COLLEGE OF NURSING Silliman University Dumaguete City

CUES/EVIDENCES Subjective: Verbaliz ed, Magpadala man gud ko ug love letter sa balay. Pwede kamo magpadala sa akong mama og papa? Verbaliz ed, Mangayo ko usa ka leaf day sa imu notebook. I want to ask from my family twenty thousand pesos to pay to the lawyer. Naa man gud koy kaso arun matagaan ko og justice. Katong drugs ba, gi kasuhan ko ato, katong ga marijuana ko Verbaliz ed, Thats why Id like to write them (pertaining to the clients family). One month na gani ko diri pero wala pajud japun sila ka bisita. Ni

NURSING DIAGNOSIS Ineffective individual coping related to inadequate support system

OBJECTIVES

INTERVENTIONS

RATIONALE

EVALUATION

At the end of our care, INDEPENDENT the patient will demonstrate effective Identify coping skills as individual stressors evidenced by: (e.g., family, social, work environment, Short term: life changes or nursing/healthcare 1. Verbalizi management). ng ability to cope 2. Verbalizi ng realistic thoughts and situations about self 3. Willingn ess to call on Identify others for developmental level emotional of functioning of the assistance client. 4. Report decrease in negative feelings

Long term: 5. Demons trating effective problem- solving and decision making skills 6. Verbalizi ng increased insight and judgment 7. Modify lifestyle as

At the end of our nursing care, our Neuman client was able to develop effective s Systems Model assumes that each coping behavior as evidenced by: individual experiences Verbaliz different stressors ed ability to cope in life and react to by talking to other each in certain patients or ways. This helps student nurses define problem(s), from time to time providing a when feeling starting point for depress. intervention. Verbaliz ed use of The four cigarette can conservation cause bad for his principles health mentioned in Verbaliz Levines ed willingness to Conservation talk to others in Model are the order to share his principles of the thoughts and conservation of feelings or listen energy, structural to others integrity, personal opinions. integrity, and Verbaliz social integrity. It ed decrease in is vital to negative feelings determine the especially when clients own level he got to interact of functioning and with other people integrate that in who were willing the care so that to listen to him change will not be and when hes so difficult to able to participate achieve while at in therapies the same time conducted by maintaining the student nurses. patients integrity.

NCP ANALYSIS
Ineffective individual coping related to inadequate support system Since hes admission until our last day care to him at the center, it became clearly evident that this is one of the priority concern of our client who is suffering from inadequacy of social support system especially from his biological relatives. Not a single family member ever visited him nor get in contact with him as he verbalized. Every time we ask him about his future plans, his frequent response is to go to Bicol and help in his fathers business and find a suitable woman to marry as this is what his father wishes him to do. He also wrote a letter for his mother and shared it to us. What really captured us in his letter was his statement Ma, Pa, gimingaw najud ko ninyo and I really dont know why I was brought here. Kindly visit me here if maka time mu. He always feels lonely every time hell think about his family. To cope up from his emptiness and stress, he told us that hell masturbate and smoke. Knowing this fact, this nursing care plan focuses in guiding our client as much as possible in order for him to develop effective coping strategies to deal with his life concerns, to find effective solutions to his current problems, and to adjust with his current condition.