Ivy Grace M. Labadan
CHN Week 2
General Objectives: At the end of 8 hours nursing related life experience (RLE);
Knowledge: I will be able to explain the importance of caring a toddler to the parents.
Skills: I will be able to list examples of precaution tips when caring a toddler to the parents.
Attitude: I will be able to work my therapeutic skills in communication.
Specific Objectives: At the end of 8 hours nursing related life experience (RLE);
Knowledge: I will be able to identify examples of precaution tips when caring a toddler to the parents.
Skills: I will be able to demonstrate example of precaution tips toddler to the parents.
Attitude: I will be able maintain my therapeutic communication skill throughout the health teaching.
7:00 – 7:30am
7:30 – 9:30am
Daily Plan of Activities
Reading of Patient’s File
Physical Examination of the Patient
Accomplished
Accomplished
9:30 – 10:00am
10:00 – 11:45am
Break
Health Teaching: Nutritional Needs
of a Preschooler
Accomplished
Accomplished
11:45 – 12:30 nn
12:30 – 2:30pm
Lunch Break
Health Teaching: Demonstration of
Precaution in Preschooler care
Accomplished
Accomplished
2:30 – 3:00pm
Documentation of the patient’s file
and Cleaning of materials
Accomplished
5 NCP for the toddler:
Assessment
 Dyspnea
 Capillary
refill <2
seconds
 Presence of
Bluish like
appearance
 RR: 14bpm
w/ abnormal
breath
sounds
(crackles)
 PR: 112bpm
 Temp: 37.2©
 BP: 90/60
Diagnosis
Ineffective airway
clearance related
to excessive
mucus as
evidenced by
abnormal breath
sounds (crackles)
Planning
Short Term: At the
end of 2 hours
nursing
intervention, I will
be able
demonstrate
increased air
exchange.
Long Term: At the
end of 4 hours
nursing
intervention, I will
be able to make
patient maintain
clear, open
airways as
evidence by
normal breath
sounds
Intervention
 Teach the
patient the
proper ways of
coughing and
breathing.
(e.g., take a
deep breath,
hold for 2
seconds, and
cough two or
three times in
succession).
 Position the
patient upright
if tolerated.
Regularly
check the
patient’s
position to
prevent sliding
down in bed.
Rationale
 The most
convenient
way to
remove most
secretions is
coughing. So
it is
necessary to
assist the
patient during
this activity.
Deep
breathing, on
the other
hand,
promotes
oxygenation
before
controlled
coughing.
 Upright
position limits
abdominal
contents from
pushing
upward and
inhibiting lung
expansion.
This position
promotes
better lung
expansion
and improved
Evaluation
Short Term: At the
end of 2 hours
nursing
intervention, I was
able to
demonstrate
increased air
exchange
Long Term: At the
end of 4 hours
nursing
intervention, I was
able to make
patient maintain
clear, open
airways as
evidence by
normal breath
sounds
air exchange.
Risk for
Imbalanced
nutrition: less than
body requirements
related to
economically
disadvantage as
evidenced by
current living
situation
Risk for deficit
Fluid Volume
related to
insufficient
knowledge about
fluid needs as
evidenced by
dyspnea
Short Term: At the
end of hours
nursing
intervention, I will
be able to
demonstrate
progressive weight
gain toward goal.
Long Term: At the
end of hours
nursing
intervention, I will
be able to make a
healthy diet
routine plan that is
cost efficient

Short Term: At the
end of 2 hours
nursing
intervention, I will
be able to identify
individual risk
factors and
appropriate
interventions.
Long Term: At the
end of 4 hours
nursing
intervention, I will
be able to
demonstrate





Assess the
availability and
use of financial
resources and
support
systems.
Collaborate
with a dietian
to provide
dietary,
environmental
and behavioral
modification.
Encourage
parents to
provide meals
that guided in
the food
pyramid
Note the
client’s level of
consciousness
and mentation.
Determine
effects of age.
Engage family
and client to
maintain a fluid
management
plan.






Determine
ability to
acquire,
prepare and
store food.
Set nutritional
goals when
the client has
specific
dietary needs
also in
environment
and behavior.
Enhance
participation
and display of
support.
Short Term: At the
end of hours
nursing
intervention, I was
be able to
demonstrated
progressive weight
gain toward goal.
To evaluate
the ability to
express
needs.
Infants,
young
children and
other
nonverbal
persons
cannot
describe
thirst.
Enhances
cooperation
Short Term: At the
end of hours
nursing
intervention, I was
able to identify
individual risk
factors and
appropriate
interventions.
Long Term: At the
end of hours
nursing
intervention, I was
able to
demonstrate
Long Term: At the
end of hours
nursing
intervention, I was
be able to make a
healthy diet routine
plan that is cost
efficient
Impaired gas
exchange related
to altered oxygencarrying capacity
as evidence by
bluish like
appearance
lifestyle changes
to prevent
development of
fluid volume
deficit.
Short Term: At the
end of 2 hours
nursing
intervention, I will
be able to make
patient participates
in procedures to
optimize
oxygenation and in
management
regimen within
level of capability
Long Term: At the
end of 4 hours
nursing
intervention, I will
be able to see
patient maintains
clear lung fields
and remains free
of signs of
respiratory
distress
with the
regimen and
achievement
goals.


Position
patient with
head of bed
elevated, in a
semi-Fowler’s
position (head
of bed at 45
degrees when
supine) as
tolerated.
Help patient
deep breathe
and perform
controlled
coughing.
Have patient
inhale deeply,
hold breath for
several
seconds, and
cough two to
three times
with mouth
open while
tightening the
upper
abdominal
muscles as
tolerated.


Upright
position or
semi-Fowler’s
position
allows
increased
thoracic
capacity, full
descent of
diaphragm,
and
increased
lung
expansion
preventing
the
abdominal
contents from
crowding.
Help patient
deep breathe
and perform
controlled
coughing.
Have patient
inhale deeply,
hold breath
for several
seconds, and
cough two to
three times
lifestyle changes
to prevent
development of
fluid volume
deficit.
Short Term: At the
end of hours
nursing
intervention, I was
able to made
patient participates
in procedures to
optimize
oxygenation and in
management
regimen within
level of capability
Long Term: At the
end of hours
nursing
intervention, I was
able to saw patient
maintains clear
lung fields and
remains free of
signs of respiratory
distress
Risk for infection
related to
insufficient
knowledge to
avoid exposure to
pathogens
Short Term: At the
end of 1 hour
nursing
intervention, I will
be able to make
patient recognize
infection to allow
for prompt
treatment
Long Term: At the
end of 3 hours
nursing
intervention, I will
be able to make
the patient will
demonstrate a
meticulous hand
washing technique



Assess the
client’s age,
gender,
developmental
stage, and
level of
cognition.
Evaluate the
individual’s
emotional and
behavioral
response to
violence in
environmental
surroundings.
Assist in
making child
safe
environment
plan



with mouth
open while
tightening the
upper
abdominal
muscles as
tolerated.
These affect
the client’s
ability to
protect self or
others and
influence
choice of
intervention
and teaching
This may
affect the
client’s view
of and regard
for own /
others safety.
To enhance
commitment
towards best
outcomes
Short Term: At the
end of hours
nursing
intervention, I was
able to make
patient recognize
infection to allow
for prompt
treatment
Long Term: At the
end of hours
nursing
intervention, I was
able to made the
patient will
demonstrate a
meticulous hand
washing technique