Student Nurses’ Community

NURSING CARE PLAN – Hemophilia

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Independent:
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
rare, inherited
pagdurugo ng abnormal blood patient will bleeding. patient was able to
sugat ko” (My profile. bleeding disorder display display
wound won't stop in which your homeostasis as • Maintain a safe • Reduces homeostasis as
bleeding) as blood doesn’t clot evidenced by evidenced by
environment. Keep accidental injury,
verbalized by the normally. If you absence of absence of
all necessary which could
patient. bleeding. bleeding.
have hemophilia, objects within result in
you may bleed for patient’s reach and bleeding.
Objective:
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
internally,
bleeding. for occult blood. therapy may
especially in your
prevent critical
• V/S taken as knees, ankles,
hemorrhage.
follows: and elbows. This
bleeding can • Monitor for changes • Presence of
T: 37.1 damage your in vital signs and bleeding or
P: 78 organs or tissues skin color like blood hemorrhage may
R: 20 pressure, pulse, lead to
BP: 110/80 and, sometimes,
perspiration, skin circulatory failure
be fatal. People
pallor or or shock.
born with
discoloration.
hemophilia have
little to none of a • Evaluate change in • May reflect
protein needed level of cerebral
for normal blood consciousness. bleeding.
clotting. The
• Avoid use of aspirin • These
protein is called a
products or non medication
clotting factor. steroidal anti- reduces platelet
Student Nurses’ Community

inflammatory drugs. aggregation.

There are several
types of clotting
factors, and they
work together
with platelets to
help the blood
clot. Platelets are
small pieces of
blood cells that
are formed in the
bone marrow.
They play a major
role in blood
clotting.