NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: • Disturbed • Systemic • After 7 days • Encourage good • To improve • After 7 days
body of nursing nutrition, sleep general health of nursing
“Namumula ang lupus
image interventions, habits, exercise, and help intervention
mukha ko” as related to erythematous the patient rest and prevent s, the
verbalized by the presence (SLE) is a rash will be relaxation infection. patient rash
patient. of rash, chronic, multi minimized technique. was
lesions, system and • Suggest • To cover minimized
Objective: alopecia prevented. alternative significant and
disease
and loss of hairstyles or areas of prevented.
• Butterfly rash strength. involving wearing of alopecia.
on face. connective scarves or wigs.
tissue that • Encourage good • To prevent oral
• Alopecia. appears to oral hygiene. ulcer.
result from • Teach the patient • To reduce
• V/S taken as relaxation emotional
production of
follows: techniques such stress that may
autoantibodie as deep cause fatigue.
T: 37.2 s. Immune breathing,
P: 90 complexes progressive
R: 19 and other muscle relaxation
BP: 110/80 immune and imagery.
• Avoid direct • To reduce the
system
exposure to chance of
constituents sunlight and exacerbations.
combine to encourage use of
form sunscreen and
complement wear protective
that is clothing.
• Advice to avoid • Use of some
deposited in
pregnancy during drugs for
organs, the time of the treatment of
causing disease. SLE can cause
inflammation sterility.
and tissue
necrosis. The
disease may
be mistaken
for Collaborative:
rheumatoid • Administer • To enhance
analgesics as pain relief.
arthritis,
prescribed.
especially in
early course
of the
disease.
Course of the
disease is
highly
variable, but
complications
of SLE
include
infection,
renal failure,
permanent
neurologic
impairment,
and death.
The disease
is more
common on
women than
men, usually
women at
childbearing
age, but can
affect children
age 5 to 15.