NURSING CARE PLAN-1 Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex:MaleWard No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: Hemophilia Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007 Reference: Carpenito. L .J. (1995). Nursing Diagnosis (6 th Ed.), New Jersey J.B.Lippincott Company. Student name: Akba r Ali Ara in Dis ci pl i ne B. Sc . N-1 (2 007 -9 ) ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION SUBJECTIVE: My wound won't stop bleeding as verbal ized by the patient. OBJECTIVE: • Altered blood clotting. • Continuous bleeding. • V/S taken as follows: T: 37.1 P: 78 R: 20 BP: 110/80 Ineffective protection related to abnormal blood profile. After 8 hours ofnursing interventions, the patient will display homeostasis as evidenced by absence ofbleeding. 1. Avo id inj ectio ns, rec tal temper atures or rectal tubes. 2. Maintain a safe envi ronment. Keep al l necessary objects within patient’s reach and keep bed in low position 3. Hematest body fl ui ds like urine, stool, and vomitus, for occult blood. 4. Monitor for cha nges in vital signs and skin color like blood pr essure, puls e, pers pirat ion, skin pallor or discoloration. 5. Evaluate change in level of consciousness. 6. Avoi d use of as pi ri n products or non steroidal anti-inflammat ory drugs. 1. Protects pati ent from procedure related causes of bleeding. 2. Reduces accidental injury, which could result in bleeding. 3. Pr ompt de tectio n of blee ding or initiati on oftherapy ma y prevent critical hemorrhage. 4. Prese nce of bleed ing or hemorrhage may lead to ci rc ul at ory fa il ure or shock. 5. May ref lect cer eb ra l bleeding. 6. These medication reduces platelet aggregation. After 8 hours ofnursing interventions, the patient was able to display homeostasis as evidenced by absence of bleeding.
