Careplan 1

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T.R.

ISTANBUL GELISIM UNIVERSITY


FACULTY OF HEALTH SCIENCES DEPARTMENT OF NURSING
COURSE OF PEDIATRIC NURSING - NURSING CARE PLAN
Child's Name and Surname: Tanya Özhan Student's Name and Surname: Sami Bouchabti
Medical Diagnosis: Acute lymphoblastic leukemia
Date NURSING DIAGNOSIS AIM/EXPECTED NURSING INTERVENTIONS PRACTICE ASSESSMENT
(Please write according to PATIENT (Please write objective
priority) OUTCOMES and subjective data)
14.04.22 Nursing diagnosis: Report pain is
relieved/controlled. subjective data:
Acute Pain Provide quiet environment and Promotes rest and
enhances coping patient have
reduce stressful stimuli. Limit or Guarding/distraction
Appear relaxed and abilities.
able to sleep/rest reduce noise, lighting, constant behaviors, facial
appropriately. interruptions. grimacing, alteration in
muscle tone
Helpful in
Investigate reports of pain. Note objective data :
Demonstrate behaviors assessing need for
Descriptive criteria: to manage pain. changes in degree (use scale of intervention; may
anxiety
• Reports of pain (bone, 0–10) and site. indicate
fear
nerve, headaches, and so developing
forth) complications.
enlarged lymph nodes
• Guarding/distraction May be useful in
behaviors, facial Monitor vital signs, note evaluating verbal bone marrow
nonverbal cues, e.g., muscle comments and packed with
• grimacing, alteration in tension, restlessness. effectiveness of leukemic cells
muscle tone Autonomic interventions.
responses
Improves tissue
Reposition periodically and assist circulation and
with gentle ROM exercises. joint mobility.

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