ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS RATIONALE

Subjective Deficient knowledge Knowledge plays an Short term: After Short-Term

“Gusto ko na gumawas related to information influential and 30 minutes of  Ascertained level of  To obtain Goal met: Client was able
misinterpretation as significant part of a nursing knowledge, including information about
kay kailangan ko la hin to verbalize understanding
evidenced by patient’s life and interventions, the anticipatory needs. current
hilot para maupay of condition, disease
statements of recovery. It may client will be able to: knowledge or
nagtitika-grabe la process, and treatment; and
misconception & include any of the information the
lugod it akon diri paka a. Verbalize participated in the learning
kiwa dinhi ha hospital agitated behavior. three domains: understanding of  Determined the patient has. process.
cognitive domain client’s ability,
kay ginpipinahigda la condition, disease
(intellectual activities, “Maaram gad ako na diri la
ako,” as verbalized. process, and readiness, and  The individual
problem-solving, and barriers to learning. harumamay it akon sakit
treatment. may not be
“Gusto nala namon others); affective yana matungod han
physically,
unta gumawas ngan domain (feelings, b. Participate in aksident. Maaram ako nan
emotionally, or
ipahilot hiya kay na attitudes, belief); and learning process. aka apekto hiya haak
 Explained the disease mentally capable
piang manla iton hiya,” psychomotor domain bugos na kalawasan ngan
process, procedures, at this time.
as verbalized by father. (physical skills or asya it rason kay ano diri
and events in a
procedures). A deficit Long-term: ak nakakakiwa,” as
Objective concise manner and  To grasp
in knowledge is After 1 week of verbalized.
 Agitated to devote time for situations, and
commonly nursing listening. feel more in
behavior experienced by interventions, the control.
 Client has individuals coping patient will be able
insufficient with new medical to demonstrate  Provided written Long-Term
knowledge of diagnosis varied behavioral changes information or  For easier
his condition. pharmacological and understanding and Goal Met: Client
gearing towards guidelines and self-
 Patient treatment regimens, to ensure that the demonstrated behavioral
recovery. learning modules for
verbalized unfamiliar and often client will changes gearing towards
client to refer as recovery.
statements of complex problems, as comprehend
necessary.
misconceptions. well as by individuals about the
entering stages or role information being
relationships that relayed.
demand new pattern  Discussed one topic  To prevent
of response. at a time; avoid overload of
giving too much information and
information in one allow client to
Source: session. think through
thromboangiitis.com information one
at a time.
 Used gestures and
facial expression that  To allow for a
help convey meaning more active &
of information. informative way
of relaying
 Provided information information to the
and demonstration of client.
ways for better
healing process and
health condition:
\

a. Maintenance of
proper body
alignment at all
times using  Keeps spine
pillows, supports, aligned and
or splints. prevents or limits
contractures, thus
improving
b. Repositioning function and
by logrolling independence.
every 2 hours.
 Repositioning
decreases
pressure on
edematous
tissue to
 c. Passive ROM promote
exercises. circulation.

 Helps in
maintaining
movement,
d. Monitor early
preserve joint
signs of pressure
motion and
ulcers and
stimulate
provision of
circulation.
appropriate skin
care.
 To prevent
pressure
e.
ulcers and
Stress importance
other skin
of continuing with
complications.
rehabilitation
team

 To achieve
f. Proper body specific
nutrition functional
goals and
continue long-
term
g. Compliance to monitoring of
the therapeutic therapy needs.
regimen.
 To facilitate
 Provide in healing
immediate process and
better body
feedback on health
performance. condition.

 To aid in
recovery
process.

 Immediate
feedback allows
the learner to
make corrections
rather than
practicing the
skill wrongly.