PROGNOSIS

Good (3) - Patient performs excellently; cooperative and responds actively to nursing
interventions; is independent

Fair (2) - Patient performs weakly; responds minimally to nursing intervention; dependent
in some ways

Poor (1) - Patient doesn’t perform poorly; does not respond to any nursing intervention;
very dependent to the other person

CRITERIA 3 2 1 JUSTIFICATION
(GOOD) (FAIR) (POOR)

A. The / The physiologic response of the

physiologic patient is responding well since
response of the patient’s condition is better.
the patient’s
body to
physiologic
alterations
related to
childbirth

B. Relief of the / The patient verbalized that her

signs and symptoms related with her
symptoms condition is better than before.
related with
her condition

C. The / The patient can do her usual

Performance activities such as walking,
of daily breastfeeding, and is able to
living of the maintain good hygiene during
patient confinement.
during confinement

D. The behavior / The patient knows the route,

and perception of dosage, and timing of the
the patient towards medication that was given to
her.
the medication and
therapy prescribed

E. The / The patient is irritable because

adequacy of she lacks rest and sleep due to
rest and humid temperature and poor
sleep the ventilation in the hospital and on
patient attending the baby’s needs
receives (breastfeeding).

F. The / The patient cooperates and is

behavior of very attentive when the health
the patient teaching was given to her and
regarding to she was able to demonstrate
the health the instructions properly.
teaching
given to her
by health
care providers

G. The / The patient’s significant other is

behavior of not present however, the other
the patient’s family members cooperate,
significant listen and they understood the
other and health teachings that was given
family and helped the mother to
members perform or demonstrate it
regarding properly.
the health
teaching
given to the
patient by
health care
providers

H. The / The patient is fully aware of her

perception current situation and she also
of the knows her responsibilities as a
patient to mother.
her current
situation

I. The / The patient is able to establish a

patient’s relationship, communicates and
social interacts with her family
relationships members and health care
and interaction providers in the hospital.
J. The / The patient is calm and she
patient’s does not seem to be very
emotional anxious in her current situation
status and/or condition.

FORMULA: (Total score / Highest possible score) x 100 = %

(21/30) x 100 =70%
PROGNOSIS: 70% = Very Good

GOOD (7) (21/30) X 100 70%

FAIR (2) (4/30) X 100 13.3%

POOR (1) (1/30) X 100 3.3%