ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

INTERVENTION
Subjective: Self-care deficit: Short term goal: - Assess barriers to -To identify Short term goal:
“Mahirap ang bathing/hygiene, After 30 minutes participation in causative/contributing After 30 minutes
sitwasyon dito, dressing/grooming of nursing regimen. factors. of nursing
intervention the
walang gamit related to intervention the
patient verbalized
panlinis ng environmental patient will - Promote client - Enhances knowledge of
katawan.” barriers. verbalize participation in commitment to plan, health care
knowledge of problem optimizing outcomes. practices.
health care identification and
Objective: practices. decision making.
-Unpleasant odor
-Unfixed hair - Plan time for -To discover barriers
Long term goal:
-Dry skin Long term goal: listening to the to participation in After 3 days of
-Dirty clothes After 3 days of client. regimen. nursing
nursing intervention the
intervention the -Provide health -To provide adequate patient
patient will teaching on the knowledge on the demonstrated
demonstrate client regarding client. techniques /life
style changes to
techniques /life proper way of
meet self-care
style changes to effective hygiene. needs.
meet self-care
needs. -Guide and -To avoid accidents
support the client and for the client to
and let him practice the
perform the procedure.
procedure.
-Encourage him to -To inform the client
take a bath every of her responsibility
day and be as an individual.
responsible to his
physical
appearance.

-Offer frequent -Clients often have

encouragement. difficulty seeing
progress.

-Support client in -To promote wellness.

making health-
related decisions
and assist in
developing self-
care practices and
goals that promote
health.