Date/ time Jan.

24, 2012 @ 2pm

Cues

Nee d

Nursing Diagnosis

Objectives of Care

Interventions

Evaluation

Subjective: N: Ano sa tingin nyo ang dapat nyong gawin kapag may lalapit na negro sa iyo maam? R: Wala, aalis lang ako. Takot kasi ako sa kanila eh. N: May naiisip po ba kayo na technique para maovercome nyo ang takot nyo sa kanila? J: Wala eh. Di na lang ako lalapit sa kanila. Objectives: Inability to make decisions Inability to ask for help Fair appetite

Ineffective individual coping related to inadequate coping method. R: Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resourcesFor most persons, everyday life includes its share of stressors and demands, ranging from family, work, and professional role responsibilities to major life events such as divorce, illness, and the death of loved ones. How one

Within my 4 days span of care , the client will be able to identify own maladaptive coping behaviors as evidenced by: .

1.Determine the February 01, 2012 presence/degree of @ impairment of clients 6pm coping abilities. R: Provides information goal met about perceived and actual That at the end of my 4 coping ability, life change days span of care , the units, anxiety level, client was able to a. Patient identifies 2. Assist client to identify own maladaptive available resources identify/discuss thoughts, coping behaviors as perceptions,and feelings. and support evidenced by: systems such as R:Client is able to view the staff nurses, . how perceptions/thinking/ student nurses and affect is processed and to a. Patient identified strengthen reality orientation a friends and her available resources and family; and support systems such as 3.Encourage client to b. Patient describes the staff nurses, student express areas of and initiates nurses and friends and concern. Support alternative coping her family; and formulation of realistic strategies such as b. Patient described and goals and learning of Physical Exercise; initiates alternative appropriate probleme.g., aerobic, coping strategies such solving techniques. strength, stretching, as Physical Exercise; R: This disorder first dance, yoga, e.g., aerobic, strength, manifests itself at an martial arts, tai-chi, stretching, dance, yoga, early age before the etc., martial arts, tai-chi, etc., client has had an Creative/artistic Creative/artistic selfopportunity to learn self-expression; expression; e.g., effective coping skills. e.g., creative creative writing, painting, In a trusting writing, painting, drawing relationship (a climate

responds to such stressors depends on the persons coping resources. Such resources can include optimistic beliefs, social support networks, personal health and energy, problem-solving skills, and material resources. Sociocultural and religious factors may influence how people view and handle their problems. Some cultures may prefer privacy and avoid sharing their fears in public, even to health care providers. As resources become limited and problems become more acute, this strategy may prove ineffective. Vulnerable populations such

drawing.

of acceptance), the client can begin to learn these skills, without fear of judgment. 4. Encourage client to identify precipitants that led to ineffective coping, when possible. R: Knowledge of stressors that have precipitated deteriorated coping ability enables client to 5. Explore how clients perceptions are validated prior to drawing conclusions. R: With support, client has the opportunity to learn to validate perceptions before selecting ineffective/inappropriate coping methods (such as acting-out behavior). 6. Assist client to recognize and develop appropriate/ effective coping skills. R: Increased/more flexible problem-solving or coping behaviors prevent decompensation (distorted reality, delusional system). 7. Teach use of relaxation, exercise, and diversional

recognize a

problems oc

as elderly patients, those in adverse socioeconomic situations, those with complex medical problems such as substance abuse, or those who find themselves suddenly physically challenged may not have the resources or skills to cope with their acute or chronic stressors.

activities as methods to cope with stress. R: to divert the attention. 8. Encourage patient to seek information that increases coping skills. Patients who are not coping well may need more guidance initially.

(distorted re

acting-out b ineffective/i acting-out b

stresses (in functioning, problem-so