VI.

NURSING CARE PLAN

NURSING GOALS AND

CUES ANALYSIS INTERVENTION RATIONALE EVALUATION
DIAGNOSIS OBJECTIVES

SUBJECTIVE: Scientific Analysis Long Term: Long Term:

After 5 days of nursing After 5 days of nursing
“Hindi kami Constipation is a intervention, the client will intervention, the client
nakakaluto sa dorm symptom, not a establish proper diet. will establish proper diet.
kaya puro fast food disease and there
chain kinakainan are many possible Objectives: Dependent:
namin palagi, at hindi causes. When
ako nakakadumi intestinal motility o To promote o Ascertain o To determine o The intervention
katulad ng dati” slows, the fecal mass wellness to body understanding informational was Met.
verbalized by the becomes exposed to nutrition. of the client’s needs of client.
client. the intestinal walls nutritional (Doenges,
over time, and most needs. 2016)
Ineffective
of the fecal water
adolescent eating Independent:
content is absorbed.
dynamics related
Little water is left to
to inadequent o To lessen o Instruct the o Metabolism and o The intervention
soften and lubricate
choice of food as consumption of client to avoid or utilization of was Partially
the stool. (Potter & any fast foods or
evidenced by lessen at most nutrient are Met, the client
Perry, 2017) processed foods
frequently eating cost any fast enhanced by still eats at fast
from fast food foods or proper diet food restaurants
chain. processed intake. o Effectiveness
foods. (Doenges, was Partially
2016) met, the client is
busy and fast
food is more
convient for her.
Effiency was
Partially Met,
the clients
consumption of
fast food was
not totally
avoided.
 o Appropriateness
was Met
o Acceptability
was Partially
Met, the client
still tolerates
herself from
eating in fast
food chains.
o Adequacy was
Partially Met,
the client can’t
control eating
fast food.

OBJECTIVE: Situational Analysis Short Term: Short Term:

After 48 hours of nursing After 48 hours of nursing
o Irregular Immediate Cause: intervention, the client will intervention, the client
bowel Not having enough establish or return to was able to establish and
movement fiber, such as fruits, normal pattern of bowel return to normal pattern
o Improper vegetable and movement. of bowel movement.
Diet cereals. (Potter &
Perry,2017)

Intermediate
Vital Signs: Objectives: Dependent:
Cause:
Irritable bowel
T: 36.8°C o Report a feeling o Assess her diet o Fiber intake is o The intervention
syndrome (Potter &
RR: 12 cycle of complete to determine low, increased was Met.
Perry,2017)
per minute evacuation after whether she fiber should be
PR: 74 bpm a bowel eats enough introduced
BP: 110/72 movement fiber-rich fluids slowly to reduce
mmHg Root Cause: (e.g., whole gas formation
Improper Diet, grains, fruits, and abdominal
Reduced fluid intake and distention.
(Potter & Perry,2017) vegetables). (Doenges,
2016)
 Independent:

o Have bowel o Determine stool o Assists in o The intervention

movements as color, identifying was Met.
often as consistency, causative or
indicated by the frequency and contributing
amount she is amount. factors and
eating appropriate
interventions.
(Doenges,
2016)