NURSING CARE PLAN

Name of Patient Ms. Maria Rm/Bed No. Rm S, Bed 8 Age 80 years old Chief Complaints  referred for a psychological evaluation
of her depression and anxiety
Address Admission Date November 10, 2020 Sex Female Diagnosis Chronic Low Self-Esteem related to feeling of
being neglected as manifested by decreased
desire to interact with others and family

ASSESSMENT HEALTH NURSING DESIRED INTERVENTION RATIONALE EVALUATION REMARKS

PATTERN DIAGNOSIS OUTCOME
Subjective Cues: Note: Use P-E-S GENERAL INDEPENDENT: INDEPENDENT: N/A
format
>the pt OUTCOME: > accept pt’s > this would avoid threatening Patient verbalized and manifested
acknowledged a Chronic Low Self- >pt will verbalize perception or view existing self-esteem increased sense of self-worth in
decreased desire Esteem related to and manifest of situation. relation to current situation and
to interact with feeling of being increased sense of patient have already minimal
SELF-
other residents neglected as self-worth in >determine >current crises may exacerbate improvement in interacting with the
PERCEPTION
and family manifested by relation to current factors of low self- long-standing feelings and nurse and other people.
– SELF
> The biggest blow decreased desire situation and pt will esteem related to perception of self-evaluation as
CONCEPT
to her self-esteem to interact with have minimal current situation. not being worthwhile. >GOAL MET
PATTERN
was that she now others and family improvement in
was the patient interacting with the >address >client’s self-esteem may be
who relied on nurse and other presenting affected due to medical
others for care, people. medical issues. conditions.
which was an
extremely difficult Background SPECIFIC >determine >the development of a positive
reality for her to Knowledge OUTCOME: availability and sense of self depends on how
face quality of family or the person relates to the
Self-esteem is > patient can build S/O’s support. members of the family.
known to be a trusting
Objective Cues: associated with
> referred for a relationship with >Develop >Promotes trusting situation in
depression in nurses therapeutic which client is free to be open
psychological stroke survivors.
evaluation of her relationship. and honest with self and to the
According to > Patient will a. be attentive nurse.
depression and research, stroke
anxiety understand b. validate pt’s
survivors tend to negative evaluation communication
>Has history of have lower levels of self and reasons c. provide
CVA of self-esteem in for this problem. encouragement
> fear of not the days following for efforts
getting to the a stroke, and there >patient will
restroom in time, is a strong participate in >emphasize need >this will encourage the pt to
sitting in a wet association treatment program to avoid focus on aspects of self that can
diaper, and/or the between self- to promote change. comparing self be valued.
possibility of esteem and with others.
recurrent urinary depressive
tract infections symptoms. >involve pt in >Enhances sense of well-being
(UTIs) activities or and can help pt interact with
> became more Reference: exercise program others.
self-conscious of https://www.ncbi.nl and promote
her perceived m.nih.gov/pmc/arti socialization
“disability” cles/PMC4526460
> isolated in her /#:~:text=Self >provide positive >this would encourage the
room between %2Desteem%20is feedback for patient to feel good about herself
rehabilitation %20known verbal and and to develop internal sense of
sessions, rarely %20to,with behavioral self-esteem.
spoke with other %20depression indications of
residents, and %20in%20stroke improved self-
presented with %20survivors.&tex view.
increased anxiety t=According%20to
and depression %20research
> staff described %20by
her as a “problem %20Vickery,self
resident” as they %2Desteem
viewed her %20and
frequent requests %20depressive
for assistance as %20symptoms.
attention-seeking
behavior
> experienced
sadness regarding
the loss of
independence and
control in her life
> Maria felt as if
she were not
heard by staff