NCP For Parent and Child PDF

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ERIC V.

EVANGELISTA

Assessment Nursing Diagnosis Planning Nursing intervention Rationale Evaluation


Subjective: Hyperthermia related After 4 hours of Identify underlying To obtain factors of After 4 hours of
pa balik balike po ang to dehydration as nursing intervention factors that may cause increase body effective nursing
lagnat po ang anak ko evidence by clients the client will alterations of body temperature. interventions the
as verbalized by dry oral mucosa maintain core temperature. clients was able to
mother temperature within maintain normal core
Objective: normal range of 36.8 Monitored Patient To obtain get an temperature of 37.5
Temperature: 38.3 C to 37.8 temperature every 30 accurate body Goal met
RR:20 minutes. temperature and Latest Temp 37.3
Pulse:83 detect fever
Lips dry and tounge development.
white. Monitored Patient To evaluate
Client appears under pulse rate and effectiveness of
nourished. respiratory rate. independent nursing
regimen.
Provided surface To promote core
cooling with tepid coding by helping
sponge bath and reduce body
removing extra temperature.
clothing.
Promoted rest and To detect further
comfort providing existing discomforts
bed rest. and level.
Dependent
intervention:
Administer Paracetamol acts as
Paracetamol as antipyretic and
ordered by MD analgesic which helps
acts with the
hypothalamus to
regulate body
temperature.
ERIC V. EVANGELISTA

Assessment Nursing Diagnosis Planning Nursing intervention Rationale evaluation


Subjective: Anxiety related to After 8 hours of Assess level of Provides information After 8 hours of
hindi po nagsasalita situational crisis as nursing intervention anxiety and fear in about the source and nursing intervention
masyado ang aking evidence of physical the client will child and how it is level of anxiety and the client is able
anak at hindi abuse. experience less manifested. what might relieve it experience less
masyadong naglalaro anxiety by exhibiting and basis to judge anxiety by exhibiting
as verbalized by normal interaction improvement. normal interaction
mother. with caregiver and Provide treatment of Prevents increased with caregiver with
Objective: more eye contact. injuries; avoid anxiety, and stress in eye contact and is
Child appears treating the child as a child by discussion able to verbalize
withdrawn, and poor victim, asking too for abuse. feelings and
eye contact, and many questions emotions.
quivers when
speaking. Demonstrate affection Promotes trust of staff
Bruises and burn and acceptance of the and positive behavior
marks on extremities. child even if not of the child.
returned or ignored.

Provide a play Modifies negative


program with other behavior by
children, praise childpromoting interaction
or reward with specialwith others and
treat when rewarding desired
appropriate. behavior: promotes
self-esteem.
Allow expression of Provides opportunity
concerns and fears of to vent feelings,
child about which reduces
treatments, anxiety.
environment, allow
question and provide
honest explanation at
child's age level.
ERIC V. EVANGELISTA

Refer for counseling Reduces anxiety and


service for the child supports child in
as indicated. dealing with abuse
and negative
behavior.

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