Cynthialyn Castro, 29 year old Female: with a Diagnosis of Pre-eclampsia severe,

to consider diabetic, to consider Sub-involution Anemia Secondary. Assessment Di

agnosis Planning Intervention Rationale Evaluation Subjective Data: Di ko alam na
diabetic na pala ako. Ngayon lang nung na admit ako as manifested by the mother.
Objective Data: Alert, conscious and able to sit and stand. Vital signs: T: 36.
3 C RR: 24 bpm PR: 82 cpm BP: 120/80 mm Hg Knowledge deficit related to lack of e
xposure to the disease secondary to Diabetes Objective To participate in learnin
g process. Short term goal: The patient will be able to verbalize the understand
ing of individual therapeutic interventions, medications and its purposes. Long
term goal: The patient will be able to verbalize her understanding regarding to
rich in iron Diabetic diet. Independent Intervention: Assess Vital signs Explain
to the client the procedure and its purpose regarding to Capillary Blood glucos
e. Monitor the capillary blood glucose of the patient. Instruct patient to fasti
ng or maintain NPO (nothing per orem) for 6 hours prior to CBG (capillary blood
glucose measurement) Instruct patient to avoid sugar-rich foods (e.g. chocolate)
Instruct patient to eat Iron rich foods (e.g. liver or animal organs, egg, fish
, poultry, leafy vegetables and dried fruits) for her anemia. Give the importanc
e of ambulation or exercise. Explain to the client facts, causes and information
regarding to her disease. Explain also the purpose of the The patient is able t
o verbalize the understanding of individual therapeutic interventions, medicatio
ns and its purposes. Long term goal: The patient will be able to verbalize her u
nderstanding regarding to rich in iron Diabetic diet
To determine the current status of the patient. To reduce anxiety of the patient
. To check the condition of her diabetes. To avoid inaccurate reading of the res
ult.
To prevent risk in hyperglycemia To prevent anemia and to help in producing more
red blood cells. To promote blood circulation. To educate the client regarding
to her status and acquired disease.

treatment and therapeutic regimen given by her doctor. Provide Oral care Instruc
t the Family to bathe the patient every other day. Dependent Intervention: Give/
administer medications as instructed by the doctor. Collaborative Intervention:
Refer patient to Med. Tech for Laboratory Examination of her Hggt, TID For patie
nts comfort To provide optimal skin care and comfort. To promote wellness of the
patient and to stabilize her health. For further evaluation and analysis of the
patients disease.