A Stupid NCP

Below is a Nursing Care Plan made by the one who's beside me now. He made it last night out of nothing-ness. HAHA! Again, this is just for laughs. He's generally sane. I can assure you that. LOL

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S- “Gina tubol ko sugod atong nag dako akong tiyan mag lisod ko ug tindug, sakit I libang” as verbalized 

O-difficulty in standing 

with heavy impacted stools 

with foul smell stool 

increase in weight noted

arthritis noted 

A-   Ineffective standing related to heaviness of the abdomen secondary to over hydration as evidenced by presents of joint pains

SCIENTIFIC BASIS

Standing is one of the fundamental skills of human being. If you cannot stand you will fall. Therefore standing is needed for survival. We should live our life to the fullest.

GOAL 

At the end of three days of nursing care, patient will:

• Will be able to accept the situation

• Maintain usual pattern of standing
  

• Will able to have a good smell stool

INTERVENTION / RATIONALE

Educate the patient about the anatomy and physiology of the human being. Giving information to the pt. helps a lot.

Auscultate bowel sounds. Note abdominal distention , presence of nausea and vomiting. Indicators of  presence / resolution of ileus, affecting choice of interventions.

Assist client with sitting on edge of bed and walking. Early ambulation helps stimulate intestinal function and return of peristalsis.

Encourage adequate fluid intake, including fruit juices,when oral intkae is resumed. Promotes softer stool; may aid in stimulating peristalsis.

Administer medications as ordered. Promotes formation / passage of softer stool.

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Stupid isn't it? HAHAHA!