ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Readiness for After 2 hours of Independent: After 2

a) this provides an
nursing a)Verify the client’s
enhanced level of knowledge opportunity to hours of
intervention, the ensure accuracy nursing
Knowledge to about
Objective: client WILL BE and completeness
contraception ABLE to contraceptives/contr intervention
aception. of knowledge base
“Signified verbalize b)Determine for future learning. , the client
willingness understanding motivation and WILL
b)Use of multiple
to try using of information expectations for
formats increases verbalize
the pill” gained. learning
c)Prepare
learning and understandi
retention for
“Inquired Long Term: information in varied ng of
material
about After 24 hours formats appropriate c)This promotes information
to client’s learning
methods of of nursing on-going learning gained.Goal
style.
spacing her intervention, the at the client’s own
d)Provide Met
children client WILL pace.
information about
and show additional or outside
immunizati confidence in learning resources.
on” using pills. (i.e. Web sites)
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: After2 hoursof Independent: Independent: After 2 hours of

Readiness nursing a) Provideinformation a) To avoid
nursing
for intervention,the aboutself-care,including infectionand
intervention, the
clientWILL BE perinealcare and other
Objective:
enhanced ABLE to verbalize hygiene. complications client WILL
understandingof b) Review normal b) Theclient’s verbalize
“Involution CHILDBEA care requirements psychologicalchanges emotional
understanding of
consistent for to promote health andneeds associated statemaybe
one week post- RING of selfand infant. withpostpartalperiod. somewhat care
partum” PROCESS labileat this requirements to
LONG TERM: Dependent: timeand promote health
“Came in for After6 weeks of a) Refer to OBGYN for oftenis
of self and infant.
nursing palpationfor involution influencedby
follow up one GOAL MET.
intervention,the physicalwell-
week post- client’sinvolution Collaborative: being.
partum” of uterusWILL a) Reinforcethe importance Dependent:
return to its of post-partal Collaborative:
“(-) unusual normalsize. examinationby health a) Follow up visit
discharges, care provider andinterim isnecessary
smell, redness or followup as appropriate. to evaluate
pain. therecovery
of the
reproductive