Question

Write an NCP regarding a 35 year old patient for discharge

premise: Patient has just given birth NSD to a preterm baby the baby is alive and is currently in the NICU

"Write a discharge NCP" please :)

with the following

1. Assessment

2. Nursing Diagnosis

3. Inference

4. Nursing intervention

5. Scientific rationale

6. Evaluation

thank you

Answer 1

1.ASSESSMENT:

Dyspnea

NURSING DIAGONSIS:

Impaired gaseous exchange related to immature functions of pulmonary system.

NURSING GOAL:

After evaluation and monitoring with interventions the neonate will be weaned to room air without any supplementary post 24 hours.

NURSING INTERVENTION:

• Assess the respiratory status and note any form of respiratory distress eg) Nasal flaring, Gurnting, Tachypnea, Rhonchi or crackles
• Assess for any signs of cyanosis.
• Monitor the laboratory studies.

RATIONALE:

• Tachypnea indicates signs of respiratory distress when the >75cpm/min within first 5 hours of life.
• Lack of oxygen results in cyanosis.
• Prevent the future complication.

OUTCOME:

After 24 hours of intervention the patient will be able to breath without oxygen supplement.

2.ASSESSMENT:

Nutritional status

NURSING DIAGONSIS:

Altered nutrition less than the body requirement related to prematurity as evidenced by weak feeding reflexes.

NURSING GOAL:

After evaluation and monitoring the neonate will be able to gain weight upto 30g/day with persistent growth.

NURSING INTERVENSION:

• ​​​Assess the neonate reflexes eg) swallowing, sucking, coughing.
• Instill breast milk/Formula milk over 20 mins with 20ml/20min.
• Position Right side with Head elevated 30 degree.

RATIONALE:

• ​​​​​​To know the appropriate feeding method of the infant.
• To prevent risk of regurgitation
• Facilitate gastric emptying and prevent reflux.

OUTCOMES:

Bring out good sucking & swallow reflexes and add 10g to body weight.

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