Assessment Diagnosis Planning Intervention Evaluation

S-“ Bleeding related to After the end of the shift  established After the end of the shift,
Medyo nagdudugo ba” induced clotting there will be decreased rapport blood loss has been
as verbalized by the mechanism as evidenced blood loss.  Monitor vital decreased as evidenced
sister” by verbalization of signs by verbalization of
bleeding process,  Monitor input minimal blood loss.
generalized weakness, &output blood
O- poor skin turgor, poor loss
>conscious appetite and pallor  Apply direct
> with teary eyes pressure to the
>with poor skin turgor bleeding sites
>weak in appearance  Assess for skin
>with poor appetite; & mucous
consumed half meal membrane for
served evidence of
>pale looking pallor
 Instructed the
mother to
increase the
amount of
frequency of
liquid intake to
rehydrate cell
 Cleanse the
bleeding site
thoroughly