Nursing Care Plan

 Assessment
Subjective: “Unsa may maayo nakong pang buhaton maam?.” As
verbalized by patient'
Objective
- Conscious and coherent
- Has a questioning look on her face
- Keeps on asking nurse regarding her condition
- With reports of no experience on her condition
- Appears apathetic

 Diagnosis
- Knowledge deficit related to unfamiliarity with information
resources
- Scientific Basis: Maybe related to lack of information or
recall, misinterpretation and possibly evidenced by statements
of concern and misconceptions.
Reference: Mosby’s Nurses’ Pocket Guide, 2nd Edition, pp.
1050 by Doenges, Morrhouse and Murr

 Planning
After 8 hours of nursing actions, the patient will gain knowledge
about her condition as evidenced by patients participation in the
interventions and goals and verbalization of understanding of
condition and treatment.
  Intervention
1. Be alert to signs of avoidance
Rationale: May need to suffer consequences of lack of knowledge before
she is ready to accept information.
2. Provide information relevant to the situation
Rationale: To prevent overload
3. Provide positive reinforcement
Rationale: Can encourage continuation of efforts
4. Identify outcomes to be achieved
Rationale: To develop learners goals
5. Involve the patients SO’s in entailing the clients skills and dialogue
Rationale: To identify teaching methods to be used
6. Use short and simple sentences
Rationale: To promote easy understanding
7. Discuss one topic at a time
Rationale: To facilitate learning
8. Deal with patients anxiety and strong emotions
Rationale: Anxiety interfers with clients ability to learn
9. Give time or sessions
Rationale: Prevention of information overload

 Evaluation
The goal was met. The patient verbalizes, she understood the
interventions given as evidenced by her participation in the
interventions ang goals related to her condition.