IV.

NURSING CARE PLAN

ASSESSMENT
Objective
Known case of
undifferentiated
schizophrenia
Never heard of her
family since she came
to the institution
Subjective
Wala na akong
balita sa pamilya ko

NURSING
DIAGNOSIS
Ineffective family
coping related to
loss of support
system

SCIENTIFIC RATIONALE
Inability to form a valid
appraisal of stressors,
inadequate choices of
practiced responses and
the inability to use
available resources

OBJECTIVES
Within 2-3 meetings of
nursing interventions, the
patient will:
1. Establish a trusting
relationship with the nurse
2. Verbalize emotions about
her current state
Within 1-2 weeks of nursing
interventions, the patient will:
1. Demonstrate a healthy
relationship with the nurse
and other clients
2. Identify problems and
formulate corresponding
solutions to the problem

NURSING
INTERVENTIONS
1. Establish rapport with
the patent

2. Allow the client to

express his or her own
feelings
3. Encourage the client
to socialize with other
clients

4. Provide knowledge on
what possible outcome
the patient might
encounter

RATIONALE

EVALUATION

1. To promote trust and

security with the patient

After 2-3 meetings of

nursing interventions,
the patient:
1. Established a
trusting relationship
with the nurse
2. Verbalized
emotions pertaining
to her current state

3. To direct feelings
outwards

3. To promote a healthy
relationship among the
members inside the
pavilion
4. To provide awareness
and prevent occurrence
of such complications

Within 1-2 weeks of

nursing interventions,
the patient:
1. Demonstrated a
healthy relationship
with the nurse and
other clients
2. Identified problems
and formulated
corresponding
solutions to the
problems

ASSESSMENT
Objective
Known case of
undifferentiated
schizophrenia
Can respond to
questions with
appropriate answers
Presents herself with
the appropriate
affect and behavior
Subjective
Mabuti naman ang
pakiramdam ko at
pabuti ako ng pabuti

NURSING
DIAGNOSIS
Readiness for
enhanced selfconcept related
to positive
attitude

SCIENTIFIC RATIONALE
A pattern of regulating
integrating into daily
living a program for
treatment of illness and
its sequelae that is
sufficient for meeting
health-related goals and
can be strengthened

OBJECTIVES
Within 2-3 meetings of
nursing interventions, the
client will:
1. Identify or use additional
resources as appropriate
2. Demonstrate proactive
management by anticipating
planning for eventualities of
condition or potential
complications
Within 1-2 weeks of nursing
interventions, the client will:
1. Remain free of preventable
complications
2. Express progression of
illness and sequelae

NURSING
INTERVENTIONS
1. Verify clients level of
understanding of
therapeutic regimen and
note specific health goals
2. Identify steps
necessary to reach
desired health goals

3. Accepts clients
evaluation of own
strengths or limitations
while working together
or improves abilities
4. Acknowledge
individual efforts or
capabilities to reinforce
movement toward
attainment of desired
outcomes

RATIONALE
1. Provides opportunity
to assure accuracy and
completeness of
knowledge base for
future learning
2. Understanding the
process enhances
commitment and the
likelihood of achieving
goals
3. Promotes sense of
self-esteem and
confidence to continue
efforts

4. Assist in implementing
strategies for monitoring
progress or responses to
therapeutic regimen

EVALUATION
After 2-3 meetings of
nursing interventions,
the patient:
1. Identified or used
additional resources
as appropriate
2. Demonstrated
proactive
management by
anticipating and
planning for
eventualities of
condition or potential
complications
After 1-2 weeks of
nursing interventions,
the patient:
1. Remained free of
preventable
complications
2. Expressed
progression of illness
and sequelae