Assessment Diagnosis Planning Interventions Rationale Evaluation

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Assessment Diagnosis Planning Interventions Rationale Evaluation

S>“Anu ba ang Deficient After 1° of Provide information For proper and The goal was
dapat kong knowledge nursing relevant to concise partially met.
gawin? Dahil regarding interventions the situation. information. Responses of the
madalas condition control client will be able client/SO to the
nawawalan ng related to lack of to verbalize learning plan and
kontrol ang mga information understanding actions performed.
kalamnan ng evidenced by regarding the Determine client’s
anak ko, nag- statements of condition and ability to learn.
To build rapport.
aalala na ako” as concern. treatment.
verbalized by the
mother. Provide an
environment Reinforces
that is learning
conductive to process.
O>Loss of
muscle control learning.
and falling
Determine blocks
to learning:
language
For easy
>change in barriers.
learning.
consciousness
Provide written
information/gui
delines for It reinforces
client to refer to learning
as necessary, process.

KRISTINE B. PANGINDIAN
NR 32

Assessment Diagnosis Planning Interventions Rationale Evaluation

S>“Madalas Acute pain related After 1° of nursing Perform pain To rule out Goal was met.
nakararamdam ng to inflammation interventions the assessment worsening of Report pain was
pananakit ng ulo associated to the client will be able each time pain underlying relieved/
ang aking anak” brain evidenced to demonstrate/ occurs. Note condition/deve controlled.
as verbalized by by reports of report that the pain and investigate lopment of
the mother. headache. is relieved/ changes from complications.
controlled. previous
reports.

O>facial grimace Provide quiet To promote


environment. relaxation.
>Guarded
behaviors Provide comfort To provide
measures non-
pharmacologi
Suggest parent be c pain
>irritability# present during management
procedures.

Review ways to
lessen pain, To comfort
including child
techniques,
such as
therapeutic
touch.
KRISTINE B. PANGINDIAN

NR 32

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