CUES NURSING RATIONALE OBJECTIVES INTERVENTION RATIONALE EVALUATION

DIAGNOSIS
Subjective:
Risk for loneliness “Sayang talaga itong bata At the end of 20-30 mins.
“Sayang talaga related to IUFD. na ito, lalaki pa naman Of nursing intervention
itong bata na ito, sana, tama n asana para the client will be able to:
lalaki pa naman hindi na kami magdagdag
sana, tama n ng anak kasi may Enumerate ways to lessen Discuss the importance For the client to obtain Gained knowledge as
asana para hindi panganay na kaming low- self esteem such as: of counseling to knowledge about the evidenced by:
na kami babae”. a. Counseling increase his self- importance of counseling
magdagdag ng b. Express her esteem. to increase self-esteem. a. Client was able to
anak kasi may Know that her baby was feelings enumerate the
panganay na dead in her womb. c. Reading the bible. ways to lessen
kaming babae”. low self- esteem.
Unable to accept what b. Answered
was happen to her baby. The client or the family Tell to the client or To ensure that the bible questions
Objectives: will help to strengthen her family to read bible to helps to strengthen his correctly.
Looks sad Doesn’t feel the moving self- esteem. increase her self- self- esteem.
Abdominal pain of the baby esteem. Reading some pocket
Phobia to get books and bible.
pregnant Doesn’t hear the FHT of Be motivated to Acknowledge the To maintain positive
Needs attended the baby participate and cooperate mother or family’s output towards health.
Needs counseling during health teaching. performance toward a. The client and
Low- self esteem Risk for loneliness related each health teaching. To maintain nurse-client family listen
Restlessness to IUFD relationship for effective attentively.
Needs emotional therapeutic. b. The patient was
support able to
Presence of participate and
anxiety cooperate during
Needs sympathy health teaching.
CUES NURSING RATIONALE OBJECTIVES Outcome Criteria INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Disturbed sleep
Subjective: pattern related to
abdominal pain
“ Nahihirapan ako secondary to IUFD. Identify individually Verbalizes  Identify To determine usual
matulog dahil sa appropriate understanding of circumstances sleep pattern
sobrang sakit ng interventions to sleep disturbance. that interrupt provide
tiyan ko” as promote sleep. sleep and comparative
verbalized by the frequency. baseline.
patient.  Listen to
subjective reports
Perform proper Reports of sleep pattern
Objective: technique of improvement in disturbance that
relaxation. sleep/rest pattern. are associated
Restlessness with specific
Yawning underlying illness.
(e.g. IUFD,
Maintain positive
abdominal pain)
outlook towards
health and health
care.  Provide quiet
environment

 Encourage
participation in
regular exercise
program during To aid stress
day. control/ release of
energy.
Exercise at bedtime
may stimulate
rather than relax
 client and actually
 Teach patient interfere to sleep.
proper deep
breathing To divert attention
technique. from abdominal
pain.

 Encourage
patient to limit
fluid intake in To reduce need for
evening if nighttime
nocturia is a elimination.
problem.

 Recommend
limiting intake
of chocolate
and caffeine/
alcoholic
beverages,
especially prior
to bedtime.

Establish rapport.

To build trust.