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NCP

NCP

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Published by goddessjhel

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Published by: goddessjhel on Apr 14, 2010
Copyright:Attribution Non-commercial

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07/17/2011

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NURSING CARE PLANS
Risk for Ineffective Coping secondary to MastectomyCUESNURSINGDIAGNOSISRATIONALEOBJECTIVESNURSINGINTERVENTIONSRATIONALEEVALUATION
Subjective
As verbalizedby thepatient’sdaughter .
“Ayawmunanamingmalaman nimama sakana langsiguro kapagmedyomalakas nasya.”
Objective
Patientdoesn’tknow yetabout her presentcondition of losing her right breast.P: risk for ineffective copingE: Mastectomy
S: asmanifested by
The patientdoesn’t knowyet her presentcondition.Mastectomyis a surgicaloperationdone to avoidprogressiveproliferationof cancer cells in thebreast. Thepatient has agreat risk incoping upwith her situationbecause of absence of knowledge of her truecondition.
Short term:
After 15-20mins identifyeffective andineffectivecopingpatterns.
Long term:
After an hour patient willverbalize self control.1.Provide atmosphereof acceptance.
2.
Arrange situationsthat encourage her autonomy. Give her as manyopportunities aspossible to make her decisions/choices for herself.1.Establishingrapport isessential to atherapeuticrelationship andsupports theclient in self reflection.Recognizingproblems andsharing feelingsis best broughtabout in anatmosphere of warmth andtrust.2.Enhances asense of control,personalachievement,and self esteem.
Short term:
After 15 – 20mins I was ableto identify thatthe patientmight cope upto her situationalthough she just want to beassisted by her daughter andnot by us.Goals partiallymet.
Long term:
After an hour,the patientallows us toinsert asuppositories inher rectal areaenable her tobowel andshows noshyness whileone of us doingthe interventionfor her.Goal partiallymet.

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