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Ferdinand V.

Francisco BSN 3Y2-2 ASSESSMENT Objective: -restlessness -poor concentration -bizarre thinking -hallucination Long Term Goal: After 1 month of nurse-patient interaction, the patient will be able to maintain or regain usual level of cognition. DIAGNOSIS PLANNING INTERVENTION EVALUATION Short Term Goal: -Establish rapport. -Assess ability to speak, hear, interpret and respond to simple commands. -Promote meaningful socialization. -Provide diversional activities. -Review basic and specific safety information. -Assist client to learn effective ways of coping with and managing sensory disturbances, anticipating safety needs. -Interpret stimuli/feedback. -Reorient to person, place, time, and events are necessary. After 1 week of nursepatient interaction, the patient was able to verbalize awareness of sensory needs.

Disturbed sensory Short Term Goal: perception related to insufficient After 1 week of nurseenvironmental stimuli. patient interaction, the patient will be able to verbalize awareness of sensory needs.

Long Term Goal: After 1 month of nurse-patient interaction, the patient was able to maintain or regain usual level of cognition.

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