Catanduanes State University
College of Health Sciences
Bachelor of Science in Nursing
NCP
IN NCM 107
(CARE OF MOTHER, CHILD,
ADOLESCENT (WELL CLIENTS))
JOCEL T. TASARRA/2021-01486
BSN 2-C
MRS. ROMINA HOAR
Clinical Instructor
Catanduanes State University
College of Health Sciences
Bachelor of Science in Nursing
Nursing Care Plan
ASSESSMENT
Subjective
Data:
“Di tabi ako 
nurse nakahiro
ning tultol uya
sa may tig
operahan
banda”
as
verbalized by
the patient.
Objective Data:
- Limited range
of motion.
- Slow
movement.
DIAGNOSIS
PLANNING
SHORT TERM:
INDEPENDENT:
RATIONALE
INDEPENDENT:
EVALUATION
1. Goal met, the patient
was able to regain and
After
6
hours
of
nursing
1. Establish rapport. 1. To establish a good nurse- maintain mobility at the
Impaired physical
highest possible level.
intervention,
the
patient
2. Note behavioral patient relationship.
mobility.
will be able to:
responses
to 2. To know how well the patient
2. The patient understood
problems
cooperate and to know what the situation, individual
 Improve
mobility
of immobility.
things helps him to gain mobility treatment regimen and
status.
3. Assisting them to
safety measures.
better.
 Verbalize
learn
ways
3. To let them be able to care for
understanding of the
of managing
themselves without the help of
situation
and
problems
individual treatment
others
in
time
of
of immobility.
regimen and safety
4. Teach patient or emergencies/problems.
measures.
LONG TERM:
After weeks of nursing
interventions,
the
patient will be able to:

- limited ability
to perform
gross and fine
motor.
INTERVENTION

Regain and maintain
mobility
at
the
highest possible level.
Increase strength and
function
of
the
affected body part.
assist with active 4. Increases blood flow to
and passive ROM muscles and bone to improve
exercises
of muscle tone, preserve joint
affected
and mobility, prevent contractures
unaffected
or atrophy, and calcium
extremities.
resorption from disuse.
DEPENDENT:
DEPENDENT:
1. Teach the patient 1.
and significant others
(SO) about the use of
analgesics
and
Effective pain intervention
will enhance the patient’s
ability to engage in
Catanduanes State University
College of Health Sciences
Bachelor of Science in Nursing
V/S:
BP: 120/80
PR: 92
RR: 19
TEMP: 37.5°
O2 SAT: 97%
instruct
nonpharmacological
pain
management
such as imagery,
relaxation,
and
distractions.
COLLABORATIVE:
NONE
appropriate activity and
exercises.
COLLABORATIVE:
NONE