Leslie L.

Loredo BN3A_Grp3
Ms. Marisse Arroyo WVMC-PMHU
NURSING CARE PLAN
ASSESSMENT NURSING DIAGNOSIS RATIONALE DESIRED OUTCOME NURSING JUSTIFICATION EVALUATION
INTERVENTIONS
Social isolation r/t Predisposing Factors: INDEPENDENT
Subjective: inability to engage in Social belonging After 6 hours of nursing INTERVENTIONS: At the end of nursing
“Waay na ni chansa satisfying personal Loneliness intervention the patient interventions, the patient
akon kabuhi. Way na ko relationships AEB low Low self-esteem will be able to: was able to:
sini pasingadtuan sa self-esteem and feeling of Feeling or void or
tuod lang. Waay gd ko loneliness and void or nothingness 1. Develop trust and − Greet the patient in a - To allow patient − Develop trust and
ya pulos klase tawo. nothingness Suicidal ideation rapport with the rapport with the nurse
calm and friendly recognize his nurse
Problema lang mahatag Discontent with anything assigned nurse by saying “Mayong aga
manner and introduce
ko sa tawo nga maupod Anxiety disorder nurse. Ako gali si
ko. Mas mayo nga self
Definition: − To promote trust, Dondi. Sa subong, indi
mapalayo nalng ko kag − Establish therapeutic
Aloneness experienced Precipitating Factors: allowing patient to gd nami akon
mag-isahanon” nurse-client
by the individual and Psychological disorder discuss sensitive topics pamatyag. Nasubuan
relationship
perceived as imposed by Family gathering; social freely ko kag daw may kulang
Objective: others and as a negative inadequacy − Apply the active − To help patient be at sa akon kabuhi pero
- Low self-esteem or threatened state. Criticism ease by interacting with
friendliness approach wala ko kabalo kung
- Detached with him in a warm and
as the attitude therapy ano.”. Goal met.
others friendly manner since
- Social inadequacy Patient is 29 years old he is withdrawn.
- Dull affect male and single
− Introduce patient to − To relieve patient’s
Weakness: sense of isolation by
Patient first encountered
others who are with − Verbalize willingness
− Fear of being engaging or making
loneliness, low self- similar or shared in involving with
criticized 2. Verbalize friends with others
esteem, feeling or void or interests others. “Gusto ko man
− Low self-esteem willingness to be − To encourage
nothingness, social − Provide positive tani mag-upod sa ila
involved with continuation of efforts galing nahadlok ko basi
inadequacy, suicidal reinforcement when
Strengths: others
ideation and discontent patient makes move may ihambal sila nga
- Good family Reference:
with anything on his toward others lain sa akon. Amo gid
support Nurse’s Pocket Guide − To maintain na ang ginakahadlukan
childhood years − Motivate patient to
- Stable financial Diagnoses, Prioritized involvement with
have open visitation or ko.” Goal met.
status Interventions, and others
telephone contacts
Rationales 13th Edition
Patient had daily suicidal when possible
 thoughts for several
years in his early
adolescent years
Patient was admitted for
management of anxiety
3. Participate in
After discharge, patient
was observed to be
passive by delaying tasks,
not paying bills and
detached with people
4. Express increased
Patient attended a family
gathering and his
avoidant behavior was
noticed
Patient has a pervasive
fear of being mocked
when interacting with his
other family members
Feeling of loneliness, low
self-esteem and feeling of
void or nothingness was
experienced by the
patient
Social isolation
− Encourage patient to − To promote social
participate in interaction and
recreational activities belongingness − Attend and cooperate
or special interest with the activities with
activities in settings the group but did not
which the patient totally engage with the
activities at level of thinks is safe. program. Goal partially
met.
ability and desire
− Support risk-taking - To increase self-
behaviors to engage confidence by learning to
social interactions, manage issues of daily − Express increased
management of living sense of self-worth by
personal resources and saying “Ga-amat amat
appropriate self-care na mag-an akon
sense of self-worth − Assist patient to learn balatyagon nurse. Ga-
or enhance skills such - To build-up confidence amat amat ko naman
as communication, and self-esteem when baton mga kulang ko
self-esteem, social interacting with others kag kung ano ang may
skills and ADLs
ara sa akon nga pwede
ko magamit sa akon
kabuhi. May ara man
DEPENDENT
gd ko gali kamayuhan,
INTERVENTIONS:
subong ko lang nakita.”
Goal met.
− Administer prescribed
medications. Make - To provide
sure that the patient pharmacologic
understands its therapy to the
purpose patient to enhance
− Collaborate with other well-being
health care teams in - To achieve
providing rehabilitative maximum
therapies and function and
psychosocial well-
stimulating activities
being
Reference:
None