NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Independent:
Fear related to
• Dysfunctional • After 4 hrs. • Identify patient’s • Defines scope • After 4 hrs.
“Natatakot ako change in Of nursing perception of of individual Of nursing
bigla na lang health status. uterine bleeding is interventions, threat problem, intervention
akong dinugo” as abnormal uterine the patient represented by separate from s, the
verbalized by the will report the situation. physiological patient was
bleeding in the
patient. fear and causes, and able to
absence of clinical anxiety are influences report fear
Objective: or reduced to a choice of and anxiety
ultrasonographic manageable intervention. are reduced
• Restlessness. level. • Encourage • Provides to a
evidence of patient to opportunity for manageable
• Increased structural acknowledge and dealing with level.
tension. abnormalities, express fears. concerns,
clarifies reality
• Feelings of inflammation, or of fears, and
helplessness pregnancy. reduces anxiety
Treatment is to manageable
• V/S taken as level.
usually with oral • Provide • Family
follows:
contraceptives. opportunity for members have
T: 37.2 Dysfunctional discussion of individual
P: 90 personal feelings responses to
uterine bleeding
R: 18 or concerns and what is
Bp: 110/80 (DUB), the most future happening, and
common cause of expectations. their anxiety
may be
abnormal uterine
communicated
bleeding, occurs to patient,
most often in intensifying this
emotion.
women > 45 (>
• Identify previous • Focuses
50% of cases) and coping strengths attention on
in adolescents of the patient and own
current areas of capabilities,
(20% of cases).
control or ability increasing
The cause is sense of
usually estrogen control.
production • Encourage use of • Provides active
relaxation management of
unopposed by technique like situation to
progesterone, deep breathing, reduce feelings
which can lead to guided imagery. of helplessness.
endometrial
hyperplasia. The
endometrium
sloughs and
bleeds
incompletely,
irregularly, and
sometimes
profusely or for a
long time.
Endometrial
hyperplasia,
particularly
atypical
adenomatous
hyperplasia,
predisposes to
endometrial
cancer.