NURSING CARE PLAN

PATIENT NAME: _______

AGE: 22

Date, Assessment Need Diagnosis Planning Implementation Rationale Evaluation

Time and
shift

03/05/2021 Subjective: S Powerlessness Within 5 hours 1. Identify 1.Help in Goal met @

@ 2 PM “Gina try ko E related to span of care the situational identifying the 03/05/21 7 PM
handle lahat L dysfunctional client will be circumstances cause of
pero ma feel F environment able to: powerlessness of After 5 hours
ko na prang - as evidenced the client span of care, the
wla na ako P by doubt client:
control tpos E about inability A. Verbalize 2.Listen to 2.These are
sunod sunod na R to perform positive self- statements client indicators of A.Verbalized,
ang C activities appraisal in makes: “It won’t sense of “Feel ko kaya ko
requirements, E current situation make a powerlessness man, gina
di ko na alam P Rationale: difference”; “are and hopelessnessoverthink ko lang
ano unahin” as T Client is B. Identify areas you kidding?” and need for talaga ba.
verbalized by I experiencing over which specific Konteng push
the patient. O powerlessness individual has interventions tonalang matapos
N because of control provide sense ofna din ang sem
Objective: - feelings of the control over tapos done na
-Client is a 3rd S lack of control C. Acknowledge what is ang reqs for the
year nursing E towards her reality that some happening. year. I organize
student who is L current areas are beyond ko lang through a
currently F situation with individuals’ checklist baka
having classes all the control 3.Encourage 3.Creates a maka tulong
and duty via C requirements verbalization and supportive iorganize aking
online O she needs to environment and thoughts”
-Teary eyes N comply for expression of sends a message B. Identified a
-Frowning C her to pass the feelings, thought’s of caring areas that she still
E school year. and concerns has control with
P As a result of like her
T her 4.Assist client to 4.Accomplishing breathing, her
requirements identify what she something can small breaks
P pilling up, she can do for self. provide a sense between tasks,
A feels that she Identify things the of control and what she eats and
T is not capable client can and helps the client the songs she can
T in finishing all cannot control understand that play and listen to.
E the tasks there are things
R provided to she can manage. C.
N her. Accepting that Acknowledged
some things that some things
cannot be are beyond her
controlled helps control like the
client to stop deadlines in her
wasting effort requirements and
and refocus the people around
energy her

5.Identify 5.This helps

strengths and client to
assets and past recognize own
coping strategies ability to deal
used by the client with difficult
that were situations
successful

6.Use client’s 6.This helps

locus of control to client to achieve
develop individual control on her
plan of care (e.g. tasks at hand
begin with small
tasks and add,
organizing tasks
and setting
schedules).

7.Discuss needs 7.Minimizes use

openly with client of manipulation
and set up agreed-
on routines for
meeting identified
needs

8. Encourage 8. Can enhance

client to think feelings of
productively and power and sense
positively and to of positive self-
take responsibility esteem of the
for choosing own client
thoughts and
reactions.

9.Suggest periodic 9.To promote

review of own control and
needs and goals. organization of
needed tasks to
be done by the
client

10. Provide 10.Focusing on

positive possibilities in
reinforcement for small steps can
desired behaviors help the client
and direct client’s see that there
thoughts beyond can be hope in
present state to small things
future when each day.
appropriate