Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Data: Ineffective Coping Short Term Goal: Independent: 1.The answers will Short-Term Goal
“Nahihirapan dahil related to After 2 hours of 1.Ask about previous difficult give information The goal was met and
nakulong ang anak ko inadequate nursing situations and how the client about how the client was able to
saka kung ano ipapakain relaxation: work intervention, the handled it.  client has dealt identify personal
sa lima kong mga apo” as overload (as client must be able with her problem strength and accepts
verbalized by the client evidenced by to identify personal 2.Get a detailed information before. This will support the nursing
verbalization of strengths, accepts of how the client recognize provide a baseline relationship
“Napapagod na din ako inability to meet and support the her situation.  that we can use to
minsan dahil ako lang basic needs, nursing start our plan.
nagtatrabaho sa pamilya expressed concerns relationship 3.Use therapeutic
naming” regarding changes communication such as 2.Hearing it from Long-Term Goal
in life events, loss active listening, maintaining the client shows The goal partially met
of family member) Long term Goals: eye contact, and encouraging how overwhelmed after 3-5 days of
Objective Data: After 3-5 days of the client to verbalize they feel and how continuous nursing
-Age: 71 years old nursing feelings without showing their environment, intervention the client
intervention, the judgement. upbringing, can identifies effective
client will relationships. and ineffective coping
demonstrate ability 4.Encourage the client to patterns.
to identify effective make choices and participate 3.Showing
Reference: and ineffective in planning of care by understanding and
Doenges, coping patterns determining coping empathy gives
Moorhouse and mechanisms used including trust between the
Murr’s Nurse’s decision making and problem client and the
Pocket Guide solving. healthcare team.
Edition 12, p. 257 The client is more
5.Be supportive of coping likely, to be honest
behaviors; give client time to about thoughts
relax and encourage use of and feelings when
cognitive behavioral in a trusted and
relaxation like watching comfortable
television, breathing environment.
exercises and listening to
music.
4. Participation
6.If the client is physically gives a feeling of
capable, encourage to have control and
moderate exercises. increases self-
esteem
7.Motivate family members
to provide care and support 5.Participation
for the client provides the client
with an ongoing
sense of control,
improves coping
skills, and can
enhance
cooperation with
the therapeutic
regimen.

6. Exercise
improves one’s
ability to cope
with acute stress

7. Having strong
relationship with
her children, grand
children and other
family member
can help the client
receive support
from them