A.
ACTUAL NURSING CARE PLAN
Assessment Nursing Diagnosis Planning Implementation Evaluation
Subjective
Skin integrity At the end of nursing
“Medyo makati po yung hita,
impairment intervention client will be
kamay ko at paa ko”
related to external able to:
Objectives
factors and poor
Appearance of ring worm a) Demonstrate the
hygiene
redness and ring shape on personal hygiene
the affected area at b) Perform prescribed
- Both feet/foot treatment regimen for
- Thigh part skin condition
- Rectal area involved; monitor
- Left arm progress
- Finger tip
Blister in mouth
Vital Sign
BP: 110/80 mmhg
RR: 20 bmp
HR: 60 bmp
Temp: 37.5’C
NURSING CARE PLAN – POTENTIAL
ASSESSMENT NURSING PLANNING IMPLEMENTATION EVALUATION
DIAGNOSIS
Infection, for risk At the end of Nursing
related to external intervention client will
factors able to minimize
client’s risk of infection
by:
a) Hand washing
before and after
providing care
b) Oral hygiene every
4 hours to reduce
risk descending
infection
c) Cleaning perennial
area by wiping or
washing from area
of least
contamination