NURSING CARE PLAN

Name of patient: Joven, Jhan Paul

Age: 6y/o

Assessment: Nursing Client Outcome Nursing Rationale Evaluation

Diagnosis Implementation/
Cues and clues Planning Interventions

signs and
symptoms
S: “ Hindi siya Short term: Independent:
makakilos gaya ng Impaired Physical After health • Assisted with • Necessary to After health
dati dahil sa Mobility of the left teaching, pt. will normal range regain normal teaching, pt. was
kanyang mold”, as leg related to be able to verbalize of mobility of able to verbalize
verbalized by the posterior mold @ understanding of motion leg to speed understanding of
mother L long leg situation and exercises and recovery. situation and
individual function of individual
O: treatment regimen lower treatment regimen
• c posterior and safety extremity. and safety
mold @ L measures. • Increase measures.
 long leg • Encouraged patient’s use
• c limited Long term: progressive of affected
range of After 1 week of activities leg Long term:
motion nursing according to After 1 week of
• c slowed intervention, level of nursing
movement pt. demonstrates fatigue. intervention,

• c functional and pt. demonstrated

level- 2 verbalizes proper and

exercises of the • Provide • Patients may verbalized proper
lower positive be reluctant exercises of the
extremities & can reinforcement to move or lower
perform activities during activity. initiate new extremities & can
of activity due perform activities
daily living with to a fear of of
minimal assistance. falling. daily living with
minimal assistance.
• Allow patient
• Hospital
to perform
workers and
tasks at his or
family
her own rate.
caregivers are
Do not rush
often in a
patient.
hurry and do
Encourage
 independent more for
activity as able patients than
and safe. needed,
thereby
slowing the
patient’s
recovery and
reducing his
or her self-
esteem.
• Keep side rails
up and bed in
• This promotes
low position
a safe
environment.
• Maintain limbs
in functional
• This prevents
alignment
footdrop
and/or
excessive
plantar

• Perform
flexion or

passive or tightness.
• Exercise
 active assistive promotes
ROM exercises increased
to all venous
extremities. return,
prevents
stiffness, and
maintains
muscle
strength and
• Note
endurance.
emotional/
behavioral • Feelings of
responses to frustration/
problems of powerlessnes
immobility. s may impede
attainment of
• Schedule
goals.
activities with
adequate rest • To reduce
periods during fatigue.
the day.

• Encourage
 adequate intake
of
fluids/nutritiou • Promotes
s foods. well-being
and
maximizes
energy
Dependent:
production.
• Administer
medications
prior to activity
• To permit
as needed for
maximal
pain relief
effort/
involvement
in activity.

PREPARED BY: Kathleen Leana V. Jeanjaquet