NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: • Knowledge • Clubfoot or • After 8 hours • Review • Provides • After 8 hours of
deficient of nursing pathology, knowledge base nursing
“Hindi ko alam Talipes
regarding interventions, prognosis and from which interventions,
kung bakit ganito condition, Equinovarus the patient will future parents can the patient was
ang paa ng baby prognosis, is a acknowledge expectations. make informed able to
ko.” (I don’t know why treatment, self- congenital feelings and choices. acknowledge
my baby’s feet are like care, and identify health feelings and
anomaly in
this) as verbalized discharge ways to deal identify health
by patient. which the
needs. with them. • Discuss the • To rule out ways to deal
foot is deformity and misconceptions with them.
Objective: plantar expected and to provide
flexed at the treatment in accurate
• Request for ankle and terms the parent information
information. s can about the
subtalar
understand. deformity.
• joints, the
Statement of • Encourage • To promote
misconception hind foot is parents to hold bonding
inverted, and play with between the
• V/S taken as and the child and baby and the
follows: midfoot and participate in parents.
forefoot are care.
T: 36.8 • Assess and • These signs
P: 120 adducted
teach parent to require
R: 40 and assess for signs immediate
inverted. of excessive evaluation and
Contracture pressure on intervention.
s of the soft skin, redness,
tissues excoriation.
• Elevate the • To promote
maintain the
extremity. venous return
malalignme and prevents
nts. The edema.
exact cause • Stimulate • To promote
of clubfoot movement of circulation
is unknown, toes.
• Provide comfort • Promotes
but genetic
measures such relaxation and
factors may
include as soft music, may enhance
intrauterine pacifier, teething patient’s coping
ring, or rocking. abilities by
infection, refocusing
bone attention.
infection,
vascular
and nerve Collaborative:
• Discuss the • Physical
lesions have
importance of therapist is
been physical important to
suspected. therapist. enhance
Complicatio mobility.
ns include
“rocker
bottom”
deformity,
disturbance
in growth,
and
recurrent or
residual
deformity.