ASSESSMENT NURSING PLANNING INTERVENTION EXPECTED OUTCOME

DIAGNOSIS
SUBJECTIVE: STO: INDEPENDENT: Short term:
The patient verbalized After 2-3 days in >Acknowledge and accept >Acceptance of this feeling After 2-3 days of giving
“paano na ko giving nursing expression of feelings of as a normal response to what nursing interventions the
magkakaanak ulit kung intervention, the frustration, grief, hostility. has occurred facilitates patient was able
wala na akong matres? “ patient will be able to Note withdrawn behavior resolution. It is not helpful of verbalized acceptance of
verbalize acceptance and use of denial. possible to push patient self in situation relief
of self in situation, ready to deal with situation. anxiety and adaptation
relief of anxiety and Denial maybe prolonged and to altered body image
OBJECTIVES: adaptation to altered be an adaptive mechanism and was able verbalized
 Acknowledge body image and will >Be realistic and positive because patient is not ready understanding of body
feeling less be able to verbalize during treatments in health to cope with personal changes.
competent than understanding of teaching and setting goals problems.
most others body changes. within limitations. > Enhance trust and rapport
 Identify negative > Provide hope within between patient and nurse.
self-talk parameters of individual Long term:
messages used situation, do not give false > Promotes positive attitude After 10 days the
to reinforce low
LTO: reassurance. and provides opportunity to patient was able to
self-esteem
After 10 days of > Give positive set goals and plan for future recognized and
 Increase insight
into the giving nursing reinforcement of progress based on reality. incorporated body image
historical and intervention, the and encourage endeavors > Words of encouragement into self-concept in
current sources patient will be able to toward attainment of can support development of accurate manner without
of low self- recognize and rehabilitation goals. positive coping behaviors. negating self-esteem
esteem incorporate body > Encourage family and was able to
image change into interaction with each other >maintain open lines of acknowledge self as an
self concept in and with rehabilitation communication and provides individual who has
accurate manner team. on ongoing support for responsibility for self.
without negating self >Provide support group for patient and family.
esteem, and will be So. Give information about > Promotes ventilation of
able to acknowledge how so can be helpful to feelings and allow for more
self as an individual patient. helpful responses to patient.
who has > Role play social situation > Prepares patient for
responsibility to self. of concern to patient. reactions of others and
>Encourage patient to look anticipates ways to deal with
at/ touch affected body part. them.

1
 > To begin to incorporate
changes in body image.

ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

Subjective: the patient Deficient After 30  Ascertain level of  To assess After 30 minutes of nursing
verbalized “bakit ako knowledge minutes of knowledge, readiness to intervention the patient will :
matatanggalan ng matres? ano related to nursing including learn -Client will verbalize
bang sakit ko?” unfamiliarity intervention the anticipatory understanding of condition
with the patient will be needs.  Can encourage and potential complications.
information able to  Provide positive continuation of
Objective: participate in reinforcement efforts
-Client will identify
 Inaccurate follow the following
relationship of
through of instruction procedures to  Determine clients  Which may signs/symptoms related to
 Lack of source of be done. most urgent need differ and surgical procedure and
information from both clients require actions to deal with them.
and nurse adjustment in
viewpoint teaching plan
-Client will verbalize
understanding of
 State objectives  To meet therapeutic needs.
clearly in learner’s learner’s need
terms
 To facilitate
 Determine client’s learning or
method of recall
accessing
information  Clarifies
expectations of
 Provide mutual teacher and
goal setting and learner
learning contacts
 To answer
 Provide access question and
information for validate
contact person information post
discharge.
 Provide access
.
information about

2
additional learning
resources