Nursing Care Plan

Acute Lymphoblastic Leukemia

 Cues/Needs Nursing Rationale Goals and Interventions Rationale Evaluation
Diagnosis Objectives

SUBJECTIVE: Activity Anemia is After 8 INDEPENDENT: INDEPENDENT: After 8 hours of

Intoleranc a medical co hours of -plan care with -Conserves energy for nursing
“ minsan hindi e: fatigue ndition caus nursing rest periods healing, cellular interventions, goal is partially
siya related to ed by an intervention between activities regeneration. met as evidenced by:
makatayo anemia abnormally s the
kasi sobrang low number patient will >patient was able to stand
nanghihina of red blood be able to and walk alone.
siya” as cells. Red demonstrat -elevate head of
verbalized by blood cells, ea bed as tolerated -enhances good breathing >patient was able to play
the patient’s also called decrease in while sitting
mother. erythrocytes physiologic -provide positive
>patient was able to brush
, contain signs of atmosphere, while -helps the patient
her teeth in the comode
OBJECTIVE: hemoglobin, intolerance acknowledging understand her situation
a red, iron- difficulty of the and to feel more
-weakness rich protein situation of the comfortable dealing with
that carries patient her illness.
-feeling of oxygen in
exhaustion the blood to -provide quiet
the body’s environment, - Promotes fast recovery.
-low RBC
tissues. maintain bed rest Prevents cross
counts: 3.66 x
People with as indicated. Limit contamination
10^12/L
anemia visitors, phone Or reduce risk for infection.
- low develop calls and reported
hemoglobin symptoms unplanned
count: 112 g/L caused by interruption.
the poor
-shortness of delivery of -prioritize nursing
breath oxygen to care schedules to -prevents exhaustion and
their body enhance rest. fatigue
-fatigue tissues.
These
symptoms -use energy
include pale techniques such as
skin, shower chair, -facilitates easier
shortness of sitting performing movement and restoration
breath, task. of energy.
rapid
heartbeat, - provide
low vitality, assistance with -helps the patient in
dizziness patient, including moving and gives her the
which activities that the feeling of physical and
causes patient views as emotional support.
difficulty of essential.
the patient Increase activity