Cues Nursing Analysis Goals and Interventions Rationale Evaluation

Diagnosis Objectives
Subjective: Impaired For an individual Goal: Independent: Independent: Goal:
- The patient Health to adapt to the After 8 hours I. Recognize I. Awarenes Was the client
verbalized Maintenanc new lifestyle, of nursing differing s that able to assume
that “Ang e related to there must be intervention perceptions healthcare responsibility
aking lack of daily behavioral the patient will regarding provider’s for own dietary
madalas knowledge changes (e.g., be able to health issue goals may maintenance in
kainin ang about diet preparing low- assume between not be the terms of food
mga baboy. restrictions sodium food, responsibility healthcare same as consumption
Lahat ng as buying natural for own dietary providers and client’s after 8 hours of
mga evidenced instead of maintenance in clients. goals can nursing
nabanggit by intake industrialized terms of food provide intervention
ay paborito of salty and food); a favorable consumption opportunit MET:
ko na fatty foods context is ies to Why?
patuloy ko such as necessary, Objectives: explore
paring chicharron including After 8 hours and
kinakain and pork adequate of nursing communic PARTIALLY
MET:
hanggang (Fatty knowledge and intervention ate.
ngayon” areas) support. the client will Reference: Why?
 which was Situations in be able to: Doenges, J.,
Chicharon which a family I. Identify Moorhouse, M., NOT MET:
and Fatty has eating habits necessa Murr, A. (2016).
Why?
pork that are ry food Nurse’s Pocket
products incoherent with prefere Guide 14th
- Food the needs of the nce edition. pp 399- Objectives:
Preference: person with HF 403 I. Was the

Red meat and do not II. Verbali client

and food support the new ze able to

high in lifestyle required underst II. Note the II. The identify

cholesterol for treatment andings client’s age client’s necessar

and sodium contribute to the of what and level of status may y food

Objective: difficulty in types dependence range preferen

- Client managing health food to and from ce?

clinically by the person consum independence complete MET:

diagnosed with HF (Colín, e and dependenc Why?

of heart Castillo, Orea, avoid e to partial
failure Montaño, & or relative
PARTIALLY
- Hypertensi Dorantes, 2010; III. Maintai independe MET:
ve patient Saccomann et al., n blood nce and
Why?
2014). The family pressur determine
BP: 140/80 mmHg can be a support e s type of
that helps people within interventio NOT MET:
with HF normal ns / Why?
overcome the range support
insecurities needed.
II. Was the
related with the
client
treatment of HF, Reference:
able to
strengthens Doenges, J.,
verbaliz
adaptation to the Moorhouse, M.,
e
new situation, and Murr, A. (2016).
understa
favors HF Nurse’s Pocket
nding of
monitoring, in Guide 14th
what
addition to edition. pp 399-
types of
motivating self- 403
food to
care (Holguín,
consum
2010). In people III. Determine III. This
e and
with HF, level of determine
avoid?
insufficient adaptive, s the
MET:
knowledge of knowledge, beginning
therapeutic and skills point for Why?
regimen, of their about health planning
own health, and maintenance, and PARTIALLY
of self-care to environment, interventio MET:
deal with disease and safety. ns to assist Why?
is often related to the clients
chronic sadness addressing
NOT MET:
and hopelessness, needs
as well as the Why?

physical Reference:
limitations caused Doenges, J., III. Was the
by HF Moorhouse, M., client
exacerbation Murr, A. (2016). able to
(Rocha & Silva, Nurse’s Pocket maintai
2009), which can Guide 14th n blood
favor prolonged edition. pp 399- pressure
hospitalizations, 403 within
causing the normal
separation of the range?
individual and his MET:
family. Dependent: Dependent: Why?
IV. Discuss with IV. This
Reference: the client determine
de Souza beliefs about s the PARTIALLY
MET:
Carneiro, C., health and clients
Takao Lopes, C., reasons for view of Why?
de Lima Lopes, not following current
J., Batista Santos, prescribed situation NOT MET:
V., Bachion, M. plan of care and
Why?
M., & de Barros, potential
A. L. B. L. for change
(2017).
Conceptual and Reference:
operational Doenges, J.,
definitions of the Moorhouse, M.,
defining Murr, A. (2016).
characteristics Nurse’s Pocket
and related Guide 14th
factors of the edition. pp 399-
diagnosis 403
ineffective health
management in V. Evaluate V. To note
people with heart environment adaptation
failure. Internatio needs for
nal journal of nutrition
nursing
knowledge, 28(2), Reference:
76-87. Doenges, J.,
 Moorhouse, M.,
Murr, A. (2016).
Nurse’s Pocket
Guide 14th
edition. pp 399-
403

VI. Develop plan VI. This

with client for allows for
self-care/ incorporat
management ing
existing
disabilities
with
client’s
desire and
ability to
adapt and
organize
care
activities
 Reference:
Doenges, J.,
Moorhouse, M.,
Murr, A. (2016).
Nurse’s Pocket
Guide 14th
edition. pp 399-
403

VII. Provide for VII. To

communicatio provide
n and continuati
coordination on of care
between
health care Reference:
provider Doenges, J.,
Moorhouse, M.,
Murr, A. (2016).
Nurse’s Pocket
Guide 14th
edition. pp 399-
403
 Collaborative: Collaborative:
VIII. Limit amount VIII. This
of information allows the
presented at client time
one-time, to process
especially and store
when dealing new
with the informatio
elderly client n

Reference:
Doenges, J.,
Moorhouse, M.,
Murr, A. (2016).
Nurse’s Pocket
Guide 14th
edition. pp 399-
403

IX. Help client IX. For future

develop reference
 realistic and and
doable revision,
healthcare as
goals appropriat
(Nutritional). e
Provide a
written copy Reference:
to those Doenges, J.,
involved in Moorhouse, M.,
the planning Murr, A. (2016).
process Nurse’s Pocket
Guide 14th
edition. pp 399-
403

X. Identify ways X. To meet

to adapt client’s
things in changing
current needs and
circumstances abilities
and
environme
 ntal
concerns.

Reference:
Doenges, J.,
Moorhouse, M.,
Murr, A. (2016).
Nurse’s Pocket
Guide 14th
edition. pp 399-
403

XI. Make a XI. The client

referral, as may need
needed, for additional
community assistance
support to
services maintain
self-
suffiency

Reference:
Doenges, J.,
Moorhouse, M.,
Murr, A. (2016).
Nurse’s Pocket
Guide 14th
edition. pp 399-
403