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XVI. Nursing Care Plan Date Cues 1 / 19 / 13 SUBJECTIVE Unsa akong buhaton ani akong bukol?

OBJECTIVE: Verbalization of the problem Statement of misconception V/S taken as follows T: 36.1 C P: 83 R: 27 BP: 100/ 70

Need C O G N I T I V E

Diagnosis Deficient knowledge regarding illness, prognosis, treatment, self-care, and discharge needs.

Objective After 8 hours of nursing intervention the patient will verbalize accurate information about diagnosis, prognosis, and potential complication s at own level of readiness.

Intervention INDEPENDENT Review with patient understanding of specific diagnosis, treatment alternatives, and future expectations. R: Validates current level of understanding, identifies learning needs, and provides knowledge base from which patient can make informed decisions. Provide clear, accurate information in a factual but sensitive manner. Answer specifically, but do not provide unessential details. R: Helps with adjustment to the diagnosis of cancer

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by providing needed information along with time to absorb it. Provide anticipatory guidance with patient regarding treatment protocol, length of therapy, expected results, possible side effects. Be honest with the patient. R: atient has the right to know (be informed) and participate in decision making. Accurate and concise information helps dispel fears and anxiety, helps clarify expected routine, and enables patient to maintain some degree of control.

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Diagnosis

Objective

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Review with patient the importance of maintaining optimal nutritional status. R: Promotes well being, facilitates recovery, its critical in enabling pati tolerate treatments. Encourage diet variatio and experimentation in planning and food preparat R: Creativity may enhance flavor and intake, especiall when protein foods taste bi Recommend increased fluid intake and fiber in die well as routine exercise. R: Improves consistency of and stimulates peristalsis. Instruct patient toassess mucous membranes routinely, noting erythe ulceration. R: Early recognition of problems early intervention Minimizing complications may impair oral intake and provide routine avenue for systemic infection.

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