NURSING CARE PLAN

ASSESSMENT DATA NURSING DIAGNOSIS GOALS AND NURSING INTERVENTIONS AND EVALUATION
(Subjective & Objective Cues) (Problem and Etiology) OBJECTIVES RATIONALE

Subjective: Hyperthermia related to After 20 mins of INDEPENDENT: Goals met as

“Ma’am, nikalit lang siya’g init compromised Cerebellar nursing interventions: > Explain to the client the evidenced by :
karong hapon” as verbalized by function secondary to importance of Tepid sponge
the watcher. Middle Cerebral Artery  Patient’s Bath.  Temperature
Infarction. temperature from R. for client’s deeper 37.5˚C
38.3˚C→37.5˚C understanding  (―) dry skin
Objective:  The patient will be > Perform Teapid sponge Bath  (―) Warm
free from any R: to lower patient’s breath
 Temperature: 38.3˚C complications due temperature.
 Skin Warm to touch to Hyperthermia  Do mouth Care Carefully
 Dry Skin Noted
 Warm Breath noted DEPENDENT:
 Administer PARACETAMOL
500mg.
R: to help lower patient’s
temperature.