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NURSING CARE PLAN

Patient’s Initial: E. N. G Age: 67 Hospital Number: 26

Doctor: Diagnosis/ Impression: Date: March 6, 2020


ASSESSMENT NURSING SCIENTIFIC GOAL STATEMENT / NURSING RATIONALE EVALUATION NURSING
DIAGNOSIS BASIS Desired Outcome INTERVENTION INTERVENTION

Independent: After __ hrs. (For Goals


Subjective: Diarrhea related Diarrhea or After 8 hrs of 1. of deliberate Partially met/
“ My stomach to ingestion of frequent deliberate Nursing 2. Nursing Unmet)
cramps and I suspected passing of Intervention, the 3. Intervention,
had tom go to contaminated loose, watery patient will be able 4. A. Patient
the rest room food stool is not to establish and 5. (etc.) The Goal is: needs more
for several really a disease maintain normal _______ time :
times" as but a condition bowel functionig Dependent: (met, partially make an
verbalized by due to 1. met, not met). additional
the patient underlying 2. Intervention/
factors or Continue
diseases. One Patient was Intervention
Objective: risk factor is the Collaborative: able to
Passed loose ingestion food 1. “__________” 1.
watery with the 2. (etc.) 2.
stools for 5 presence of (state the 3.
times already. microorganisms achieved
Frequent like desired
flatulence as V. cholera, outcome) “ _ OR
claimed. Salmonella
Presence typhi and B.REVISE CARE
ofabdominal others. These PLAN
cramps organisms
Ate “isaw” could adhere to
(grilled the gutwall, Source: Source: Source:
chicken alter the
intestine) day acidity, and ( Book title, ( Book title, ( Book title,
prior to onset irritate the edition,Chapter, edition,Chapter, edition,Chapter,
of symptoms gastrointestinal page, Author) page, Author) page, Author)
tract
BP=
110/60mmHg
PR= 87bpmS Source:

( Book title,
Skin warm edition,Chapter,
and moist page, Author)
Good skin
turgor and
capillary refill

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