ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATI

ON
Subjective:  Disturbed SHORT TERM: INDEPENDENT: INDEPENDENT: SHORT
“Nahihiya na ko Body After 2 hours of 1. Discuss 1. To assess TERM:
makipagusap Image nursing pathophysiology and causative/contributing After 2
sa ibang tao related to intervention, the situation affecting the factors. hours of
dahil sa kulay disease patient will be individual nursing
ko” as process as able to verbalize 2. Determine whether 2. There is always interventio
verbalized by manifested his own the condition is something that can be n, the
the patient by change understanding of permanent or no done to enhance patient was
in social his bodily expectation for acceptance and it is able to
Objective: involvemen changes. resolution. important to hold out verbalize
• Brownish t. 3. Have client describe the possibility of living a his
-yellow LONG TERM: self, noting what is good life with the understandi
ring in After 3 days of positive & what is disease. ng of his
the outer nursing negative. Be aware of 3. It may indicate own bodily
rim of intervention, the how client believes acceptance or changes.
the patient will be others see self. nonacceptance of
cornea of able to verbalize 4. Visit client frequently situation. LONG
the eye relief of anxiety and acknowledge the TERM:
• Jaundice and adaptation individual as someone 4. Provides opportunities After 3
in to altered body who is worthwhile, for listening to concerns days of
abdomin image. COLLABORATIVE: and questions. nursing
al part 1. Note signs/indicators interventio
• Frustrate of severe or COLLABORATIVE: n, the
d look prolonged depression. 1. To evaluate need for patient was
• Social 2. Determine counselling and able to
withdraw individual/family/com medication. verbalize
al munity resources relief of
available to client. 2. To determine coping anxiety and
3. Arrange for patient to abilities and skills. adaptation
interact with others to altered
with similar problems. body
3. A support group image.
allows patient to share
mutual support and
caring with others who
can fully understand.