8/9/2019 Hydrocephalus N C P BY BHERU LAL

1/1

NURSING CARE PLAN-1Patient Name : - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: Hydrocephalus 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: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)

ASSESSMENT NURSINGDIAGNOSIS

PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

SUBJECTIVE:

My sons headisabnormallylarge) asverbalized bythe mother.

OBJECTIVE: Restlessness Irritability Changes invital signs V/S taken asfollows:

T: 37.5P: 90R: 22

Ineffectivecerebral

tissueperfusionrelated todecreasedarterial orvenous bloodflow.

After 8 hoursof nursing

interventions, thepatient willdemonstrateimproved vitalsigns and absenceof signs of increasedICP.

1. Monitor temperature.Administer tepid sponge

bath in presence of fever.

2. Monitor Intake andoutput. Weigh asindicated. Note skinturgor, status, andmucous membrane.

3. Maintain head or neckin midline or in neutralposition, support withsmall towel rolls andpillows. Avoid placinghead on large pillows.

1. Fever may reflectdamage to

hypothalamus. Increasedmetabolic needs andoxygen consumptionoccur (especially withfever and shivering),which can furtherincreased ICP.

2. Useful indicators of bodywater, which is anintegral part of tissueperfusion.

3. Turning bed to one sidecompresses the jugularveins and inhibitscerebral venousdrainage that maycause

After 8 hoursof

nursinginterventions,the patient wasable todemonstrateimproved vitalsigns andabsence of signs of increased ICP.