Defining Nursing Scientific Analysis Goal of Care Nursing Interventions Rationale Evaluation

Characteristics Diagnoses
Subjective: Disturbed Bipolar disorder or manic- Short Term: Independent: Short term:
Thought Process depressive disorder ( also After 30 mins.-1 hr of 1. Orient client and call client
1. These steps help rein After 1 hr. of nursing
“masuko ko ug dili Related to Mood referred to a bipolarism or nursing intervention, the by name, introduce self on force reality and provide intervention, the patient
mahatag akung Alteration As manic depression is a patient will responds each contact; frequently cues responded coherently to
gusto , example manifested by: psychiatric diagnosis that coherently to simple, mention time, date, and place.
thatmaintainorientation. simple, concrete
mangayo kug describes a category of mood concrete statements as 2. Provide validation of 2.Validation seeks to statements as evidenced
pagkaon nila “masuko ko ug disorders defined by the evidenced by: thoughts and feelings of help the caregiver, by:
ma’am unya dili dili mahatag presence of one or more client. encouraging empathy. •Demonstrated orientation
nila mahatag diritso akung gusto , episodes of abnormally •Exhibiting judgment, 3. Do not attempt to argue or
3. Acceptance promotes to person, place and time.
akung gusto example elevated mood clinically insights, coping skills, change the client’s belief. trust. •Exhibiting judgment,
masuko dayun ko, mangayo kug referred to as mania or if and problem solving 4. Check mouth if hoarding 4. To verify that client is insights, coping skills, and
Naglibug ko kung pagkaon nila milder, hypomania. abilities. medicines An assertive, swallowing the tablets or problem solving abilities.
mo balik ba ko ug ma’am unya dili Individuals who • Client’s expresses matter- of- fact, yet genuine
capsules. GOAL PARTIALLY
buhi sa butanding , nila mahatag experience manic episodes logical, goal-oriented approach is the least 5. The suspicious client MET
ganahan ko mo diritso akung also commonly thoughts with absence threatening to the suspicious
does not have the
patay ug tao kaya gusto masuko experience depressive of delusion. person. capacity tolerate to an Long Term:
ng mga prinsipe dayun ko, episodes or symptoms, or • Demonstrates socially overly friendly, overly After 3 days of nursing
reyna ug mga Naglibug ko mixed episodes in which appropriate for age and Dependent: cheerful attitude. intervention the patient
anghel na ang ni kung mo balik ba features of both mania status. 1.Administer anti-psychotic 1. May block post established
istorya” ko ug buhi sa and depression are • Demonstrates drug: Chlorpromazine synaptic dopamine reality orientation as
As verbalized by butanding , present at the same time. orientation to person, Hydrochloride receptors in the brain. evidenced by:
the patient ganahan ko mo These episodes are place and time. •Appropriateness of
patay ug tao usually separated by Long Term: interactions and
Objective : kaya ng mga periods of “normal” After 4 days of nursing Collaborative: Collaborative: willingness to participate
prinsipe reyna ug mood, but in some intervention, the patient Continue to support and 1.Preventanxiety from in the therapeutic
 Distractibilit mga anghel na individuals, depression will maintain reality monitor psychosocial escalating to community.
y ang ni istorya and mania may rapidly orientation as evidenced treatment plans. unmanageable levels GOALPARTIALLYMET
 Social alternate known rapid by:
Withdrawal cycling. •Appropriateness
 Depression of interactions and
  Flight of Reference: willingness to
ideas Keltner,Norman L.,Scwecke participate in the
 Anxiety LeeHilyard,Bostron, Carole therapeutic
 Suddenly
cries