Assessment Nursing Diagnosis Objectives Nursing Interventions Rationale Evaluation

Subjective: Short Term:

Disturbed body After 8 hours of Independent: • Normally to some After 8 hours of nursing
image r/t illness nursing interventions, clients, the fear of interventions, the client:
“Ayaw nyang treatment aeb the client will: treatment side
humarap sa mga bisita decreased social effects can feel
nya at hindi rin s’ya • Acknowledge the normalcy of
interaction, worse than the
tumitingin sa salamin emotional response to the actual • Verbalized
alopecia, disease
mula nang malagas • Verbalize changes in physical appearance understanding
generalized
ang mga buhok nya” understanding of temporary
wasting, presence • Encourage verbalization of feelings, • To open lines of
as claimed by the of temporary nature of side
of implanted listen to concerns communication and
mother. nature of side effects
venous access relieve anxiety
effects Goal Met
device
• Verbalize • Convey feelings of acceptance and • The nurse is in ideal
positive understanding position to promote • Verbalized
Objective: remarks about positive remarks
acceptance of the
self situation about self
Goal Met
• Decreased • Provide guidance on hair alternatives • This approaches
social (suggest purchase of wig or decreases the
interaction turbans), on makeup and skin care dramatic changes in
• Alopecia and on clothing to camouflage appearance
• Generalized venous access device
wasting • This may help the
• Presence of • Help client to identify ways of coping client to adjust to the
implanted that have been useful in the past. current problem
venous
• Help client to identify support
systems and refer to a support group
Prepared by:
BSN IV- 6 Group 2B