URDANETA CITY UNIVERSITY
San Vicente West, Urdaneta City, Pangasinan 2428
COLLEGE OF HEALTH SCIENCES
Bachelor of Science in Nursing
NURSING CARE PLAN (NCP)
Name of Student: MERCADO, CHRISTINE JOY E. Year Level and Group: BSN-3 BLK 7 B1
Affiliating Agency/Area: TAYUG FAMILY HOSPITAL Month/Year of Exposure: APRIL 2023
Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation
(at least 10)
Subjective: Problem, Etiology, Signs Short Term Goal: Short Term Goal Evaluation
(P.E.S.) format S.M.A.R.T. + Evidence Assess for general status To determine what causes the
“NAHIHILO SYA dizziness and what health After 8 hours of nursing
AT NANGHHINA” Risk for injury related After 8 hours of nursing teaching to provide intervention the patient
AS VERBALIZED to hypertension as intervention the patient remain safe from injury
BY THE manifested by dizziness was able to remain safe
SIGNIFICANT and body weakness from any possible
OTHER injury Monitor vital signs especially To monitor patients status
blood pressure increase in BP indicates
increased in cerebrovascular
pressure
Monitor for the side effect of To determine if this drugs has
drugs given something to do with the
patients dizziness
Limit activities and maintain This may help alleviate
quite, non-stressful dizziness by letting the client
environment have peaceful rest
Objective: INFERENCE Long Term Goal: Long term Goal Evaluation
Scientific Explanation S.M.A.R.T.+ Evidence Position patient in Trendelenburg position
FATIGUE (Diagram Form) trendelenburg position facilitates easy back flow of After 3 days of nursing
WEAKNESS blood from the heart interventions the patient is
RESTLESS Stimulation of After 8 hours of now free from dizziness and
DIZZINESS vasomotorcenter (loc in nursing intervention the able to do ADL’s without any
medulla) sendimpulses patient was able to Provide safety by raising the To prevent the patient from fear from being injured
BP: 150/80 to CNS remain safe from any side rails falling down in the bed
O2:97 possible injury
PR:87
RR:17 Encouraged to avoid sudden Sudden movement aggravate
TEMP:35.8 Acethylcoline released movement the dizziness
by prosta preganglionic
neurons
Advised SO to always To have somebody to help her
accompany the patient whenever the dizziness will
occur
Preganglionic fiber
releases
Norepinephrine
(constriction of blood
vessel thereby
increasing blood
pressure
Adrenal medulla secrets
epinephrine
Increased blood
pressure causing it to
increase blood supply in
the brain causing
occipital headache
Checked by: Mr. Jerome Glenn Ortiz Date: April 13, 2023
Clinical Instructor’s Name and Signature