NURSINGCAREPLAN ASSESSMENTDIAGNOSISINFERENCEPLANNINGINTERVENTIONRATIONALEEVALUATION Subjective: Hindikoalam kungbakitganito angpaangbaby ko.(Idontknowwhy mybabysfeetarelike this)asverbalized bypatient. ·Knowledge deficient regarding condition, prognosis, treatment,selfcare,and discharge needs. ·Clubfootor Talipes Equinovarus isa congenital anomalyin whichthe footis ·After8hours ofnursing interventions, thepatientwill acknowledge feelingsand identifyhealth waystodeal withthem. Independent: ·Review pathology, prognosisand future expectations. ·Discussthe deformityand ·Provides knowledgebase fromwhich parentscan makeinformed choices. ·Toruleout misconceptions ·After8hoursof nursing interventions, thepatientwas ableto acknowledge
feelingsand identifyhealth waystodeal withthem. Objective: ·Requestfor information. ·Statementof misconception ·V/Stakenas follows: T:36.8 P:120 R:40 plantar flexedatthe ankleand subtalar joints,the hindfootis inverted, andthe midfootand forefootare adducted and inverted. Contracture softhesoft tissues maintainthe malalignme nts.The exactcause ofclubfoot isunknown, butgenetic factorsmay expected treatmentin termstheparent scan understand. ·Encourage parentstohold andplaywith childand participatein care. ·Assessand teachparentto assessforsigns ofexcessive pressureon skin,redness, excoriation. ·Elevatethe extremity. ·Stimulate movementof
toes. ·Providecomfort measuressuch andtoprovide accurate information aboutthe deformity. ·Topromote bonding betweenthe babyandthe parents. ·Thesesigns require immediate evaluationand intervention. ·Topromote venousreturn andprevents edema. ·Topromote circulation ·Promotes relaxationand
include intrauterine infection, bone infection, vascular andnerve lesionshave been suspected. Complicatio nsinclude rocker bottom deformity, disturbance ingrowth, and recurrentor residual deformity. assoftmusic, pacifier,teething ring,orrocking. Collaborative: ·Discussthe importanceof physical therapist. mayenhance patientscoping abilitiesby refocusing attention. ·Physical therapistis importantto enhance mobility. include intrauterine infection, bone infection, vascular andnerve lesionshave been suspected. Complicatio nsinclude rocker bottom deformity, disturbance ingrowth, and recurrentor residual
deformity. assoftmusic, pacifier,teething ring,orrocking. Collaborative: ·Discussthe importanceof physical therapist. mayenhance patientscoping abilitiesby refocusing attention. ·Physical therapistis importantto enhance mobility.