Cues Nursing Rationale Objectives of Care Nursing Rationale Evaluation

Diagnosis Interventions
Subjective: Knowledge Inability to Short Term Goal: Independent:
Deficit related to perceive the After 1 hour of Short Term
“Pinacheck ko lack of interest in importance of nursing interventions, Discuss healthy -This will help Goal was met.
treatment and
siya dahil learning the patient will be lifestyle avoid the The patient
regimen
madaming secondary to available able to: changes that increase of ISP was able to
beses siyang information which 1. Understand might help her to the client. gain
umiinom ng misinterpretation are hypertension, reduce attacks knowledge of
gamot pang appropriate to its signs and of hypertension. her disease
highblood.” to cure the symptoms, and showed
disease complications Educate the -Understanding positive
and patient about the disease. response.
Objective: management hypertension. Process may
- dizziness techniques. help encourage
- incapable of 2. Participate in compliance
grasping ideas the learning
- not process while Encourage -This is to
compliance to giving some consultations promote proper
the drug and information and visits to the monitoring and
diet of having 3. Verbalize. health care assistance.
hyertension Understanding center.
of her
condition,
process &
treatment.
Ezron Kenneth E. Duran BSN III-B2
 Benie Gil Boado BSN III-b2

Cues Nursing Rationale Objectives of Care Nursing Rationale Evaluation

Diagnosis Interventions
Subjective ◊ Acute Pain r/t Short Term Goal Independent ◊ Pain limits ◊ After 30
◊ “masakit pa Injury secondary ◊ After 30 minutes of ◊ Location, chest minutes of
rin yung right nursing intervention, character, excursion and nursing
to slip accident
knee ko ,” as pain intensity will be quality and thereby intervention,
decreases
verbalized by minimized & comfort severity of the goal is
ventilation.
the will be verbalized. pain were met
◊ The patient
client evaluated. who is through
Objective ◊ Maintained comfortable and verbalization
> facial care in free of being free
grimace positioning the of pain will be less from
> irritable patient likely to splint the acute distress
>with pain on and turned chest while and
right knee every 2 breathing. feels much
> RR: 21 cpm hours. ◊ These signs more
> pain scale : ◊ right knee indicate comfortable.
5/10 possible infection.
area was
> ◊ This permits
assessed every
residual
4 hours air in the pleural
for redness, space
heat, to rise to upper
induration, portion
swelling of pleural space
and drainage. and be
◊ Encouraged removed. This
deep also
breathing provides comfort.
◊ Analgesics give
exercises.
pain
Dependent
◊ Administered relief on the part
analgesics as of
prescribed. the patient.