NURSING CARE PLAN
Identified Problem: Pressure ulcer
Nursing Diagnosis: impaired skin integrity r/t prolonged bed rest and decreased in mobility
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
“naa syay bed sores”as After 4 hours of nursing Handled client gently. Skin of the older client is also The patient’s SO shall participate
verbalized by the patient S/O. interventions, the patient’s SO thin, less elastic, and prone to in prevention measures and
will able to participate in injury. treatment program.
prevention measures and Maintained and instruct the patient’s SO in To reduce risk of dermal trauma,
treatment program. good skin hygiene. improve circulation, and promote
comfort.
The pt will experience healing
of pressure ulcers and Encouraged and assisted with regular Changing positions frequently
experiences pressure repositioning. prevents prolonged pressure on
Objective: reduction. the affected area and helps
(+) PRESSURE ULCER alleviate discomfort.
Provided comfort measures such as These measures help relieve
positioning, use of pillows or cushions. pain and promote comfort.
Long term:
Used appropriate padding. To reduce pressure on sensitive The patient shall be able to
areas and enhance circulation display progressive improvement
compromised tissues. in wound healing.
Long term objectives: Provided preventive skin care to incontinent To minimize contact with irritants
After 3 days of nursing client. Change continent pads/underwear or (urine, stool, excessive
interventions, the patient will diapers frequently; cleanse perineal skin daily; moisture).
be able to display progressive and after each incontinence episode, apply
improvement in wound skin protectant ointment.
healing.
Monitored the skin for changes or failure to Promote timely evaluation and
heal. intervention.
DEPENDENT:
Administered prescribed medications,
such as Hyclens (wound spray) as
ordered, to provide wound healing.
Patient’s Name / Room No. | 1
NURSING CARE PLAN
Identified Problem:
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Patient’s Name / Room No. | 2
Identified Problem:
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Patient’s Name / Room No. | 3
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Patient’s Name / Room No. | 4
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Nursing Diagnosis:
Patient’s Name / Room No. | 5
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Nursing Diagnosis:
Patient’s Name / Room No. | 6
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Patient’s Name / Room No. | 7
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Patient’s Name / Room No. | 8
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
NURSING CARE PLAN
Identified Problem:
Nursing Diagnosis:
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Patient’s Name / Room No. | 9
Subjective: Short term objectives: Short term:
Objective:
Long term objectives:
Long term:
Patient’s Name / Room No. | 10
