NURSING CARE PLAN
[Pages:2]NURSING CARE PLAN
ASSESSMENT DIAGNOSIS
INFERENCE
Subjective:
"Namumula ang mukha ko" as verbalized by the patient.
Objective:
? Butterfly rash on face.
? Alopecia.
? V/S taken as follows:
T: 37.2 P: 90 R: 19 BP: 110/80
? Disturbed body image related to
? Systemic lupus erythematous
presence
(SLE) is a
of rash,
chronic, multi
lesions, alopecia and loss of strength.
system disease involving
connective
tissue that
appears to
result from
production of
autoantibodie
s. Immune
complexes
and other
immune
system
constituents
combine to
form
complement
that is
deposited in
organs,
causing
inflammation
and tissue
necrosis. The
disease may
be mistaken
PLANNING
? After 7 days of nursing interventions, the patient rash will be minimized and prevented.
INTERVENTION
Independent: ? Encourage good
nutrition, sleep habits, exercise, rest and relaxation technique. ? Suggest alternative hairstyles or wearing of scarves or wigs. ? Encourage good oral hygiene. ? Teach the patient relaxation techniques such as deep breathing, progressive muscle relaxation and imagery. ? Avoid direct exposure to sunlight and encourage use of sunscreen and wear protective clothing. ? Advice to avoid pregnancy during the time of the disease.
RATIONALE
? To improve general health and help prevent infection.
? To cover significant areas of alopecia.
? To prevent oral ulcer.
? To reduce emotional stress that may cause fatigue.
? To reduce the chance of exacerbations.
? Use of some drugs for treatment of SLE can cause sterility.
EVALUATION
? After 7 days of nursing intervention s, the patient rash was minimized and prevented.
for rheumatoid arthritis, 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.
Collaborative: ? Administer
analgesics as prescribed.
? To enhance pain relief.
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