CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY

COLLEGE OF NURSING

NURSING CARE PLAN

ASSESSMENT NURSING DIAGNOSIS SCIENTIFIC ANALYSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

(Subjective & (Dependent,
Objective) Independent &
Collaborative)
Subjective: Impaired physical CVD can be caused by After 4 hours of nursing Independent: Independent: After 4 hours of nursing
mobility related to an occlusion in the intervention, the  Determine  To intervention, the
“Dili sha maka lihok sa neuromuscular damage Blood flow. This can relatives will be degree of establish relatives was
tibuok nyang lawas” as secondary to lead to ↓O2 and the able to participate in Immobility compara able to participate in
verbalized by the S/O. cerebrovascular bleed cause failure to therapeutic regimen tive therapeutic regimen
left basal ganglia nourish the tissues at as evidence by:  Observe baseline as evidence by:
the capillary level and movement  To note any
Objective: that can cause  Verbalization when client is Incongruence with the  Verbalization
neuromuscular understanding of unaware reports of abilities understanding of
 Four score of damage w/c can cause the situation and  Reduce risk of the situation and
E0 M0 B3 R4 impaired physical therapy  Support Pressure ulcers therapy
 Unable to move mobility  Able to affected part  Able to
upper and participate with pillows participate
lower Source: Medical in the interventions in the interventions
extremities Surgical Nursing 13th rendered by the  Give rest  To help reduce rendered by the
edition by Brunner and nurse periods to Fatigue and O2 demand nurse.
Siddhart Activities
Dependent
 administer
medications as
prescribed