Nursing Care Plan 2

Published on February 2017 | Categories: Documents | Downloads: 93 | Comments: 0 | Views: 348
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NURSING CARE PLAN ASSESSMENT S: “hindi na ako makakain ng maaus. Nahihilo at nasusuka ako pag kakain ako. At maskit” as verbalized by the patient. 12-pound weight loss over the past four weeks as stated by the client. OBJECTIVE: -thin -pale -weak -slurred speech DIAGNOSIS PLANNING After 2 hours of nursing intervention patient will demonstrate willingness to eat. INTERVENTION Encourage patient to seek information that increases coping skills RATIONALE An ongoing relationship establishes trust, reduces the feeling of isolation, and may facilitate coping. Verbalization of actual or perceived threats can help reduce anxiety. To avoid losing the trust of patient EVALUATION Patient demonstrated willingness to eat as evidenced by “sige pipilitin ko na lang po kumain kahit onti lang.”

Imbalanced Nutrition, Less Than Body Requirements related to nausea, vomiting and anorexia

Provide opportunities to express concerns, fears, feelings, and expectations. Convey feelings of acceptance and understanding. Avoid false reassurances Encourage patient to identify own strengths and abilities. During crises, patients may not be able to recognize their strengths. Establish a working relationship with patient through continuity of care.

Fostering awareness can expedite use of these strengths

An ongoing relationship establishes trust, reduces the feeling of isolation, and may facilitate coping. Patients who are not coping well may need more guidance initially. Patients who are coping ineffectively have reduced ability to assimilate information

Encourage patient to seek information that increases coping skills.

Provide information the patient wants and needs. Do not provide more than patient can handle.

Encourage patient to set realistic goals.

This helps patient gain control over the situation. Guiding the patient to view the situation in smaller parts may make the problem more manageable. Patients who are coping ineffectively may not be able to assess progress. Unexpressed feelings can increase stress

Point out signs of positive progress or change.

Encourage patient to communicate feelings with significant others.

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