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Nursing Care Plan-1 Age: 50Y Medical Diagnoses: Leukemia Assessment Nursing Diagnosis Planning Intervention Scientific Rationale Evaluation

Rab Dino S/O Mola Bux, a 50-year-old married farmer, was diagnosed with leukemia. He reported feeling weak, tired, and bruising easily. His vital signs and physical exam showed irritability, pallor, and a temperature of 37.1°C, pulse of 80, and respiration of 19. The patient was assessed as being at risk for infection due to inadequate primary defenses. Nursing interventions included placing the patient in a private room with limited visitors, frequent turning and deep breathing, gentle handling, and inspecting the skin daily for signs of infection. After 8 hours of these interventions, the patient was able to identify actions to prevent or reduce his risk of infection.

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Bheru Lal
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2K views1 page

Nursing Care Plan-1 Age: 50Y Medical Diagnoses: Leukemia Assessment Nursing Diagnosis Planning Intervention Scientific Rationale Evaluation

Rab Dino S/O Mola Bux, a 50-year-old married farmer, was diagnosed with leukemia. He reported feeling weak, tired, and bruising easily. His vital signs and physical exam showed irritability, pallor, and a temperature of 37.1°C, pulse of 80, and respiration of 19. The patient was assessed as being at risk for infection due to inadequate primary defenses. Nursing interventions included placing the patient in a private room with limited visitors, frequent turning and deep breathing, gentle handling, and inspecting the skin daily for signs of infection. After 8 hours of these interventions, the patient was able to identify actions to prevent or reduce his risk of infection.

Uploaded by

Bheru Lal
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Leukemia Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMENT NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION


DIAGNOSIS
Risk for After 8 hours of 1. Place the patient in 1. Protect patient from After 8 hours of
SUBJECTIVE: infection nursing private room. Limit potential sources of nursing
I’ve noticed related to interventions the visitors as indicated. pathogens or infection. interventions
that I bruise inadequate patient will Prohibit use of live plants the
easily and also primary identify actions to or cut flowers. Restrict patient was
I feel weak and defenses. prevent or reduce fresh fruits and able to identify
tired all the the risk for vegetables or make sure actions to
time. As infection. they are washed or 2. Prevents cross- prevent or
verbalized by peeled. contamination or reduce reduce the risk
the 2. Require good hand risk for infection. for infection.
patient. washing protocol for all 3. Prevents stasis of
personnel and visitors. respiratory secretions,
OBJECTIVE: 3. Encourage frequent reducing risk of
• Irritability turning and deep atelectasis or
• Pallor of skin breathing. pneumonia.
and mucous 4. Prevents sheet burn or
membranes skin excoriation.
• V/S taken as 4. Handle patient gently. 5. May indicate local
follows Keep linens dry or infection.
T: 37.1 wrinkle free.
P: 80 5. Inspect skin for tender,
R: 19 erythematous areas,
BP: 100/80 open wounds. Cleanse
skin with antibacterial
solutions.

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)

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