DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Patient:C. Date of Admission:November 27, 2024 Room: 108 Age:12 Sex: Female
Civil Status :Single Chief Complaint:Suprapubic pain Religion:Roman Catholic Attending Physician:Dr. J. Kook
Date/Time Cues Nursing Diagnosis GOALS/OBJECTIVES NURSING RATIONALE EVALUATION
CRITERIA INTERVENTIONS

November Subjective: Impaired Skin Integrity related to After 3 days of nursing Independent Independent “Goal Met”
27, 2024 -Patient reported urinary incontinence and poor interventions, the patient will -Assessed Chimmie’s -Early detection of skin November 30, 2024
@9:20 AM suprapubic pain with a hygiene practices. be able to: perineal area daily for issues allowed for timely After 3 days of nursing
pain score of 7/10 signs of redness, rash, or intervention and
1. Perform proper perineal interventions, the
hygiene (e.g., wiping front skin breakdown. prevented further patient was able to:
Objective Rationale/Scientific Basis:
-Parents reported the Urinary incontinence leads to to back) with 100% complications.
child has "dirty" prolonged skin exposure to accuracy under supervision -Provided education to 1. Perform proper
practices in performing moisture, which compromises the by the third day. Chimmie and her mother -Enhancing their perineal hygiene
personal hygiene. skin's protective barrier. This can on proper perineal knowledge empowered techniques
2. Demonstrate intact independently,
result in incontinence-associated hygiene, including them to maintain including wiping
-Urinalysis result dermatitis (IAD), characterized by perineal skin, with no signs wiping front to back and hygiene independently, front to back,
revealed a positive erythema and skin breakdown. Poor of redness or breakdown washing hands before reducing the risk of skin under nurse
trace of leukocytes. hygiene exacerbates the condition by the end of the third day. and after toileting. irritation and supervision.
by allowing bacteria and irritants to 2. Maintain intact
recurrent UTIs. perineal skin with
- Observed redness, accumulate, increasing the risk of 3. Verbalize the importance
rash, or skin infection and delayed wound no signs of redness,
of hygiene in preventing rash, or
breakdown in the healing. Proper hygiene and barrier skin issues, stating at least
Dependent Dependent
breakdown.
perineal area. creams can reduce skin damage and 2 hygiene practices by day -Encouraged fluid intake -Adequate hydration 3. Verbalize
promote healing three. as per the physician’s diluted the urine, understanding of
order (D5LR at 100 reducing its irritative hygiene
mL/hr). properties and importance, stating
two specific
promoting skin healing. hygiene practices
(e.g., proper wiping
technique and
handwashing) to
prevent future skin
issues.
 Collaborative Collaborative
-Discussed Chimmie’s -Collaboration ensured
case with the healthcare that the care plan was
team, including the holistic and updated
physician, to adjust care based on Chimmie’s
interventions as needed. progress.

REFERENCES:
Peart, J. (2023). Improving
knowledge of continence care to
prevent skin damage associated
with incontinence. British Journal
of Nursing, 32(15), 517–521.
RNlessons. (n.d.). Impaired Skin
Integrity Nursing Diagnosis & Care
Plan. Retrieved from
RNlessons.com.

Reynel R. Cacho
NAME OF STUDENT