NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Hemophilia Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMENT NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

DIAGNOSIS
Ineffective After 8 hours of 1. Avoid injections, rectal 1. Protects patient from After 8 hours of
SUBJECTIVE: protection nursing temperatures or rectal procedure related nursing
My wound related to interventions, the tubes. causes of bleeding. interventions,
won't stop abnormal patient will 2. Maintain a safe 2. Reduces accidental the
bleeding as blood profile. display environment. Keep all injury, which could result patient was
verbalized by homeostasis as necessary objects within in bleeding. able to display
the evidenced by patient’s reach and keep homeostasis as
patient. absence of bed in low position evidenced by
bleeding. 3. Hematest body fluids 3. Prompt detection of absence of
like urine, stool, and bleeding or initiation of bleeding.
vomitus, for occult therapy may prevent
blood. critical hemorrhage.
OBJECTIVE: 4. Presence of bleeding or
• Altered blood 4. Monitor for changes in hemorrhage may lead to
clotting. vital signs and skin color circulatory failure or
• Continuous like blood pressure, shock.
bleeding. pulse, perspiration, skin
• V/S taken as pallor or discoloration.
follows: 5. Evaluate change in level 5. May reflect cerebral
T: 37.1 of consciousness. bleeding.
P: 78 6. Avoid use of aspirin 6. These medication
R: 20 products or non steroidal reduces platelet
BP: 110/80 anti-inflammatory drugs. aggregation.

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)