NURSING CARE PLAN

Subjective data Objective data Nursing Planning Implementation Rationale Evaluation

diagnosis
Verbalizations of -delayed Delayed growth After 2 hours of Independent: After 2 hours of
JAM’s development in and development health teaching 1. advice the -to promote intervention the
grandmother: mmdst: r/t lack of age- the parents will parents continuous parents had:
a.) Language appropriate be able to: appropriate toys, progress of -selected 5 out of
-“hindi siya he failed to do activities AEB a.) know plays and development 5 toys, activities
makalakad, isang item: poor how the toddler activities for the
taon na siya. -3 other words development in continue to toddler -stated 5 out of 5
Kailangan pa other than mama language and progress toward 2. discuss with -to promote normal activities
niya ng tulong, & papa gross motor expected the parents the progression on of the child
matutumba kasi -combines two developmental different normal the development
siya” different words milestone by: activities for and mobility of
-stating the toddler child -planned daily
-and nasasabi b.) Gross Motor normal activities 3.Encourage the -variety of activities fir the
lang niya ay he failed to do a toddler should parents to have activities would child for 1 week
mama, papa, item: do plans of be introduced
boom-boom” -kicks ball -planning a activities for the
forward variety of child for 1 week -stated 3 out of 3
-“magisa lang -jumps in place activities for the 4. Teach parents -to ensure strategies for
siya naglalaro, -stoops & toddler strategies to cooperation catching the
hindi ko siya recovers -dealing with the catch the child’s attention of the
nababantayan -walks well delay as early s attention child
minsan” -walks up steps possible --the parents
b.) enhance Collaborative: planned a check
-“minsan the toddler to 1.Refer the child -for further up for JAM
nakahiga lang perform: to a pediatrician diagnosis of the
siya, walang language & for consultation delayed
ginagawa” gross motor of delay development GOAL met
within scope of development

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capabilities by:
-providing
activities
appropriate to
child’s age
-motivating the
child to do the
activities

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Subjective data Objective data Nursing Planning Implementation Rationale Evaluation
diagnosis
Verbalizations of House: Risk for injury After 2 hours of Independent: After 2 hours of
JAM’s -Widely open r/t curiosity and health teaching 1. suggest to the -to minimize intervention the
grandmother: door developmental the parents will parents to accidents parents was
immaturity be able: childproof the abled to:
-“Hindi pa siya -presence of house
nakakalakad obstructions to Maintain safety 1.decide to child
pero mabilis siya JAM’s play area for the child by: 2. advice the - for overall proof the house
gumapang” -implementing parents to guidance of the immediately
-child is staying safety provide closer child
-“medyo makalat in a single space precautions observation to 2. the parents
minsan ditto, the child didn’t provide a
hindi naman ako -parents not -guarding the closer look to
makapagligpit” providing close child JAM
observation
-“gapanglang -know the
siya ng gapang whereabouts PARTIALLY
dyan, hindi siya MET
tumitingin” -free the child
from any injury
-“Mahilig siyang
humawak ng
kung anu-anong
bagay”

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 ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective Data: Ineffective health After 2 hrs. of The student nurse Goal not met
"Bago namin maintenance related nursing will:
inilabas sa ospital to inability to seek intervention, the NOT
yan, nag-screening out professional caregiver will Independent: IMPLEMENTED
test pa, ang sabi help secondary to verbalize the need
normal naman." financial to seek out >discuss with the > To manage the
(Lola) constraints. professional help. parents/ caregivers underlying
the importance of problems or the
"Dinala naman yan seeking proper developmental
sa center, ang sabi professional help. delays.
okey naman siya, di
daw lahat ng bata Collaborative:
pare-pareho."
(Lola) >refer to proper >to avail
government affordable/free
Objective Data agencies. programs and
manage the
>lack of problems.
consultation to
proper health
agency.

>lack of knowledge
regarding child's
growth and
development.

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>lack of time of the
caregiver in infant's
supervision

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