Cues Nursing Diagnosis Rationale Planning Nursing Intervention Rationale Evaluation
Cues Nursing Diagnosis Rationale Planning Nursing Intervention Rationale Evaluation
Cues Nursing Diagnosis Rationale Planning Nursing Intervention Rationale Evaluation
Cues CARE
Nursing
Diagnosis
Rationale Planning Nursing
Intervention
Rationale Evaluation
Subjective:
“ Nilalamig ako”
as verbalized by
PLAN
Hypothermia
related to age-
related changes
Older people
are at risk for
hypothermia
After 1hr. of
nursing
Monitor the
patients vital
signs
To assess the
severity of
hypothermia.
Goal was met.
The patient
the patient in because their intervention, especially Use oral or temperature
thermoregulatio body's the patient temperature tympanic increased to
Objective: n response to will have a thermometer 36 C.
Skin cold to cold can be body to get accurate
touch diminished by temperature temperature.
Pallor certain illnesses within
Shivering such as normal Wrapped the To reduce loss
noted diabetes and range as patient with of heat and
T- 34.8 some manifested a blanket provide
medicines, by an warmth
including over- increased
the-counter temperature Increase the To reverse
cold from 34.8 C room mild
remedies. With to 35.4 C temperature hypothermia
advancing age, and provide
the body's warmth
ability to
endure long Encourage Dehydration
periods of fluid intake can cause
exposure to hypothermia
cold is lowered.
Administer Treating
antibiotics as underlying
prescribed by condition will
the physician help the
patient
temperature to
return to
normal range