NURSING CARE PLAN

DIAGNOSIS ANALYSIS GOAL INTERVENTION RATIONALE EVALUATION

Ineffective health Analysis: Goal: Effectiveness:
maintenance related to “Adolescents are After the nursing The client was able to adapt
unhygienic practices capable of total self intervention, the to health maintenance
care and because of client will be able to activities.
I: their body awareness, adapt health
“nagtu-toothbrush ako may even be overly maintenance activity. Effectiveness:
2x a day. Tuwing conscientious about 1. The client gained new
hapon at gabi.” personal hygiene and Objective: >determine level of >to assess contributing knowledge on the importance
“din na ako naliligo appearance” 1. The client will be independence or factors. of hygiene.
kapag late na ako “Adolescents are able to know the dependence. (Nurse’s Pocket Guide 2. The client was able to
nagigising” generally very importance of p.276) identify activities that
conscientious about hygiene. promote proper hygiene.
O: tooth brushing >Determine level of >to assess contributing 3. The client was able to
Bad breath because of fear of 2. The client will knowledge about factors distinguish hygienic from
Dirty fingernails developing bad identify the hygienic health maintenance. (Nurse’s Pocket Guide unhygienic practices.
Has lice breath” practices or activities. p.276) 4. The client assumed
(Pilliteri p.952) responsibility for her own
M: 3. The client’s >Provide information >To promote wellness health care needs.
3 teeth with cavities Health Implication: caregiver will be able about individual (Nurse’s Pocket Guide 5. The client was able to
“The decay of teeth to distinguish hygiene needs. p.277) apply the measures needed
with the formation of hygienic from for improving health.
cavities is called unhygienic activities. >Limit information at >Allows client time to
caries. Caries result one time. process and store new Efficiency:
from failure to 4. The client will information. All resources are used
remove plaque, an assume responsibility (Nurse’s Pocket Guide economically as time,
invisible, destructive, for her own health p.277) materials, money and human
bacterial film that care needs with level resources.
build up on of ability. >Help client develop >For future reference as
everyone’s tetth health care goals appropriate Adequacy:
eventually leads to 5. The client will (Nurse’s Pocket Guide Interventions are of the best
the destruction of apply measures p.277) quality given to the client.
tooth enamel.” needed for improving >Identify ways to >To meet client’s Acceptability:
(Taylor 1013) health. adapt exercise changing needs and The interventions are
“signs and symptoms program. environmental accepted by the client as part
of head lice concerns. of the care for the problem.
infestation: Tickling
feeling on scalp; Appropriateness:
itching; sores on the The interventions are suitable
head caused by to meet needs and problems
scratching. The lice of the client.
may also be seen
especially behind the
ears and near the
neckline at the back
of the neck.”
(Taylor 1015)