Assessment

Objective:

(+) German
measles
vaccination
(+)
Deworming
(drenching)

Subjective:
Secondary Source:
Mother
Nagpabakuna ako
ng German Measles
sakanya nung
nakaraang taon
(2014)
Nakasali siya sa
deworming program
sa school niya

Nursing
Diagnosis
Readiness for
enhanced
immunization
status

Rationale
Vaccines are
administered
to induce
immunity
thereby
causing the
recipients
immune
system to
react to the
vaccine that
produces
antibodies to
fight
infection.
Vaccinations
promote
health and
protect
children
from disease
causing
agents.
(Public
Health
Nursing in

Planning

Interventions

Rationale

Evaluation

After 1 hour of
nursing intervention,
the client will be
able to:

a. Assess
clients history
of
immunization
s

a. Response
may vary
widely
depending on
clients age
(infant to
adult), cultural
influences,
travel history,
family beliefs
about
immunization,
and medical
conditions.

Goal met
After 1 hour of
nursing
intervention, the
client was able to:

Express the
importance of
immunization
s
Develop plan
to obtain
appropriate
immunization
s
b. Address
clients
concerns

c. Review
parents
knowledge
regarding
immunization

b. Helps to
clarify plans
and deal with
misconception
s or myths.
c. To document
status, plan for
boosters,
and/or discuss
appropriate
intervals for

Express the
importance
of
immunizatio
ns
Develop
plan to
obtain
appropriate
immunizatio
ns

the
Philippines,
10th edition,
page 142)

s
recommended

d. Review
reasons to
continue
immunization
programs

follow-up
d. Viruses and
bacteria that
cause vaccinepreventable
disease and
death still exist
and can be
passed on to
people who are
not protected,
thus increasing
medical, social
and economic
costs.
(Nurses
Pocket Guide
Diagnoses,
Prioritized
Interventions,
and
Rationales;
Marilynn E.
Doenges,
Mary Frances
Moorhouse,
Alice C. Murr.

12th Edition)