PROBLEM RATIONALE INTERVENTION RATIONALE EVALUATION

Subjective: The patient has Dependent: Subjectve :

Hindi ko alam severe Establish rapport Cooperation is Sa;amat naman
kung pano ang alcoholic with the client easily given by at alam ko na
tamang cirrhosis and the client when kung ano ang
gagawin sa poorly trust and tamang
sakit ko. controlled rapport is gagawin
diabetes. established
Objective: Knowledge of Instruct client to Objectice:
(+) the client of his avoid possible Proper Clean wound or
generalized condition infection and compliance ulcers
edema greatly affect contamination of reduces risk of Clean extremity
Petechial his compliance wounds through cmplications Decrease
rashes and with proper abdominal girth
foot ulceration medication and handwashing,
(+) ascites treatment. wound care and
Platelet count Health diet.
of 79 x10 L maintenance is Health
greatly affected Explain the education Analysis:
Analysis: by health disease [process grealy help Proper health
Altered health teachings.it to the client and client to maintenance
maintenance helps the client the possible comply with helps reduce
related to and persuade treatment and treatment complication in
deficient them to medication the case of my
knowledge of comply with patient whose
disease treatment. Inform client that It reduces condition is
process and its Altered health proper possible irreversible.in
treatment maintenance is compliance and complications such cases
greatly seen in maintenance will nurse function
the client help reduce is focused on
because of the complication. intellectual and
evidence of knowledge
complications. Dependent: enhancement of
client regarding
Provide wound Reduces risk condtion .
dressing as 0of infection
ordered

NURSING CARE PLAN

GENERAL OBJECTIVES
 OF CARE

In this case of which client have irreversible

disease ; liver cirrhosis and type 11 DM , the
objective of care are :

1. To restore and maintain the full potential of the

body metabolic function and eliminate or reduce the
possible complication that may occur.

2. To impart knowledge and give health teaching to

the client and family regarding client case and its
treatment to enhance client compliance with
medication and treatment.
In Partial Fulfillment of the Requirements in Advance Pathophysiology
University of La Salette
Graduate School

CASE STUDY: PROBLEMS ON METABOLISM

LIVER CIRRHOSIS WITH DM TYPE 11

Professor Teresita Mindaro- Diaboro , M.A.N.

Graduate school Faculty

Romeo Q. Rivera Jr. R.N.

MSN Batch 2

May 2007