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Date/time

Cues Need

Nursing Diagnosis Objectives of Care Interventions Evaluation

Jan.24,

2012@

2pm

Subjective:N: Ano sa tinginnyo ang dapatnyong gawinkapag may lalapitna negro sa iyomaam?R: Wala, aalislang ako. Takotkasi ako sa kanilaeh.N: May naiisip poba kayo natechnique paramaovercome nyoang takot nyo sakanila?J: Wala eh. Di nalang ako lalapit sakanila.

Objectives:Inability to makedecisionsInability to ask for

helpFair appetite

Ineffectiveindividual copingrelated toinadequate copingmethod.

R:Inability to form avalid appraisal ofthe stressors,inadequatechoices ofpracticedresponses, and/orinability to useavailableresourcesFor mostpersons, everydaylife includes itsshare of stressorsand demands,ranging fromfamily, work, andprofessional roleresponsibilities to

major life eventssuch as divorce,illness, and thedeath of lovedones. How one

Within my 4 days spanof care , the client willbe able to identify ownmaladaptive copingbehaviors asevidenced by:

.a. Patient identifiesavailable resourcesand supportsystems such asthe staff nurses,student nurses andfriends and herfamily; andb. Patient describesand initiatesalternative copingstrategies such asPhysical Exercise;e.g., aerobic,strength, stretching,dance, yoga,martial arts, tai-chi,

etc.,Creative/artisticself-expression;e.g., creativewriting, painting,

1.Determine thepresence/degree ofimpairment of clientscoping abilities.

R: Provides information

about perceived and actualcoping ability, life changeunits, anxiety level,

2. Assist client toidentify/discuss thoughts,perceptions,and feelings.

R:Client is able to viewhow perceptions/thinking/affect is processed and tostrengthen reality

3.Encourage client toexpress areas ofconcern. Supportformulation of realisticgoals and learning ofappropriate problem-solving techniques.R: This disorder firstmanifests itself at an

early age before theclient has had anopportunity to learneffective coping skills.In a trustingrelationship (a climate

February 01, 2012@

6pm

goal metThat at the end of my 4days span of care , theclient was able toidentify own maladaptivecoping behaviors asevidenced by:

.a. Patient identified

available resources andsupport systems such asthe staff nurses, studentnurses and friends and

her family; andb. Patient described and

initiates alternativecoping strategies suchas Physical Exercise;e.g., aerobic, strength,

stretching, dance, yoga,

martial arts, tai-chi, etc.,Creative/artistic self-

expression; e.g.,creative writing, painting,

drawing

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as elderly patients,those in adversesocioeconomicsituations, those

with complexmedical problemssuch as substanceabuse, or thosewho findthemselvessuddenlyphysicallychallenged maynot have the

resources or skillsto cope with theiracute or chronicstressors.

activities as methods tocope with stress.

R: to divert the attention.

8. Encourage patient to

seek information thatincreases coping skills.

Patients who are notcoping well may need

more guidance initially.