VISION Republic of the Philippines MISSION
A premier university in historic Cavite CAVITE STATE UNIVERSITY Cavite State University shall provide excellent, equitable
recognized for excellence in the development of and relevant educational opportunities in the arts, science
Don Severino Delas Alas Campus and technology through quality instruction and relevant
morally upright and globally competitive
individuals. Indang, Cavite research and development activities. It shall produce
professional, skilled and morally upright individuals for
global competitiveness.
College of Nursing
Nursing Care Plan
Initials of Client: M.M. Age: 30
Assessment Diagnosis Planning Intervention Rationale Evaluation
Subjective cues: Disturbed sleep After 30 minutes of nursing After 30 minutes of
“hindi ako agad makakatulog pattern related intervention, the client will nursing intervention, the
sa gabi at pagising-gising pa to alteration in be able to: client will be able to:
ako tuwing madaling araw fluid retention
para umihi” as verbalized by Understand the Discussion of physiologic To enhance client’s Understand the
the client physiological changes changes during pregnancy knowledge physiological changes
during pregnancy related related to disturbance of during pregnancy related
Objective cues: sleep pattern. to disturbance of sleep
to disturbance of sleep
Frequent yawning Discuss ways to promote To help client resolve pattern.
pattern.
Urinates 4-5 times at night adequate sleep pattern. disturbed sleep Verbalize ways to
5 to 6 hours of sleep Verbalize ways to promote pattern. promote adequate
Time of sleep: 11pm adequate sleeping Assist client in proper For the client to easily sleeping pattern.
Time awake 4-5am pattern. sleeping position. understand the Verbalize expected
Verbalize expected position being changes in frequency of
changes in frequency of demonstrated. hours of sleep from 7 to
hours of sleep from 7 to 8 Advice family members to To promote mother’s 8 hours regular time.
hours regular time. provide a quiet environment. comfort. Report increase in sense
Report increase in sense of well-being and feeling
of well-being and feeling rested.
rested.
Submitted by: Trisha Mae B. Pascual
BSN 2-4
VISION Republic of the Philippines MISSION
A premier university in historic Cavite Cavite State University shall provide excellent, equitable
recognized for excellence in the development of CAVITE STATE UNIVERSITY and relevant educational opportunities in the arts, science
morally upright and globally competitive Don Severino Delas Alas Campus and technology through quality instruction and relevant
individuals. research and development activities. It shall produce
Indang, Cavite
professional, skilled and morally upright individuals for
global competitiveness.
Nursing Care Plan
Initials of Client: M.M. Age: 30
Assessment Diagnosis Planning Intervention Rationale Evaluation
Subjective cues: Deficient After 30 minutes of Assess the client’s level of To know where to After 30 minutes of
The client stated “balak knowledge r/t health teaching, the knowledge regarding start and what part health teaching, at
sana namin ng asawa ko family planning client will be able to family planning. on family planning least 8 out of 15
na mag family planning methods verbalize at least 8 needs more ways of family
pagkatapos kong ilabas secondary to out of 15 ways of understanding. planning will be
ang pangatlo naming insufficient family planning. Provide environment that To avoid distractions verbalized by the
anak, ano kaya ang information. is conducive to learning. client.
pwede?” Relate the client’s personal For the client to feel
desires, needs, values, respected.
Objective cues: and beliefs.
Expresses desire to Use short, simple For easier
enhance knowledge. sentences and concept. understanding.
Begin with information the In this way, limits the
client already knows and sense of being
V/S taken as follows: move to what the client overwhelmed.
BP: 120/70 does not know.
PR: 98 bpm
RR: 18
T: 36.1
Submitted by: Trisha Mae B. Pascual
BSN 2-4