URDANETA CITY UNIVERSITY

San Vicente West, Urdaneta City, Pangasinan 2428

COLLEGE OF HEALTH SCIENCES
Bachelor of Science in Nursing

NURSING CARE PLAN (NCP)

Name of Student: URDANETA CITY UNIVERSITY NURSING STUDENT Year Level and Group: IV – Group 8
Affiliating Agency/Area: URDANETA SACRED HEART HOSPITAL/ Month/Year of Exposure: FEBRUARY 2020
MEDICAL-SURGICAL WARD

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

(at least 10)
Subjective: Problem, Etiology, Short Term Goal: Independent: Short Term Evaluation
“I feel pain and Signs (P.E.S) Format S.M.A.R.T + Evidence Assessment
discomfort while Review past life  Opportunity to
urinating, and Anticipatory Grieving After 8 hours of nursing experiences, role identify skills
theres a blood related to interventions, the changes, and coping that may help
every time I Anticipated loss patient is able to: skills. Talk about things individuals cope
urinate” as of physiological Identify and that interest the patient. with grief of
verbalized by the well-being (e.g., express feelings current situation
patient. loss of body appropriately. more effectively.
part; change in Continue normal Therapeutic
body function); life activities, Visit frequently and  Helps reduce
Objective: change in looking provide physical contact feelings of
(at least 5) lifestyle toward/planning as appropriate, or isolation and Long Term Goal Evaluation
Perceived for the future, one provide frequent phone abandonment.
potential death day at a time. support as appropriate
of patient. for setting. Arrange for
Possibly evidenced by: Long Term Goal: care provider and
Changes in S.M.A.R.T + Evidence support person to stay
eating habits, with patient as needed.
alterations in After1 week of nursing
sleep patterns, interventions, the Educative
activity levels, patient is able to: Encourage use of stress  Enables patient
libido, and Express its management skills or to participate
communication understanding of complementary actively in
patterns the effects of therapies (relaxation nondrug
 URDANETA CITY UNIVERSITY
San Vicente West, Urdaneta City, Pangasinan 2428
COLLEGE OF HEALTH SCIENCES
Bachelor of Science in Nursing

cancer and techniques, treatment of

treatment on visualization, guided pain and
sexuality. imagery, biofeedback, enhances sense
Participate in the laughter, music, of control.
prevention of aromatherapy, and
complications and therapeutic touch).
accelerated healing
Verbalize Dependent:
understanding of Assessment
the dying process Assess patient for stage  Knowledge
and feelings of of grief currently being about the
being supported in experienced. Explain grieving process
grief work. process as appropriate. reinforces the
normality of
feelings and
reactions being
experienced and
can help patient
deal more
effectively with
them.
Therapeutic
Provide open,  Promotes and
nonjudgmental encourages
environment. Use realistic dialogue
therapeutic about feelings
communication skills of and concerns.
Active-Listening,
acknowledgment, and so
on.

Educative
Discuss ways patient  Having a part in
and significant others problem solving
can plan together for the and planning can
 URDANETA CITY UNIVERSITY
San Vicente West, Urdaneta City, Pangasinan 2428
COLLEGE OF HEALTH SCIENCES
Bachelor of Science in Nursing

future. Encourage provide a sense

setting of realistic goals. of control over
anticipated
Interdependent/Collaborative events
Assessment
Be aware of mood  Indicators of
swings, hostility, and ineffective
other acting-out coping and need
behavior. Set limits on for additional
inappropriate behavior, interventions.
redirect negative Preventing
thinking. destructive
actions enables
patient to
maintain control
and sense of self-
esteem.
Therapeutic
Refer to visiting nurse,  Provides support
home health agency as in meeting
needed, or hospice physical and
program, if appropriate. emotional needs
of patient and
significant
others, and can
supplement the
care family and
friends are able
to give.
Educative
Reinforce teaching  Patient and
regarding disease significant others
process and treatments benefit from
and provide information factual
as appropriate about information.
 URDANETA CITY UNIVERSITY
San Vicente West, Urdaneta City, Pangasinan 2428
COLLEGE OF HEALTH SCIENCES
Bachelor of Science in Nursing

dying. Be honest; do not Individuals may

give false hope while ask direct
providing emotional questions about
support. death, and
honest answers
promote trust
and provide
reassurance that
correct
information will
be given.
Monitor laboratory  Provides
studies (CBC, information
electrolytes, serum about level of
albumin). hydration and
corresponding
deficits.

Checked by: ______________________________________________________ Date: __________________________________________

Clinical Instructor’s Name and Signatur