ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Subjective: Ineffective After 8 hours of Avoid injections, Protects patient After 8 hours of
protection Hemophilia is a nursing rectal temperatures from procedure nursing
“Ayaw tumigil ng related to interventions, the or rectal tubes. related causes of interventions, the
pagdurugo ng abnormal blood patient will bleeding. patient was able
sugat ko” (My profile. bleeding disorder display to display
wound won't stop in which your homeostasis as Maintain a safe Reduces homeostasis as
bleeding) as blood doesn’t clot evidenced by environment. Keep accidental injury, evidenced by
verbalized by the normally. If you absence of all necessary which could absence of
patient. bleeding. objects within result in bleeding.
patient’s reach and bleeding.
Objective: you may bleed for
keep bed in low
a longer time than position
Altered blood others after an
clotting. injury. You also Hematest body Prompt detection
may bleed fluids like urine, of bleeding or
Continuous stool, and vomitus, initiation of
for occult blood. therapy may
especially in your
V/S taken as knees, ankles, hemorrhage.
follows: and elbows. This
bleeding can Monitor for changes Presence of
T: 37.1 in vital signs and bleeding or
P: 78 skin color like blood hemorrhage may
R: 20 organs or tissues
pressure, pulse, lead to
BP: 110/80 and, sometimes, perspiration, skin circulatory failure
be fatal. People pallor or or shock.
born with discoloration.
little to none of a Evaluate change in May reflect
level of cerebral
for normal blood
clotting. The Avoid use of aspirin These
protein is called a products or non medication
clotting factor. steroidal anti- reduces platelet
There are several inflammatory drugs. aggregation.
types of clotting
factors, and they
with platelets to
help the blood
clot. Platelets are
small pieces of
blood cells that
are formed in the
They play a major
role in blood
NURSING CARE PLAN – Hemophilia