Nursing Care Plan

Assessment Nursing Case Plan/Goal Intervention Rationale Evaluation

Diagnosis Background
Objective Altered State in which Monitor lab Lab studies give
protection an individual results a good indication
-weak looking related to experiences a Free any of the After the
clotting disorders decrease in evidence of interventions
seriousness of
-anorexia ability to guard bleeding within done, the client
the self from the bleeding showed signs of
the shift disorder
-immobility internal or recovery
external threats
-(+) skin such as illness
petichiae or injury
Excessive
Take vital signs bleeding causes
frequently dec. in bp and
inc. in pulse and
RR

Avoid Theses can inc.

administering bleeding
salicylates or
nsaid
medications

Good nutrition is
Observe needed to
nutritional status support
formation of
clotting elements