8/3/2019 NCP (sabanal)

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COLLEGE OF NURSING

Silliman UniversityDumaguete City

8/3/2019 NCP (sabanal)

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CUES/EVIDENCES NURSING

DIAGNOSIS

OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Subjective:

Verbaliz

ed, Magpadala

man gud ko ug

love letter sa

balay. Pwede

kamo magpadala

sa akong mamaog papa?

Verbaliz

ed, Mangayo ko

usa ka leaf day sa

imu notebook. I

want to ask from

my family twenty

thousand pesos to

pay to the lawyer.

Naa man gud koykaso arun

matagaan ko og

justice. Katong

drugs ba, gi

kasuhan ko ato,

katong ga

marijuana ko

Verbaliz

ed, Thats why Id

like to write them

(pertaining to the

clients family).

One month na

gani ko diri pero

wala pajud japun

sila ka bisita. Ni

Ineffective individualcoping related to

inadequate supportsystem

At the end of our care,the patient willdemonstrate effectivecoping skills asevidenced by:

Short term:

1. Verbalizing ability to cope2. Verbalizi

ng realisticthoughts andsituations aboutself

3. Willingness to call onothers foremotionalassistance

4. Reportdecrease innegative feelings

Long term:

5. Demonstrating effective

problem- solvingand decisionmaking skills

6. Verbalizing increasedinsight andjudgment

7. Modifylifestyle as

INDEPENDENT

Identifyindividual stressors(e.g., family, social,work environment,life changes ornursing/healthcare

management).

Identifydevelopmental levelof functioning of theclient.

Neumans Systems Modelassumes that eachindividualexperiencesdifferent stressors

in life and react toeach in certainways. This helpsdefine problem(s),providing astarting point forintervention.

The fourconservationprinciplesmentioned in

LevinesConservationModel are theprinciples of theconservation ofenergy, structuralintegrity, personalintegrity, andsocial integrity. Itis vital todetermine theclients own level

of functioning andintegrate that inthe care so thatchange will not beso difficult toachieve while atthe same timemaintaining thepatients integrity.

At the end of ournursing care, ourclient was able todevelop effectivecoping behavior asevidenced by:

- Verbaliz

ed ability to copeby talking to otherpatients orstudent nursesfrom time to timewhen feelingdepress.

- Verbalized use ofcigarette cancause bad for hishealth

- Verbalized willingness totalk to others inorder to share histhoughts andfeelings or listento othersopinions.

- Verbalized decrease innegative feelingsespecially when

he got to interactwith other peoplewho were willingto listen to himand when hesable to participatein therapiesconducted bystudent nurses.

8/3/2019 NCP (sabanal)

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NCP ANALYSIS

Ineffective individual coping related to inadequate support system

Since hes admission until our last day care to him at the center, it became clearly evident that this is one of the priority concern of our

client who is suffering from inadequacy of social support system especially from his biological relatives. Not a single family member ever visited

him nor get in contact with him as he verbalized. Every time we ask him about his future plans, his frequent response is to go to Bicol and help in

his fathers business and find a suitable woman to marry as this is what his father wishes him to do. He also wrote a letter for his mother and

shared it to us. What really captured us in his letter was his statement Ma, Pa, gimingaw najud ko ninyo and I really dont know why I was

brought here. Kindly visit me here if maka time mu. He always feels lonely every time hell think about his family. To cope up from his emptiness

and stress, he told us that hell masturbate and smoke. Knowing this fact, this nursing care plan focuses in guiding our client as much as possible

in order for him to develop effective coping strategies to deal with his life concerns, to find effective solutions to his current problems, and to

adjust with his current condition.