The plan aims to keep the neonate free of signs and symptoms of infection through nursing assessments, interventions like administering antibiotics, and evaluations. 2) A second care plan is for a neonate with ineffective airway clearance due to excessive fluid and mucus in the respiratory passages leading to neonatal pneumonia. The goal is to maintain clear, open airways through interventions like suctioning and increasing oral fluid intake via breastfeeding. 3) Both plans draw from nursing theories like Henderson's 14 basic human needs and Abdellah's 21 nursing problems typology to guide assessments, diagnoses, planning,

Uploaded by

Jay Villasoto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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NURSING CARE PLAN ST. ANTHONY COLLEGE OF ROXAS CITY, INC.

SAN ROQUE EXTENSION, ROXAS CITY, CAPIZ, 5800


COLLEGE OF NURSING

Nursing Nursing Nursing Nursing Nursing Nursing Vincentian Core


Rationale
Assessment Diagnosis Planning Intervention Evaluation Theories Values
Subjective Data: Risk for Goal: The 1. Review the maternal  To detect risk Goal met:  Virginia  Commitment
 “Sementado infection neonate will chart and delivery factors that After the Henderson to Vincentian
abi amon balay related to remain free from record. predispose the appropriate 14 Basic Excellence
muna daw neonates signs and neonate to infection. nursing Human
mainit”as immature symptoms of intervention the Needs  Co-
verbalized by immune infection. 2. Observe the neonate  To ensure rapid neonate was responsibility
the father system for signs and identification and free from signs  Faye Glenn
Expected symptoms of early treatmen. and symptoms Abdellah’s
Objective Data: Outcome: After infection. Notify the of infection and Typology of
 Hemoglobin the nursing physician have vital signs 21 Nursing
level: intervention the immediately if signs within the Problems
121 gms/L neonate’s vital and symptoms of normal range
(125-205) signs will remain infection appear.
within normal
 Hematocrit range. 3. Administer topical,  To eradicate
level: oral, and parenteral pathogenic
0.36 vol(fr) antibiotics, as organisms.
(0.39-0.63) ordered.
ST. ANTHONY COLLEGE OF ROXAS CITY, INC.
SAN ROQUE EXTENSION, ROXAS CITY, CAPIZ, 5800
COLLEGE OF NURSING

Nursing Nursing Planning Nursing Rationale Nursing Nursing Vincentian Core


Assessment Diagnosis Intervention Evaluation Theories Values
Subjective data Ineffective Goal: After the 1. Assess the  An increase in Goal met:  Virginia  Commitment
“ Gainubo siya asairway clearance nursing intervention rate and depth respiratory rate After the Henderson to Vincentian
verbalized by the r/t the excessive patient will of respiration and rhythm may appropriate 14 Basic Excellence
mother” fluid and mucus maintain clear, and chest be a nursing Human
Objective data: in the neonates open airways as movement. compensatory intervention Needs  Co-
respiratory evidence by normal response to the patient was responsibility
passages breath sounds, airway able to  Faye Glenn
 CxR- APL secondary to normal rate and obstruction. maintain clear Abdellah
view depth of airway and Typology of
neonatal
 Impression respirations  Suctioning is was able to 21 Nursing
pneumonia. 2. Perform demonstrate
: Neonatal needed when Problems
pneumonia, Expected nasotracheal patients are increased air
both bases Outcome: After suctioning as unable to cough exchange
prominent nursing necessary, out secretions
thymus in intervention, the especially if properly due to
the right patient will be able cough is weakness, thick
 PTA patient will ineffective. mucus plugs, or
productive demonstrate excessive or
cough increased air tenacious mucus
exchange. production.
3. Encourage
increase oral  Fluids help
fluid intake minimize
mucosal drying
via
and maximizing
breastfeeding axillary action
. to move
secretions.
ST. ANTHONY COLLEGE OF ROXAS CITY, INC.
SAN ROQUE EXTENSION, ROXAS CITY, CAPIZ, 5800
COLLEGE OF NURSING

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