Vous êtes sur la page 1sur 6

ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

INTERVENTIONS

Subjective: Ineffective At the end of 4-6 Independent: At the end of 6 hours of


impulse control hours of nursing nursing interventions the
“madali akong related to stress interventions, the -Assess patient’s -Any psychiatric patient was able to
magalit kahit sa mga vulnerability and patient will be able to impulsiveness problem can result in understand the importance
maliliit na bagay”, environment that acknowledge problem poor impulsive control. of impulse control and was
As verbalized by the might cause with impulse control. able to acknowledge the
patient -Healthy people are
irritation and -Explore the patient’s aware of an impulse and problem.
frustration as inability to control are able to make a
evidenced by actions decision about
Objective: irritability, following the urge or
temper outburst not.
-easily irritable
and attention
-temper outburst seeking.
-Discuss the use of
-attention seeking relaxation techniques -This helps the client
divert her attention
-too familiar with
strangers
-Encourage the client to
make the decision to -Help the client gain
change and set independence
personally achievable
goals.
-It keeps the patient
-Involve the client with occupied
occupational therapy.
Dependent:

-Administer medications -Some medications can


as prescribed help impulse control

Collaboration:

-Collaborate with -To help treat the


treatment of underlying underlying cause
conditions, when
possible.
ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION
INTERVENTIONS

Subjective: Impaired mood At the end of 4-6 Independent: At the end of 6 hours of
regulation related hours of nursing nursing interventions the
“minsal galit tapos to functional interventions, the -Determine specific -Allows for accurate patient was able to
biglang masaya impairment as patient will be able to reasons for client’s mood planning of care. acknowledge reality of
ulit”, as verbalized evidenced by acknowledge reality swings. mood problems.
by the patient’s irritability, mood of mood
sister swings and problems/needs. - A negative outlook is
impaired -Discuss how client associated with
Objective:
concentration. perceives the current difficulty in cognitive
-Irritability situation and how it is control and emotional
affecting emotions. regulation strategies.
-Moody

-Sad affect
-Discuss the use of -This helps the client
-Impaired relaxation techniques divert her attention
concentration

-Short attention
span -Encourage the client to -Help the client gain
make the decision to independence
change and set
personally achievable
goals.

-Involve the client with -It keeps the patient


occupational therapy. occupied
Dependent:

-Administer medications -Some medications can


as prescribed help impulse control

Collaboration:

-Collaborate with -To help treat the


treatment of underlying underlying cause
conditions, when
possible.
ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION
INTERVENTIONS

Subjective: Labile emotional At the end of 4-6 Independent: At the end of 6 hours of
control related to hours of nursing nursing interventions the
“madali akong functional interventions, the -Determine individual -Many different factors patient was able to
magalit at impairments as patient will be able to factors related to client may be involved in the acknowledge emotional
magtampo”, As evidenced by acknowledge situation. loss of emotional control and participate in
verbalized by the absence of eye emotional control and control. recommended activities.
patient contact and participate in
uncontrolled recommended -Note feeling of
emotional activities. emotional exhaustion. -To recognize the
Objective: outburst. situation.

-easily irritable

-temper outburst -This helps the client


-Discuss the use of divert her attention
-absence of eye relaxation techniques
contact

-difficulty in use of
facial expressions -Encourage the client to
make the decision to -Help the client gain
change and set independence
personally achievable
goals.

-Involve the client with


occupational therapy. -It keeps the patient
occupied
Dependent:

-Administer medications -Some medications can


as prescribed help impulse control

Collaboration:

-Collaborate with -To help treat the


treatment of underlying underlying cause
conditions, when
possible.

Vous aimerez peut-être aussi