Professional Documents
Culture Documents
Name of Patient: __Patient Jedah_________________ Date of Admission: _January 15, 2022____ Room: _401a_____
Age: _27 Years old__ Sex: _Female___ Civil Status: _ Single______ Chief Complaint: _Nausea____________________________
Religion: _Not Indicated____________ Attending Physician: _Dr. Ran_________ _______________
GOALS/OBJECTIVES NURSING
PROBLEM SCIENTIFIC BASIS RATIONALE EVALUATION
CRITERIA INTERVENTIONS
January 15, 2022 Readiness for enhanced self- After 8 hours span of care January 15, 2022;
health management related to the patient will be able to: Verify patient’s To provide an @4:00 pm
@8:00am identifying health care needs. level of opportunity to
Assume responsibility for knowledge about ensure accuracy and “GOAL MET”
Subjective: Scientific Basis: emotional and physical condition. completeness of
care and well-being knowledge base for
“Sukad nabuntis ko, A pattern of performing activities After 8 hours span of
learning.
maglisod na kog for oneself that helps to meet care the patient;
cope sa akong work. health-related goals and can be Enumerate concepts and
clarity roles Assess client’s Indicate deficient
Maglisod kog tulog strengthened. Maintaining good perceptions of knowledge or Assumed
usahay. Gusto jud ko health through healthy lifestyle misinformation responsibility for
Verbalize understanding of their current
makabalo unsa choices, and to educate to emotional and
information gather problems
akong condition educate them and the public on physical care and
karon. Mahadlok how to maintain and improve To help focus on well-being
Assist the patient
man gud ko na their health. to identify content to be
learned. Enumerated the
mausab atong learning goals
concepts and
pagka admit nako. Reference: clarity roles
Pahilayo lang na Doenges, M. E., Moorhouse, M.
maunsa ning akong F., & Murr, A. C. (2013). Nurse’s Determine To develop plan for
Verbalized
anak.” as verbalized pocket guide. 13th ed. motivation and learning
understanding of
by the patient Philadelphia. F. A. Davis expectations for
information
learning
Company gathered
Objective:
- Willingness To facilitate learning
Ascertain
- Eagerness preferred process
methods of
•Vital Signs learning
Encourage To promote
visitation and continued proper
access to health parenting and
services and ongoing learning
providers. applied at home.