ASSESSMENT Nsg.

DIAGNOSIS SCIENTIFIC PLANNING IMPLEMENTATI RATIONALE EVALUATION

EXPLANATIO ON
N

SUBJECTIVE DATA: SITUATIONAL Low self After one hour Independent: After one hour
“Nakakahiya LOW SELF esteem of nursing of nursing
naman, ESTEEM related adversely intervention, Assess degree of Some people may intervention,
may mga iba pang to lack of privacy affects an the client will perception of view a major the client:
tao..” as verbalized as evidenced by individual’s be able to: client in regard situation as • participat
by patient hesitance to outlook -participate to situation. manageable, while ed
remove gown. towards positively in the other person may positively
themselves, process of birth be overly in the
others and giving as concerned about process
their manifested by Asceratin sense the situation. of birth
OBJECTIVE CUES existence. Low proper pushing of control client giving by
 Uncomfortabl self esteem and proper has over self Locus of control is proper
e positioning fosters a positioning of and the important in pushing
 Restless sense of the body situation. determining and
 Anxious unworthiness, whether the client proper
 Not inferiority and -demonstrate believes he or she positionin
positioned lack of positive has control over g of the
properly purpose in an behaviors as the situation, or body
individual. manifested by whether is at the • demonstr
 Reluctance
It is following the Note nonverbal mercy of fate or ated
to remove
uncontrollable health body language. luck. positive
gown
in nature. provider’s behaviors
People with instructions Nonverbal cues by
low self during birth may indicate the following
esteem feel giving Identify previous reluctance to some the
insecure. They adaptations to manner of the health
are not sure birth giving. situation. provider’
what normal s
is, and they This affects the instructio
are not mother’s ns during
comfortable understanding and birth
with Encourage compliance of the giving
themselves or expression of health teachings
with others. feelings or prior to
anxieties. childbearing.
Provide This may pertain
instructions to the pain
regarding proper regarding the
positioning such infant coming out.
as lithotomy.
Many women
perceive stirrups
as unnatural
position for
performing an
episiotomy or for
viewing the
perineum to detect
Provide privacy lacerations or
such as closing other problems at
the cubicle or the borth, they are
only health care generally
provider uncomfortable.
responsible (Pilliteri, 535)
should stay in
the room. Client may feel the
control over the
situation when
given proper
privacy. This also
Instructions promotes patients’
should be coordination and
repeated as preservation of
necessary. self-esteem.

Provide Often the woman

instructions is so involved with
regarding time the coming birth
of pushing and that she does not
panting. hear.

During birth,
women may be
asked to pant
deliberately so
that she does not
only push during
contraction. This
helps to avoid
head of infant to
be expelled and
prevent perineal
lacerations.