Nursing Diagnosis: Readiness for enhanced coping.

DEFINING CHARACTERS SUBJECTIVE CUES: Ug mo gawas nako diri puhon, mo skwela ko ug balik arun makatrabaho ko ug sakto, as verbalized by the client. OBJECTIVE CUES: - patient demonstrates coping skills - patient appears neat and well-groomed - uses spiritual resources - patient is cooperative SCIENTIFIC BASIS Self-esteem support appears to be the most important predicator of change in depression. Multiple regression analysis suggested that social support effects were mediated through self-esteem. Self-esteem may be particularly an important target for clinical interventions. Self esteem is used to describe a persons overall sense of self worth or personal value. Selfesteem is often seen as a personally trait, which means that it tends to be stable and enduring. Self-esteem can involve a variety of beliefs about self, e.g., the appraisal of ones own appearance, beliefs, emotions and behaviors. PLANNING SHORT TERM: After 3-4 hours of nurse patient interaction, client will be able to: - show interest in participation during morning stretch or any group activities. - express feelings associated with coping strategies - continue medication therapy - identify support persons and activities that will assist in goal attainment LONG TERM: 6. Emphasized the imAfter 3-4 days of nurse portance of grooming patient interaction, the and personal hygiene client will be able to verbalize desire go home and to continue her role 6. Encouraged to partibefore she had left. cipate in wide range of activities 7. Offered ideas about educational opportunities in the community. - helps boost self-esteem thus, helps promote social acceptance and interaction - more activites involves more choices - helps client continue in setting up options and developing her coping skills INTERVENTIONS 1. Assessed clients usual coping mechanism RATIONALE - in order to decide on a focus for interventions

2. Assisted client in identi- - so that the client will be fying goals that are able to put this in mind personally achievable and accomplish this when discharged 3. Established a trusting relationship with client by spending time on each visit. 4. Begun discussions at clients level of comfort, listening carefully, and paying attention to her emotions. 5. Provided teachings for additional skills in coping strategies - helps encourage client to be more honest and open - if the client feels comfortable talking, the nurse will be able to move to the issue and discuss it logically. - helps reduce anxiety and allow the patient to concentrate