Assessment NURSING RATIONALE PLANNING NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTIONS
CUES
Problem: Socialization, as a process, is
Subjective: Disturbed body characterized by the internal Long term: INDEPENDENT Long term:
“parang hindi image struggle between the After 4 hours of After 4 hours of
nawawala ang biological components and nursing 1. determine whether There is always nursing
rashes ko sa the social cultural intervention the condition is something that can intervention the
mukha at Etiology: environment of the patient will be able permanent or no be done to enhance patient has
Related to individual. Disturbance about To recognize and expectation for acceptance and it is recognize and
braso. Ano perception of what the physical appearance can incorporate body resolution important to hold incorporate body
kaya pwede other says. cause decrease self esteem image change into but the possibility image change into
kong gawin? ” and affects your socialization. self concept in of living a good self concept in
as verbalized accurate manner life. accurate manner
by the client. Signs and (Freud’s theory of without negating without negating
symptoms: personality development) self esteem 2. Evaluate level of Emotional changes self esteem
-Behaviors of Reference: client knowledge of may indicate -goal fully met
acknowledgement general psychology by and anxiety related acceptance or non
of ones body Short term: situation. acceptance to the Short term:
Objective:
Francisco Zulueta and After 30 minutes situation. After 30 minutes of
-Behaviors of -actual change in Maricel Paraiso, pages 310 of nursing nursing
acknowledgeme structure intervention the 3.note use of May reflect intervention the
ntof ones body patient will be able addictive substance or dysfunctional patient has
-change in social to verbalized alcohol coping verbalized
-actual change in involvement understanding of understanding of
structure body image. body image.
-Trauma to 4.allow patient to use Provide -fully met
-change in social nonfunctional denial without opportunities for
involvement parts participating listening to
concerns and
-Trauma to questions.
nonfunctional
parts Provide individual
time to adapt to
situation.
 PRIORITIZED PROBLEMS:

1. Disturbed body image related to perception of one’s image.

2. Knowledge deficient related to cognitive limitation

3. Nausea related to gastric irritation and unpleasant taste

4. Fatigue related to psychosocial problem(boring lifestyle, stress, anxiety,

depression)

5. Sexual dysfunction related to altered body function.