[Type text]

ASSESSMEN
T
Subjective:
Madalas
nalulungkot
po ako kasi
lagi ako nag
iisip ng
malulungkot
na bagay
tulad ng
nangyayari sa
buhay ko. as
verbalized by
the patient.
Objective:
-facial
grimace
-facial
sadness
-alone at
times
-fatigue
-restlessness

DIAGNOSIS

PLANNING

Ineffective
coping related
to inadequate
level of
confidence in
ability to cope
with
stress/problem
s.

After 3 days of
Nursing
intervention/
nurse patient
interaction
the patient
will verbalize
awareness of
own coping
abilities and
feelings
congruent
with behavior.

INTERVENTION

RATIONALE

Observe for
causes of
ineffective
coping such as
poor selfconcept, grief,
lack of
problem-solving
skills, lack of
support, or
recent change
in life situation.

Situational factors
must be identified to
gain an
understanding of the
client's current
situation and to aid
client with coping
effectively (Norris,
1992).

Help client set

realistic goals
and identify
personal skills
and knowledge.
Advised patient
to draw and
write whenever
he feels sad or
uneasy

Involving clients in
decision making
helps them move
toward independence

Use empathetic
communication,
and encourage
client/family to
verbalize fears,
express

Clients report
increased satisfaction
and empowerment,
greater compliance
with mutually agreedupon goals, and less
anxiety and

EVALUATION
After 3 days of
Nursing
intervention/
nurse patient
interaction the
patient can
now verbalize
awareness of
his own coping
abilities and
feelings
congruent with
his behavior.
-Goal Met.

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emotions, and
set goals

Encourage
client to make
choices and
participate in
planning of
care and
scheduled
activities.
Provide mental
and physical
activities within
the client's
ability (e.g.,
reading,
television,
radio, crafts,
outings,
movies, dinners
out, social
gatherings,
exercise,
sports, games).

depression when
communication is
empathic (WellsFederman et al,
1995).
Acknowledgment of
feelings
communicates
support and conveys
that clients are
understood (Leske,
1998).

Participation gives a
feeling of control and
increases selfesteem.

Interventions that
enhance body
awareness such as
exercise, proper
nutrition, and
muscular relaxation
may be effective for
treating anxiety and
depression (WellsFederman et al,

[Type text]
1995).
Use therapeutic
touch with
permission.
A gentle touch can
display acceptance
and empathy
(Hopkins, 1994).