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    NCP 2 Cabaluna

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    Irene Grace Balcueva
    The nurse assessed a patient who was confused about her elevated blood pressure and ongoing blood transfusion. The nursing diagnosis was deficient knowledge related to unfamiliarity with the transfusion process. The goal was for the patient to understand the need for transfusion and screening process within 30 minutes. The nurse's interventions included assessing knowledge of transfusion, acknowledging concerns, explaining the blood administration procedure. The rationale included building on patient's knowledge and addressing risks and benefits. The evaluation was that after 30 minutes the patient could verbalize understanding of transfusion need and why vital signs are taken frequently.

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    NCP 2 Cabaluna

    Uploaded by

    Irene Grace Balcueva
    267 views7 pages
    The nurse assessed a patient who was confused about her elevated blood pressure and ongoing blood transfusion. The nursing diagnosis was deficient knowledge related to unfamiliarity with the transfusion process. The goal was for the patient to understand the need for transfusion and screening process within 30 minutes. The nurse's interventions included assessing knowledge of transfusion, acknowledging concerns, explaining the blood administration procedure. The rationale included building on patient's knowledge and addressing risks and benefits. The evaluation was that after 30 minutes the patient could verbalize understanding of transfusion need and why vital signs are taken frequently.

    Original Title

    NCP-2-CABALUNA

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    The nurse assessed a patient who was confused about her elevated blood pressure and ongoing blood transfusion. The nursing diagnosis was deficient knowledge related to unfamiliarity with the transfusion process. The goal was for the patient to understand the need for transfusion and screening process within 30 minutes. The nurse's interventions included assessing knowledge of transfusion, acknowledging concerns, explaining the blood administration procedure. The rationale included building on patient's knowledge and addressing risks and benefits. The evaluation was that after 30 minutes the patient could verbalize understanding of transfusion need and why vital signs are taken frequently.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    267 views7 pages

    NCP 2 Cabaluna

    Uploaded by

    Irene Grace Balcueva
    The nurse assessed a patient who was confused about her elevated blood pressure and ongoing blood transfusion. The nursing diagnosis was deficient knowledge related to unfamiliarity with the transfusion process. The goal was for the patient to understand the need for transfusion and screening process within 30 minutes. The nurse's interventions included assessing knowledge of transfusion, acknowledging concerns, explaining the blood administration procedure. The rationale included building on patient's knowledge and addressing risks and benefits. The evaluation was that after 30 minutes the patient could verbalize understanding of transfusion need and why vital signs are taken frequently.

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    You are on page 1of 7

    Date: 10/19/19

    Cues: SUBJECTIVE:
    “MUTAAS
    NANIMAAYO
    AKONG BP
    KAY SIGE
    MAN KO
    GIABUNOHAN
    OG DUGO”
    AS VERBALIZED
    BY THE PATIENT

    OBJECTIVES
    -PATIENT LOOKS
    CONFUSED WHEN
    BLOOD PRESSURE
    RISES
    Nursing Diagnosis: DEFICIENT
    KNOWLEDGE
    RELATED TO UNFAMILIARITY WITH TRANSFUSION PROCESS.

    Scientific Basis: ABSENCE OR


    DEFICIENY OF
    COGNITIVE INFORMATION
    RELATED TO
    SPECITIC TOPIC
    Scientific Basis: ABSENCE OR
    DEFICIENY OF
    COGNITIVE INFORMATION
    RELATED TO
    SPECITIC TOPIC
    GOAL OF CARE: AFTER 30 MINUTES OF CLIENT-NURSE
    INTERACTION,
    SO THE CLIENT OR FAMILY OF THE DIENT WILL BE
    ABLE TO
    VERBALIZES UNDERS TANDING
    OF THE NEED FOR A TRANSFUSION AND THE
    SCREENIGNG
    PROCESS PERFORMED HAVE
    THE TRANSFUSION BEGINS.

    CLIENT WILL ALSO BE ABLE TO KNOW THE TRUE


    REASON WHY DOES
    SHE HAVE AN ELEVATED
    BP AND ALSO VERBABIES
    HER UNDERSTANDING.
    NURSING INTERVENTION:
    -ASSESS KNOWLE DGE OF THE TRANSFUSION
    PROCESS.

    ACKNOWLEDGE
    CONCERNS. PROVIDE
    FUCTUAL INFERMATION

    EXPLAIN THE PROCEDURE FOR ADMINISTERING


    THE BLOOD.
    RATIONALE:
    -ADULTS SHEARN BEST
    WHEN TEACHING BUILDES
    ON KMOWLEDGE OR EXPERIENCE.

    -BLOOD TRANSFUSIONS IS NOT WITHOUT RISK.


    RISK AND BENETITS NEED TO
    BE ADDRESSED. ALSO,
    PATIENTS MAY HAVE
    MANY MISCONCEPTIONS
    REGARDING THE LIKE
    LIHOOD OF DISEASE
    TRANSMISSION, ESPECIALLY
    THAT OF HIV

    KNOWLEDEGE OF ROUTINE
    PROCEDURES RELATED TO BLOOD COMPONENT
    THERAPY HELPS ENSURE THAT THE PATIENT IS
    NOT CONCERNED WHEN VITAL SIGNS ARE
    TAKEN FREQUENTLY
    EVALUATION:
    AFTER 30 MINUTES OF CLIENT-NURSE INTERACTION,
    THE CLIENT WILL BE ABLE TO VERBALIZES. HER
    UNDERSTANDING OF THE NEED FOR A TRANSFUSION
    AND WILL UNDERSTAND WHY NURSE
    TAKE VITAL SIGNS EVERY 15 ,MINUTES.CLIENTS ALSO
    VERBALIZES HER UNDERSTANDING
    ON N WHY SHE HAVE ELVATED BLODD
    PRESSURE DURING TRANSFUSION.
    DATE: CUES NURSING SCIENTIFIC GOAL OF CARE NURSING RATIONALE EVALUATION
    DIOGNOSIS BASIS INTERVENTION
    10/19/19 SUBJECTIVE:
    DEFICIENT ABSENCE AFTER 30 MINUTES -ASSESS KNOWLE -ADULTS SHEARN BEST AFTER 30 MINUTES OF
    “MUTAAS
    NANIMAAYO
    KNOWLEDGE OR OF CLIENT-NURSE DGE OF THE WHEN TEACHING CLIENT-NURSE
    AKONG BP RELATED TO DEFICIENY INTERACTION,SO TRANSFUSION BUILDES INTERACTION, THE
    KAY SIGE UNFAMILIARITY OF THE CLIENT OR PROCESS. ON KMOWLEDGE OR CLIENT WILL BE ABLE
    MAN KO WITH COGNITIVE FAMILY OF THE EXPERIENCE. TO VERBALIZES. HER
    GIABUNOHAN TRANSFUSION INFORMATI DIENT WILL BE ACKNOWLEDGE UNDERSTANDING OF
    OG DUGO” PROCESS. ON ABLE TO CONCERNS. -BLOOD TRANSFUSIONS THE NEED FOR A
    AS VERBALIZED RELATED VERBALIZES PROVIDE IS NOT WITHOUT RISK. TRANSFUSION AND
    BY THE PATIENT
    TO UNDERS TANDING FUCTUAL RISK AND BENETITS WILL UNDERSTAND
    OBJECTIVES
    SPECITIC OF THE NEED FOR A INFERMATION NEED TO WHY NURSE TAKE
    -PATIENT LOOKS TOPIC TRANSFUSION AND BE ADDRESSED. ALSO, VITAL SIGNS EVERY
    CONFUSED WHEN THE SCREENIGNG PATIENTS MAY HAVE 15 ,MINUTES.CLIENTS
    BLOOD PRESSURE PROCESS MANY ALSO VERBALIZES HER
    RISES PERFORMED HAVE MISCONCEPTIONS UNDERSTANDING ON N
    THE TRANSFUSION REGARDING THE LIKE WHY SHE HAVE
    BEGINS. LIHOOD OF DISEASE ELVATED BLODD
    TRANSMISSION, PRESSURE DURING
    ESPECIALLY TRANSFUSION.
    THAT OF HIV

    -PATIENT IS
    CLUELSS WHY
    DOES HER BLOOD
    PRESSUES RISES
    AND DOESN’T CLIENT WILL ALSO EXPLAIN THE
    KNOW WHAT BE ABLE TO KNOW PROCEDURE FOR
    MAKES(T HGIH THE TRUE ADMINISTERING
    -ON GOING REASON WHY DOES THE BLOOD. KNOWLEDEGE OF
    BLLOD SHE HAVE AN ROUTINE
    TRANSFUSION ELEVATED PROCEDURES RELATED
    OF PACKED RBC
    BP AND ALSO TO BLOOD COMPONENT
    PATIENT GOT
    ANNOYELL
    VERBABIES THERAPY HELPS
    EVERYTIME HER ENSURE THAT THE
    I TAKE VITAL UNDERSTANDING. PATIENT IS NOT
    CONCERNED WHEN
    VITAL SIGNS ARE
    TAKEN FREQUENTLY.

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