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NCP

This nursing document summarizes an assessment of a patient who is apprehensive about childbirth. It includes the patient's subjective data, objective data, nursing diagnosis of risk for short-term maternal injury due to fall hazards, and short-term and long-term plans. The short-term plan is to assess the patient's status and provide interventions to prevent injury such as ensuring safety measures. The long-term plan is to prevent falls and injuries during hospitalization through education and use of assistive devices.

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Sherry Ann Faye
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236 views1 page

NCP

This nursing document summarizes an assessment of a patient who is apprehensive about childbirth. It includes the patient's subjective data, objective data, nursing diagnosis of risk for short-term maternal injury due to fall hazards, and short-term and long-term plans. The short-term plan is to assess the patient's status and provide interventions to prevent injury such as ensuring safety measures. The long-term plan is to prevent falls and injuries during hospitalization through education and use of assistive devices.

Uploaded by

Sherry Ann Faye
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ASSESSMEN NURSING PLANNING NURSING RATIONALE EVALUATION

T DIAGNOSIS INTERVENTION
Subjective Risk for Short Term:  Assess general  To determined the Short Term:
data: “Hala Maternal Injury status of the patient’s condition
kinakabahan related to Fall  The patient will patient. that may cause Goal met. After
ako sa hazards as be free from any  Assess mood injury. nursing
panganganak evidence by the sign of coping  To determined the intervention, the
ko, ano ang client’s apprehensive capabilities, patient’s level ofpatient is able to
gagawin ko?”, apprehensive behavior personality style cooperation. show no signs of
the client behavior regarding the risk that may result in apprehensive
verbalized in of injury. carelessness. behavior
rush and panic.  Assess the regarding the risk
Long Term: environmental  To determined the of injury.
Objective data:  Patient will not factors that may cause of injury.
T: sustain fall. lead to injury. Long Term:
PR:  Patient will relate  Ask the
RR: the intent to use significant others  To prevent the Goal met. After
BP: safety measures to always stay nursing
patient from falling
to prevent falls. with the patient. that may cause interventions, the
 The patient will  Provide assistive injury patient is able to
be free from any devices. ambulate
falls during her  Ensure the patient  For the patient’s independently.
hospitalization. wears proper support
shoes/slippers.
 To prevent
slippery.

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