Scribd
Upload
211 views1 page

Contoh Nursing Care Plan Metica

The document contains an assessment of a patient named Peicilia Angel Louhanapessy who is having trouble breathing and swallowing after a thyroidectomy. The nursing diagnosis is impaired swallowing and the goals are for the patient to understand the cause of the problem, promote food intake, and swallow easily within 5 hours with interventions like monitoring vitals, providing cognitive cues to chew and swallow, focusing on feeding, and placing small bites in the mouth.

Uploaded by

Angel Viola
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
211 views1 page

Contoh Nursing Care Plan Metica

The document contains an assessment of a patient named Peicilia Angel Louhanapessy who is having trouble breathing and swallowing after a thyroidectomy. The nursing diagnosis is impaired swallowing and the goals are for the patient to understand the cause of the problem, promote food intake, and swallow easily within 5 hours with interventions like monitoring vitals, providing cognitive cues to chew and swallow, focusing on feeding, and placing small bites in the mouth.

Uploaded by

Angel Viola
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
You are on page 1/ 1

Name : Peicilia . Angel.

Louhanapessy

NPM :1420117187

Class : Afthernoon ( Ambon )

Prodi / Semester : Keperawatan / VI

Assessment Nursing Diagnosis Goals and Outcomes Nursing Interventions Rationale Evaluation

Subjective : Impaired Swallowing After 5 hours of nurse – - Take and record vital - Establishes - Patient is able to
“I have trouble breathing”, as patient intervention, the signs. baseline for chewing and
verbalized by the patient. patient will be able to : assessing swallowing,
- Verbalize - Provide cognitive improvement understanding to the
Objective : understanding of cues remind patient or changes. causative factors of
- Vital Signs : causative or to chew of swallow - To enhance the problem and
T : 37˚c contributing factors. as indicated. concentration increased food
PR : 76bpm - Promote intake and intake.
RR : 26 cpm - Pass food from - Focus attention on performance of
BP : 120/80mmHg mouth to stomach feeding/swallowing swallowing
easily. activity and sequence.
- With difficulty of decreasing - To avoid
swallowing. environmental destruction
- Limitation of food stimuli. during feeding.
volume - To adequately
- Second day post - Place food midway trigger the
thyroidectomy in oral cavity and swallowing
provide medium- reflex.
sized bite

You might also like