Nursing Care Plan
Cues
Nursing Problem
Scientific Reasoning
Planning
Implementation
Evaluation
Subjective:
>”Nay, kelan po tayo uuwi?” as verbalized by the patient
>”Nag-aaya na nga syang umuwi.” as verbalized by the caretaker
Objective:
>Patient is silent when hospital staff is around
>Patient does not have eye contact with the hospital staff
Fear related to hospitalization as manifested by alteration in behavior.
Hospitalization is usually perceived as a threat that is consciously recognized as a danger; and fear is a defensive mechanism in protecting oneself from any sense of threat
SOURCE:
Nurse’s Pocket Guide;
Doenges, Moorhouse, Murr
Handbook of Nursing Diagnosis;
Lynda Juall Carpenito-Moyet
Short term goal:
>To alleviate patient’s discomfort
>To enhance patient’s understanding of why such procedures and treatments are done
Long term goal:
>To develop patient’s confidence for future hospitalization
>Ascertain patient’s perception of what is occurring and how this affects life
If fear is left unchecked, can become disabling to the client’s life
>Determine patient’s age and developmental level
Helps in understanding usual or typical fears experienced by individuals
>Discuss patient’s perceptions and fearful feelings. Listen to patient’s concerns
Promotes atmosphere of caring and permits explanation or correction of misperceptions
>Provide information of verbal and written form. Speak in simple sentences and concrete terms
Facilitates understanding and retention of information
>Provide opportunity for questions and answer honestly
Enhances sense of trust and nurse-patient relationship
>Modify procedures, if possible
To limit degree of stress, avoid overwhelming a fearful individual
>Explain procedures within level of patient’s ability to understand and handle
To prevent confusion or information overload
>Support planning for dealing with reality
Assists in identifying
Nursing Problem
Scientific Reasoning
Planning
Implementation
Evaluation
Subjective:
>”Nay, kelan po tayo uuwi?” as verbalized by the patient
>”Nag-aaya na nga syang umuwi.” as verbalized by the caretaker
Objective:
>Patient is silent when hospital staff is around
>Patient does not have eye contact with the hospital staff
Fear related to hospitalization as manifested by alteration in behavior.
Hospitalization is usually perceived as a threat that is consciously recognized as a danger; and fear is a defensive mechanism in protecting oneself from any sense of threat
SOURCE:
Nurse’s Pocket Guide;
Doenges, Moorhouse, Murr
Handbook of Nursing Diagnosis;
Lynda Juall Carpenito-Moyet
Short term goal:
>To alleviate patient’s discomfort
>To enhance patient’s understanding of why such procedures and treatments are done
Long term goal:
>To develop patient’s confidence for future hospitalization
>Ascertain patient’s perception of what is occurring and how this affects life
If fear is left unchecked, can become disabling to the client’s life
>Determine patient’s age and developmental level
Helps in understanding usual or typical fears experienced by individuals
>Discuss patient’s perceptions and fearful feelings. Listen to patient’s concerns
Promotes atmosphere of caring and permits explanation or correction of misperceptions
>Provide information of verbal and written form. Speak in simple sentences and concrete terms
Facilitates understanding and retention of information
>Provide opportunity for questions and answer honestly
Enhances sense of trust and nurse-patient relationship
>Modify procedures, if possible
To limit degree of stress, avoid overwhelming a fearful individual
>Explain procedures within level of patient’s ability to understand and handle
To prevent confusion or information overload
>Support planning for dealing with reality
Assists in identifying