Date: 10/19/19

Cues: SUBJECTIVE:
“MUTAAS
NANIMAAYO
AKONG BP
KAY SIGE
MAN KO
GIABUNOHAN
OG DUGO”
AS VERBALIZED
BY THE PATIENT

OBJECTIVES
-PATIENT LOOKS
CONFUSED WHEN
BLOOD PRESSURE
RISES
Nursing Diagnosis: DEFICIENT
KNOWLEDGE
RELATED TO UNFAMILIARITY WITH TRANSFUSION PROCESS.

Scientific Basis: ABSENCE OR

DEFICIENY OF
COGNITIVE INFORMATION
RELATED TO
SPECITIC TOPIC
Scientific Basis: ABSENCE OR
DEFICIENY OF
COGNITIVE INFORMATION
RELATED TO
SPECITIC TOPIC
GOAL OF CARE: AFTER 30 MINUTES OF CLIENT-NURSE
INTERACTION,
SO THE CLIENT OR FAMILY OF THE DIENT WILL BE
ABLE TO
VERBALIZES UNDERS TANDING
OF THE NEED FOR A TRANSFUSION AND THE
SCREENIGNG
PROCESS PERFORMED HAVE
THE TRANSFUSION BEGINS.

CLIENT WILL ALSO BE ABLE TO KNOW THE TRUE

REASON WHY DOES
SHE HAVE AN ELEVATED
BP AND ALSO VERBABIES
HER UNDERSTANDING.
NURSING INTERVENTION:
-ASSESS KNOWLE DGE OF THE TRANSFUSION
PROCESS.

ACKNOWLEDGE
CONCERNS. PROVIDE
FUCTUAL INFERMATION

EXPLAIN THE PROCEDURE FOR ADMINISTERING

THE BLOOD.
RATIONALE:
-ADULTS SHEARN BEST
WHEN TEACHING BUILDES
ON KMOWLEDGE OR EXPERIENCE.

-BLOOD TRANSFUSIONS IS NOT WITHOUT RISK.

RISK AND BENETITS NEED TO
BE ADDRESSED. ALSO,
PATIENTS MAY HAVE
MANY MISCONCEPTIONS
REGARDING THE LIKE
LIHOOD OF DISEASE
TRANSMISSION, ESPECIALLY
THAT OF HIV

KNOWLEDEGE OF ROUTINE
PROCEDURES RELATED TO BLOOD COMPONENT
THERAPY HELPS ENSURE THAT THE PATIENT IS
NOT CONCERNED WHEN VITAL SIGNS ARE
TAKEN FREQUENTLY
EVALUATION:
AFTER 30 MINUTES OF CLIENT-NURSE INTERACTION,
THE CLIENT WILL BE ABLE TO VERBALIZES. HER
UNDERSTANDING OF THE NEED FOR A TRANSFUSION
AND WILL UNDERSTAND WHY NURSE
TAKE VITAL SIGNS EVERY 15 ,MINUTES.CLIENTS ALSO
VERBALIZES HER UNDERSTANDING
ON N WHY SHE HAVE ELVATED BLODD
PRESSURE DURING TRANSFUSION.
DATE: CUES NURSING SCIENTIFIC GOAL OF CARE NURSING RATIONALE EVALUATION
DIOGNOSIS BASIS INTERVENTION
10/19/19 SUBJECTIVE:
DEFICIENT ABSENCE AFTER 30 MINUTES -ASSESS KNOWLE -ADULTS SHEARN BEST AFTER 30 MINUTES OF
“MUTAAS
NANIMAAYO
KNOWLEDGE OR OF CLIENT-NURSE DGE OF THE WHEN TEACHING CLIENT-NURSE
AKONG BP RELATED TO DEFICIENY INTERACTION,SO TRANSFUSION BUILDES INTERACTION, THE
KAY SIGE UNFAMILIARITY OF THE CLIENT OR PROCESS. ON KMOWLEDGE OR CLIENT WILL BE ABLE
MAN KO WITH COGNITIVE FAMILY OF THE EXPERIENCE. TO VERBALIZES. HER
GIABUNOHAN TRANSFUSION INFORMATI DIENT WILL BE ACKNOWLEDGE UNDERSTANDING OF
OG DUGO” PROCESS. ON ABLE TO CONCERNS. -BLOOD TRANSFUSIONS THE NEED FOR A
AS VERBALIZED RELATED VERBALIZES PROVIDE IS NOT WITHOUT RISK. TRANSFUSION AND
BY THE PATIENT
TO UNDERS TANDING FUCTUAL RISK AND BENETITS WILL UNDERSTAND
OBJECTIVES
SPECITIC OF THE NEED FOR A INFERMATION NEED TO WHY NURSE TAKE
-PATIENT LOOKS TOPIC TRANSFUSION AND BE ADDRESSED. ALSO, VITAL SIGNS EVERY
CONFUSED WHEN THE SCREENIGNG PATIENTS MAY HAVE 15 ,MINUTES.CLIENTS
BLOOD PRESSURE PROCESS MANY ALSO VERBALIZES HER
RISES PERFORMED HAVE MISCONCEPTIONS UNDERSTANDING ON N
THE TRANSFUSION REGARDING THE LIKE WHY SHE HAVE
BEGINS. LIHOOD OF DISEASE ELVATED BLODD
TRANSMISSION, PRESSURE DURING
ESPECIALLY TRANSFUSION.
THAT OF HIV

-PATIENT IS
CLUELSS WHY
DOES HER BLOOD
PRESSUES RISES
AND DOESN’T CLIENT WILL ALSO EXPLAIN THE
KNOW WHAT BE ABLE TO KNOW PROCEDURE FOR
MAKES(T HGIH THE TRUE ADMINISTERING
-ON GOING REASON WHY DOES THE BLOOD. KNOWLEDEGE OF
BLLOD SHE HAVE AN ROUTINE
TRANSFUSION ELEVATED PROCEDURES RELATED
OF PACKED RBC
BP AND ALSO TO BLOOD COMPONENT
PATIENT GOT
ANNOYELL
VERBABIES THERAPY HELPS
EVERYTIME HER ENSURE THAT THE
I TAKE VITAL UNDERSTANDING. PATIENT IS NOT
CONCERNED WHEN
VITAL SIGNS ARE
TAKEN FREQUENTLY.