NURSING CARE PLAN FOR LEPTOSPIROSIS

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

SUBJECTIVE: “Napakasakit - Acute pain - After 8 hours of Independent: - After 8 hours

ng ulo at buong katawan” related to nursing ♦ Assess reports of nursing
(I had a horrible headache bacterial interventions, the of pain, including interventions, the
And body aches) infections in the patient will location and intensity patient was able to
As verbalized by the patient. body. demonstrate use (scale of 0-10). demonstrate use
OBJECTIVE: of relaxation skills, ♦ Observe non- of relaxation skills,
♦Facial grimacing other methods to verbal cues. other methods to
♦Irritability promote comfort ♦ Explore alternative promote comfort
♦Guarding of the affected and to relieve pain relief measure and to relieve pain.
areas. pain. like relaxation
technique, breathing
techniques and
guided imagery.
Carefully
positionaffected part.
♦ Apply local
massage gently to
affected areas.
♦Encourage range of
motion exercises.
♦Maintain adequate
fluid intake.

Collaborative:
♦Administer
medication as
indicated like
analgesics and
antibiotics.
 ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALAUATION

Subjective: - Fluid Volume - After 8 hours Independent: - The goal was

“Matubig yung dumi Deficit Related to of nursing • Observe and met as evidence
niya,madalas frequent passage interventions, record stool by:
dinsiyangmagsuka” of watery stool the patient will frequency, a. Reduction in
as verbalized by and vomiting. maintain characteristics, frequency of
patient’sguardian. - adequate fluid amount stools (1x per
volume as and precipitating shift)
Objective: evidenced by: factors b. No vomiting
Frequent watery stools with - a. Reduction .• Promote bed rest. c. Moist
foul smell(2-3x per shift). infrequency • Identify foods mucous
• (+)vomiting (2xday) of watery and fluids membranes
• Sunken anterior fontanel stools. that precipitate d. Good skin
• Weak-looking - b . ( - ) vomiting diarrhea. turgor
• Irritable - c. Moist mucous • Encourage to eat
•Dry mucous membrane membrane. foods like latundan
Good skin banana and apple.
turgor
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

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