Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
NURSING DIAGNOSIS
GOAL
INTERVENTION
IMPLEMENTATION
EVALUATION
Subjective data: The child mother Altered complaints her baby have To minimize Assess the intracranial pressure Maintain adequate cerebral perfusion Provide the based care Assessed the intracranial pressure Maintained adequate cerebral perfusion Provided the based care Promoted the rest sleep
Maintain the
cerebral tissue the tissue perfusion related to perfusion and relief from
Promote the rest & Provided adequate sleep Provide adequate nutrition nutrition
ASSESSMENT Subjective data: The child there told that the baby take the durocentry movement Objective data: It has been observed that by complaints
NURSING DIAGNOSIS Risk for injury related to convulsions and alteration of consciousness
GOAL
INTERVENTION
IMPLEMENTATION
EVALUATION
Assess the level of Preventing consciousness from injury Constant observations for restlessness Observations for involuntary movements and convulsions. administer the anticonvulsive drugs and allowing attendance Removal of hard object sharp things or toys from the child
Assessed the level of To meet the goals consciousness Constant observations for restlessness Observed for involuntary movements and convulsions. Administered the anticonvulsive drugs and allowing attendance Removal of hard object sharp things or toys from the child
ASSESSMENT Subjective data: The child mother complaints her baby have difficulty to breath. Objective data: It has been observed that by patient condition
GOAL
INTERVENTION
IMPLEMENTATION
EVALUATION
Assess the general To prevent condition of the the airway child obstruction Positioning with extended head or head turned to one side to deain respiratory secretions Provide the oxygen therapy by hood or beg mask Prepare for endotracheal intonation or tracheostomy or mechanical ventilation
Assessed the general condition of the child Provide the obstructive Provided comfortable position, semi fowlers position. Provided the oxygen therapy by hood or beg mask Prepared for endotracheal intonation or tracheostomy or mechanical ventilation
ASSESSMENT Subjective data: The child mother told that his/her baby having the anorenic
INTERVENTION Assess the general condition of the child Assess the normal nutritional status of the child Encourage to take small and frequent diet Provide health education to the present about high catogary and energy diet Encourage to take more fluids
IMPLEMENTATION
EVALUATION
Assessed the general condition of the To maintain the child Assessed the normal normal nutritional nutritional status of state weight the child Encouraged to take small and frequent diet Provided health education to the present about high catogary and energy diet Encouraged to take more fluids
ASSESSMENT
NURSING DIAGNOSIS
GOAL
INTERVENTION
IMPLEMENTATION EVALUATION
Subjective data: Impairment of Improvemen Assess the general verbal t of variable condition of the patient Provide the comfortable bed to the child Improve the communication skills Provide the speech therapy Maintain the good communication with the child & their parents communicatio communicat n secondary to weakness or paralysis of the muscles involved in providing Objective data: speech ion
Assessed the general condition of the patient Provided the comfortable bed to the child Improved the communication skills Provided the speech therapy Maintained the good communication with the child & their parents
ASSESSMENT
NURSING DIAGNOSIS
GOAL
INTERVENTION Assess the general condition of the diet Assess the sleeping pattern of the child Provide calm environment Encourage to take hot milk or hot water before going to bed. Administer the sedative according to doctor prescription
IMPLEMENTATION Assessed the general condition of the diet Assessed the sleeping pattern of the child Provided calm environment Encouraged to take hot milk or hot water before going to bed. Administered the sedative according to doctor prescription
EVALUATION
Subjective data: Sleeping disturbance related to surgical procedure and injury Objective data:
ASSESSMENT
NURSING DIAGNOSIS Risk for impaired skin integrity related to enlarged to head
GOAL
INTERVENTION Assess the general condition of the child Assess the skin integrity of the child Administer the medication according to doctor prescription Provide the skin care and provide the daily bath Advice to maintain the personal hygiene Provide the health education to the parent about the personal hygiene
IMPLEMENTATION EVALUATION Assessed the general Reduce the skin integrity condition of the child Assessed the skin integrity of the child Administered the medication according to doctor prescription Provided the skin care and provide the daily bath Adviced to maintain the personal hygiene Provided the health education to the parent about the personal hygiene
Subjective data:
Objective data:
ASSESSMENT
NURSING DIAGNOSIS
GOAL
INTERVENTION IMPLEMENTATION
EVALUATION
Subjective data:
Anxiety related To provide to the abnormal the condition and surgical intervention information regarding the surgical intervention
Assess the general condition of the child ventilate the feelings Provide the deformation
Assessed the general condition of the child ventilated the feelings Provided the deformation regarding the surgical intervention Provided the psychological support Provided the spiritual support
regarding the surgical intervention Provide the psychological support Provide the spiritual support
ASSESSMENT
GOAL
IMPLEMENTATION
EVALUATION
Subjective data: The patient says that child having the high temperature and references
condition of the child Monitor the vital signs Provide the cold sponges Administer the
Assessed the general Monitored the vital signs Provided the cold sponges Administered the antipyretics Maintained the normal fluid and electrolyte balance to administer the I.V fluids Provided the rest & sleep
To reduce the
Objective data: It has been observed that pyremia by checking vital signs
antipyretics Maintain the normal fluid and electrolyte balance to administer the I.V fluids Provide the rest & sleep
ASSESSMENT
NURSING DIAGNOSIS Ineffective family coping related to life threating problems of infant
GOAL
INTERVENTION
IMPLEMENTATION
EVALUATION
Subjective data:
To provide Assess the the awareness general condition of the child Provide the emergency care to the child Ventilate the
Assessed the general condition of the child Provided the emergency care to the child Ventilated the parent feeling and child feelings Clarified the parent doubt about their child condition
Objective data:
parent feeling and child feelings Clarify the parent doubt about their child condition
NURSING DIAGNOSIS
Altered cerebral tissue perfusion related to head injury or increased intracranial pressure Risk for injury related to convulsions and alteration of consciousness In effective airway clearance due to upper airway obstruction Altered hydration related to unconsciousness Impairment of verbal communication secondary to weakness or paralysis of the muscles involved in providing speech Sleeping disturbance related to surgical procedure and injury Risk for impaired skin integrity related to enlarged to head Anxiety related to the abnormal condition and surgical intervention Hyperthermia related to disturbance of brain function Ineffective family coping related to life threating problems of infant