You are on page 1of 1

NURSING CARE PLAN

Client: Clementw Floro Jr. Age: 45 Adm Dx: Schizophrenia


Cues
Nursing Diagnosis &
Rationale
Goals & Objectives Nursing Interventions Rationale Evaluation
Subjective Data:
-Nakakausap ko naman yung
mga kasama ko diyan. May mga
kaibigan na din ako diyan.
Minsan nagsasabi na din ako sa
nurse kung may problema ako.



Objective Data:

-Patient can speak coherently.
-patient seems shy to narrate
what happened to him
-do not maintain eye contact














Diagnosis:


Readiness for enhanced
communication




Related to:

To be developed







Short term goal:
Client will be able to
demonstrate the
ability to remain in
one topic using
appropriate
intermittent eye
contact.

Long term Goal:
Will be able to
demonstrate ability
to carry on a verbal
communication in a
socially acceptable
manner with health
care providers and
peers.
Independent:
1. Maintain a calm unhurried manner.
Provide sufficient time for client to
respond.



2. Pay attention to speaker. Be an active
listener.






3. Sit down, maintain an eye contact as
culturally appropriate preferably at
clients level and spend time with the
client
4. Observe body language, eye
movements and behavioral cues.
5. Help client identify and learn to avoid
use of nontherapeutic communication.







An atmosphere in which the client
is free to speak without fear of
criticism provides the opportunity
to explore all the issues involved in
making decisions to improve
communication skills.
The use of active-listening
communicates acceptance and
respect for the client, establishing
trust and promoting openness and
honest expression. It
communicates a belief that the
client is a capable and competent
person.
Conveys message that the nurse
has time and interest in
communicating.



These barriers are recognized as
detriments to open
communication, and learning to
avoid them maximizes the
effectiveness of communication
between client and others.

After how many days
of exposure, client can
express well his
emotions.







Highlight one:
Goal Met

Goal Not Met

Goal Partially Met