AssessmenL nurslng ulagnosls lannlng lnLervenLlon 8aLlonale LvaluaLlon

Sub[ecLlve
Canyan Lalaga sya
magsallLa hlndl
masyadong
malnLlndlhan aL wala
dln sya klnakausap"
as verballzed by Lhe
relaLlve

Cb[ecLlve
ShorL
aLLenLlon
span
Laslly
dlsLracLed
Dnable Lo
compleLe
Lask
ablle mood
lmpalred soclal
lnLeracLlon and
communlcaLlon
relaLed Lo dlsLurbed
braln developmenL

8ackground
knowledge
AbouL a Lhlrd Lo a
half of lndlvlduals
wlLh auLlsm do noL
develop enough
naLural speech Lo
meeL Lhelr dally
communlcaLlon
needs ulfferences ln
communlcaLlon may
be presenL from Lhe
flrsL year of llfe and
may lnclude delayed
onseL of babbllng
unusual gesLures
dlmlnlshed
responslveness and
vocal paLLerns LhaL
are noL synchronlzed
wlLh Lhe careglver ln
Lhe second and Lhlrd
years auLlsLlc
chlldren have less
frequenL and less
dlverse babbllng
consonanLs words
ong Lerm goal
AfLer 6 days of nurslng
lnLervenLlon cllenL wlll
be able Lo demonsLraLe
successful lnLeracLlons
wlLh famlly members
and sLaffs ln educaLlonal
seLLlng

Cb[ecLlves
AfLer renderlng nurslng
care cllenL wlll
Successfully
compleLe Lasks
or asslgnmenLs
wlLh asslsLance
uemonsLraLe
accepLable soclal
skllls whlle
lnLeracLlng wlLh
sLaff or famlly
1 ldenLlfy Lhe facLors
LhaL aggravaLe and
allevlaLe Lhe cllenL's
performance


2 rovlde an
envlronmenL as free
from dlsLracLlons as
posslble

3 Lngage Lhe cllenL's
aLLenLlon before
glvlng lnsLrucLlons
(calllng hls/her
name havlng an eye
conLacL)

4 Clve lnsLrucLlons
slowly uslng slmple
language and
concreLe dlrecLlons

3 rovlde poslLlve
feedback for
compleLlon of each
sLep or Lask





6 Allow breaks
1he exLernal sLlmull
LhaL exacerbaLe Lhe
cllenL's problems can
be ldenLlfled and
mlnlmlzed

1he cllenL's ablllLy
Lo deal wlLh exLernal
sLlmulaLlon ls
lmpalred

1he cllenL musL
hear lnsLrucLlons as a
flrsL sLep Loward
compllance



1he cllenL's ablllLy
Lo comprehend
lnsLrucLlon ls
lmpalred

1he cllenL's
opporLunlLy for
successful
experlences ls
lncreased by LreaLlng
each sLep/Lask as an
opporLunlLy for
success

1he cllenL's resLless
Coal parLlally meL

1he cllenL was able
Lo demonsLraLe
wllllngness and
deslre Lo soclallze
wlLh some
educaLlonal sLaff buL
noL wlLh all sLaff
and word
comblnaLlons Lhelr
gesLures are less
ofLen lnLegraLed wlLh
words AuLlsLlc
chlldren are less
llkely Lo make
requesLs or share
experlences and are
more llkely Lo slmply
repeaL oLhers words
(echolalla) or reverse
pronouns
durlng whlch Lhe
cllenL can move
around



7 Clve Lhe cllenL
poslLlve feedback for
performlng
behavlors LhaL
comes close Lo Lask
achlevemenL


8 AsslsL Lhe cllenL Lo
verballze by asklng
sequenclng
quesLlons Lo keep on
Lhe Loplc (whaL
happens nexL?")
energy can be glven
an accepLable ouLleL
so LhaL he/she can
aLLend Lo fuLure Lask
more effecLlvely

1hls approach
called shaplng ls a
behavloral procedure
ln whlch successlve
approxlmaLlons of a
deslred behavlor are
poslLlvely relnforced

lncrease loglcal
LhoughL and
decrease
LangenLlallLy








Assessment Nurs|ng D|agnos|s |ann|ng Intervent|on kat|ona|e Lva|uat|on
Sub[ecLlve
Canyan sya kapag
umllyak LlnaLakpan
nya Lenga nya kasl
nallngayan sya sa lyak
nya" as verballze by
Lhe relaLlve

Cb[ecLlve
onLlnuous
crylng
overlng hls
ears

lear relaLed Lo
phoblc sLlmulus as
evldenced by
coverlng ears when
he hears loud nolse

8ackground
knowledge
honophobla (also
called llgyrophobla) ls
a fear of loud sounds
lL can also mean a
fear of volces or a
fear of ones own
volce lor example
llsLenlng Lo a u LhaL
sLarLs wlLh a mlnuLe
of sllence and Lhen
suddenly goes lnLo
loud rock muslc
would be exLremely
sLarLllng for mosL
people assumlng
Lhey had no prlor
knowledge of Lhe
conLenL of Lhe u
8elng sLarLled ls ln
lLself a normal
reacLlon buL Lhe key
dlfference ls LhaL
people wlLh
llgyrophobla acLlvely
fear such an
Coal
AfLer 3 days of
nurslng lnLervenLlon
Lhe paLlenL wlll be
able Lo dlscuss phoblc
ob[ecL or slLuaLlon
wlLh Lhe nurse

Cb[ecLlves

AfLer renderlng
nurslng lnLervenLlons
paLlenL wlll
be able Lo
parLlclpaLe ln
LherapeuLlc
communlcaLlon

be able Lo ldenLlfy
selecLlon of coplng
sLraLegles


1 8eassure cllenL of
hls or her safeLy and
securlLy

2 Lxplore cllenL's
percepLlon of LhreaL
Lo physlcal lnLegrlLy
or LhreaL Lo self
concepL



3 ulscuss Lhe reallLy
of Lhe slLuaLlon wlLh
cllenL ln order Lo
recognlze aspecLs
LhaL can be changed
and Lhose LhaL
cannoL

4 lnclude cllenL ln
maklng declslons
relaLed Lo selecLlon
of alLernaLlve coplng
sLraLegles

3 Lncourage cllenL Lo
explore underlylng
feellngs LhaL may be
conLrlbuLlng Lo
lrraLlonal fears Pelp
cllenL undersLand
how faclng Lhese
AL panlc level of
anxleLy cllenL may
fear for own llfe

knowlng cllenL's
percepLlon of Lhe
phoblc ob[ecL ls very
lmporLanL ln order Lo
asslsL wlLh Lhe
desenslLlzaLlon
process

llenL musL accepL
Lhe reallLy of Lhe
slLuaLlon before Lhe
work of reduclng Lhe
fear can progress



Allowlng Lhe cllenL
Lo cholces provlde a
measure of conLrol Lo
lncrease feellngs of
selfworLh

verballzaLlon of
feellngs ln a
nonLhreaLenlng
envlronmenL may
help cllenL Lo Lerms
wlLh unsolved lssues

Coal meL

1he cllenL was able Lo
parLlclpaLe ln Lherapy
even Lhough he ls ln
hls phoblc evenL
(crylng ln fear) Pe
was able Lo perform
coplng sLraLegles by
counLlng numbers
whlle [umplng ln
whlch he sLops ln
crylng
occurrence feellngs raLher Lhan
suppresslng Lhem can
resulL ln more
adapLlve coplng
ablllLles