Assessment Subjective: hindi ako makaligo dahil sa kalagayan ko as verbalized by the patient

Diagnosis Self care deficit : bathing/ hygiene related to inability to weakness or tiredness

Planning Short term: >after 1 hr of nursing intervention, the patient will be able increase the level of his hygiene Long term: >after 2 days of nursing intervention, the patient will be able to gain cooperation to have a good hygiene

Intervention Independent: >instruct the patient to have at least a tepid sponge bath >decrease the microorganism in the body >provide therapeutic communication >enhance coordination and continuity of care

Evaluation

>after 1 hr of nursing intervention, the patient was able to increase his level of hygiene

Objective: >inability to do heavy activity >v/s taken and recorded

>after 2 days of nursing intervention, the patient was able to gain cooperation to have a good hygiene

Assessment Subjective: minsan nahihirapan akong humiinga as verbalized byh the patient Objective: >dyspnea >facial grimace >uncomfortable feeling

Diagnosis Ineffective breathing pattern related to musculoskeletal impairment

Planning Short term: >after 15 mins of nursing intervention the patient will be able to verbalized that he have a good respiratory status Long term: >at the end of the duty the patient will be able to establish normal respiratory status.

Intervention Independent: >encourage to practice breathing exercise >for lung expansion >position the patient >to have a good respiratory status >encourage adequate rest period between activities >to limit fatigue Independent: >administer meds as prescribed by the physician >to normalized the breathing pattern

Evaluation

>after 15 mins of nursing intervention the patient was able to verbalized that he had a good respiratory status

>at the end of the duty the patent was able to established a normal respiratory status

Assessment Subjective: minsan kumikirot yung sugat ko as verbalized by the patient Objective:

Diagnosis Acute pain related to diagnostic procedure/ operation

Planning Short term: >after 30 mins of nursing intervention the patient will be able to decrease the pain Long term:

Intervention Independent: >position the patient >to decrease the level of pain >divert attention to other activity >to lessen the feeling pain >provide comfort measures >to provide non pharmacological pain management Dependent: >administer analgesic as prescribed by the physician >it helps to relieve the pain

Evaluation

>after 30 mins of nursing intervention the patient was able to decreased the pain

>facial grimace >expressive behavior >guarding posture

>at the end of the duty the patient will be able to demonstrate use of relaxation skills and diversion activities

>at the end of the duty the patient was able to demonstrate use of skills and diversion activities