NURSING CARE PLAN

Patient’s Initials: A.C Chief Complaint: Low Self Esteem due to rejection by Name of Student Nurse:
Age & Gender: 17yrs. Old/Male peers

Birthdate: March 23, 2005 Admitting Diagnosis: Disturbed personal identity r/t Level/Block/Group:
parenting patterns that encourage culturally 4BSN-12
unacceptable behaviors for assigned gender AEB
gender orientation and sexual identity
Address: Hospital/Area:
Patient’s Home
Date of Confinement: May 05, 2022 Clinical Instructor:
Date: 05/06/2022

ASSESSMENT NURSING PLANNING NURSING RATIONALE EVALUATION

ANALYSIS INTERVENTIONS

Subjective Data: Gender dysphoria is After nursing  Be accepting and  The client will not be Goals met
 “Takot akong a conflict between a interventions, nonjudgmental. fear of being judged, AEB:
malaman ng person's biological or the patient is  Identify stressors so he or she is more
aking magulang assigned gender and expected to:  Identify factors willing to reveal this - Client can
at mga kaibigan the gender with information. now exhibit
that affect client’s
na tingin ko sa which he or she - Exhibit proper  Help client determine proper and
sexuality.
sarili ko ay identifies. It refers to and culturally culturally
 Provide positive time dimension
bilang isang the feeling that one's acceptable acceptable
reinforcement. associated with the
emotional and behavior for behavior for
babae at hindi onset of the problem
psychological identity designated designated
bilang lalake” as and discuss what was
differs from one's gender. gender
verbalized by birth sex. - Express happening in his or her
the patient. satisfaction with life situation at that - Client was able
own sexuality time. to express
Objective Data:
pattern.  To know how to satisfaction with
 Anxious
- Interact with operate within the own sexuality
 Fatigue
others using family can influence pattern.
 Weakness culturally gender role
 Feminine acceptable expectations and boys' - Client was
Movements behaviors. and girls' sexual able to interact
identities and with others
sexuality. using culturally
  Observe client acceptable
behaviors and the behaviors
Vital Signs taken: responses he or she
 BP- 120/90 elicits from others
mmHg
 HR- 70 bpm
 RR- 16 cpm
 Temp- 37.5
degrees Celsius

NURSING DIAGNOSIS

 Disturbed
personal
identity r/t
parenting
patterns that
encourage
culturally
unacceptable
behaviors for
assigned
gender AEB
gender
orientation and
sexual identity

Source: https://nurseslabs.com/sexual-dysfunctions-paraphilias-and-gender-dysphoria/