Veterinary Nursing Care Plan
Veterinary Nursing Care Plan
Prepared by: [YOUR NAME]
Contact: [YOUR EMAIL]
Company: [YOUR COMPANY NAME]
Phone: [YOUR COMPANY NUMBER]
Website: [YOUR COMPANY WEBSITE]
Patient Information
|
Animal Name |
Bella |
|---|---|
|
Species |
Canine |
|
Breed |
Golden Retriever |
|
Age |
5 years |
|
Sex |
Female (Spayed) |
|
Owner Name |
John Doe |
|
Admission Date |
February 20, 2051 |
|
Discharge Date |
February 23, 2051 |
Case: Post-Operative Care
Nursing Assessment
-
Surgical Procedure: Spay (Ovariohysterectomy)
-
Presenting Condition: Post-surgical pain, mild lethargy, reduced appetite.
-
Initial Findings: Incision site clean but inflamed, mild dehydration, reluctance to move.
Care Plan Goals
-
Manage pain effectively and maintain comfort.
-
Prevent infection and promote wound healing.
-
Ensure adequate hydration and nutrition.
-
Support mobility and reduce stress.
Nursing Interventions
|
Intervention |
Frequency |
Details |
Assigned To |
Evaluation Date |
|---|---|---|---|---|
|
Pain management |
Every 6 hours |
Administer prescribed painkillers (Meloxicam). |
Veterinary Nurse |
February 21, 2051 |
|
Wound care |
Twice daily |
Clean incision with antiseptic and monitor for signs of infection. |
Veterinary Nurse |
February 22, 2051 |
|
Hydration monitoring |
Every 4 hours |
Provide fresh water and offer small amounts of low-sodium broth. |
Veterinary Technician |
February 21, 2051 |
|
Nutrition encouragement |
Twice daily |
Feed recovery diet in small portions and record intake. |
Veterinary Nurse |
February 22, 2051 |
|
Mobility support |
Twice daily |
Assist in short, supervised walks to encourage circulation. |
Veterinary Technician |
February 22, 2051 |
Evaluation and Adjustments
|
Goal |
Progress |
Next Steps |
Review Date |
|---|---|---|---|
|
Pain managed effectively |
Moderate progress; mild discomfort |
Continue medication, reassess on Feb 23. |
February 22, 2051 |
|
Wound healing without infection |
Positive progress; no redness |
Maintain cleaning schedule. |
February 23, 2051 |
|
Adequate hydration and nutrition |
Good progress; appetite improving |
Transition to regular diet post-discharge. |
February 23, 2051 |
|
Mobility supported with reduced stress |
Satisfactory; animal tolerates short walks |
Increase walk duration gradually. |
February 23, 2051 |
Additional Notes
-
Owner advised to monitor Bella for signs of discomfort or infection at home (e.g., swelling, excessive licking).
-
Follow-up appointment scheduled for March 1, 2051, to evaluate incision healing and overall recovery.
