VISION Republic of the Philippines MISSION

A premier university in historic Cavite
recognized for excellence in the development of
morally upright and globally competitive
individuals.
Cavite State University shall provide excellent, equitable
CAVITE STATE UNIVERSITY and relevant educational opportunities in the arts, science
Don Severino Delas Alas Campus and technology through quality instruction and relevant
research and development activities. It shall produce
Indang, Cavite
professional, skilled and morally upright individuals for
global competitiveness.

College of Nursing

Nursing Care Plan

(Adult)

Initials of Client: M.G. Age: 36

Assessment Diagnosis Planning Intervention Evaluation

Subjective cues: Impaired dentition After 30 minutes of nursing intervention,

“may mga puti puti sa gilid related to use of the client will be able to:
ng ngipin ko at minsan at tobacco
sumasakit” as verbalized
by the client  Understand the importance of oral  Discussion of importance of
hygiene and causes of dental problems. oral hygiene and causes of
dental problems.
Objective cues:
 Root carries  Demonstrate correct brushing and  Discuss and demonstrate the
 Excessive plaque flossing procedures. correct brushing and flossing
 Minimal bad breath procedures.
 Pain scale: 6 out of 10
 Verbalize feeling of oral cleanliness.  Refer to dental hygienist,
dentist, as needed
 Be free from toothaches

 Report in decrease of pain from 3 out of

10

Prepared by: Trisha Mae B. Pascual BSN 2-4

 VISION Republic of the Philippines MISSION
A premier university in historic Cavite Cavite State University shall provide excellent, equitable
recognized for excellence in the development of
CAVITE STATE UNIVERSITY and relevant educational opportunities in the arts, science
morally upright and globally competitive Don Severino Delas Alas Campus and technology through quality instruction and relevant
individuals. research and development activities. It shall produce
Indang, Cavite professional, skilled and morally upright individuals for
global competitiveness.

College of Nursing

Nursing Care Plan

(Adult)

Initials of Client: M.G. Age: 36

Assessment Diagnosis Planning Intervention Evaluation

Subjective cues: Readiness for After 30 minutes of nursing intervention, the

“feeling ko minsan hindi enhance comfort client will be able to:
ako comportable , gusto ko as evidenced by  Assess barriers to increased
sana mapagaan ng kaunti expression of comfort level.
ang pakiramdam ko” as desire to enhance
stated by the client comfort physically.  Verbalize comfort level from moderately to  Manipulation of the patient’s
completely satisfied. environment.

Objective cues:  Report increased in ability to relax.  Teach techniques such as

 Expresses desire to simple massage and simple
enhance comfort relaxation therapy
 Expresses desire to
enhance relaxation
 Verbal report of fatigue  Report improved physical comfort.  Assist to develop an
or weakness appropriate exercise
 Client’s comfort level: program.
somewhat satisfied

Prepared by: Trisha Mae B. Pascual BSN 2-4

 VISION Republic of the Philippines MISSION
A premier university in historic Cavite Cavite State University shall provide excellent, equitable
recognized for excellence in the development of
CAVITE STATE UNIVERSITY and relevant educational opportunities in the arts, science
morally upright and globally competitive Don Severino Delas Alas Campus and technology through quality instruction and relevant
individuals. research and development activities. It shall produce
Indang, Cavite professional, skilled and morally upright individuals for
global competitiveness.

College of Nursing

Nursing Care Plan

(Adult)
Initials of Client: M.G. Age: 36

Assessment Diagnosis Planning Intervention Evaluation

Subjective cues: Disturbed sleep After 30 minutes of nursing intervention, the

“kulang kulang ang tulog pattern related to client will be able to:
ko dahil maliliit pa nga ang disruption
mga anak ko, lalo na may
1 year old ako” as  Understand the importance of adequate  Discussion of importance of
verbalized by the client sleep pattern adequate sleep pattern.

 Verbalize 8 out of 10 ways to promote  Discussion of ways to

Objective cues: adequate sleep pattern. promote adequate sleep
 Frequent yawning pattern.
 5 to 6 hours of sleep
 Time of sleep :11 pm  Verbalize expected changes in hours of  Assist client in proper
 Time awake: 4-5 am sleep from 7 to 8 hours regular time. sleeping positions.

 Report increase in sense of well-being and  Advice family members to

feeling rested. provide a quiet environment
conducive to sleep.

Prepared by: Trisha Mae B. Pascual BSN 2-4