Care Plan

Circle type: HEALTH PROMOTION, SAFETY, PHYSIOLOGICAL, PSYCHOSOCIAL

Learner’s Name: _____________________________________ Date: ______________ Age: ____ Medical Diagnosis: _____chronic kidney
failure_____________

NANDA Patient Goal Nursing Interventions Rational Evaluation

What do you hope What is indicated for the Why is the intervention Did patient reach goal?
Nursing Diagnosis will be the result of management of this Indicated? Did interventions work?
your efforts? particular problem? Was goal appropriate?

Name three to four priority

interventions
Fluid overload 1.establish rapport 1. To assess to
Patient will: within predisposing and Circle one:
24hrs to have causative factors
cleared feet, wrist 2. monitoring and vital 2. Obtain baseline data Met goal
and ankle edema, signs recording Cleared feet and ankle
R/T: inability of kidney to maintain after 3 days the 3. To drain the edema edema
body fluid balance patient should 3. patient positioning i.e.
manifest stable fluid elevation of the limbs
volume 4. To monitor amount
4. monitoring of patient of fluid retention
fluid intake and evaluate degree Goal partially met,
of excess need to:
Stabilizing body fluid
As manifested by: edema in the feet, volume
ankle, wrists and face.
As exhibited by:
medical doctor
Goal not met, need to:
 Care Plan

Circle type: HEALTH PROMOTION, SAFETY, PHYSIOLOGICAL, PSYCHOSOCIAL

Learner’s Name: _____________________________________ Date: ______________ Age: ____ Medical Diagnosis: ___chronic kidney
failur_______________

NANDA Patient Goal Nursing Interventions Rational Evaluation

What do you hope What is indicated for the Why is the intervention Did patient reach goal?
Nursing Diagnosis will be the result of management of this Indicated? Did interventions work?
your efforts? particular problem? Was goal appropriate?

Name three to four priority

interventions
1.communicating to the 1.to make the patient
Inadequate nutrition Patient will: within patient understand the importance Circle one:
24hrs should try of feeding
taking liquid food, 2. feeding of the patient 2.improve body nutrients Met goal
in 3 days should be 3.monitering of bowel 3. to check for presence of Taking of little liquid
R/T: able to consume movements bowel retention or foods
Inability to ingest or absorb food solid food complications
nutrients

Goal partially met,

need to:
In 3 days should be able
to consume solid foods
As manifested by: As exhibited by:
Low nutrients than normal body nutritionist
requirement

Goal not met, need to: