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Wesleyan University – Philippines

College of Nursing and Allied Medical Sciences


Tel No. (044) 463-2162; Fax No 463-0596 local 126

N u r s i n g C a r e P l a n
NAME: __________________________________________________________________ GROUP NO: ______________ BLOCK: ______________ DATE: ______________

NAME OF PATIENT: ________________________________________________________ MEDICAL DIAGNOSIS: ____________________________________________________________

ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


Independent Nursing Actions:
“ Nagmamanas ang Excess fluid volume After 3 hours of
mukha ng anak ako” as related to accumulation thorough nursing 1. Elevate the head part. To reduce tissue pressure Goal met.
verbalized by the of fluids in the body intervention, the and risk of skin breakdown.
patient’s mother secondary to acute patient will be able
glomerulonephritis to: 2. Limit fluid intake to prescribe
Subjective: volume and explain to family the Fluid restriction will be
(+) facial edema a.Gradually excrete rationale determined on basis of
Temp: 36.8 ℃ excessive fluid weight, urine output and
through urination response to therapy.
Dependent Nursing Actions:

Collaborative Nursing Actions:

NOTE: This NCP Form must be accomplished in handwriting.

Clinical Instructor: __________________________________________________ RLE Coordinator: ____________________________________________________

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