Angelica M. Revil Ms.

Kristal Liza Besario RN, MSN

BSN 202 September 26, 2020

COMMUNITY HEALTH NURSING

LEARNING FEEDBACK DIARY(LFD #4)

Today is Saturday and we have no class for this day, this

day I am doing my Nursing care plan and so I used my NANDA
to find for my diagnosis. I am enjoying what I did to it was
tedious to think critically with every situation of the family. I
was able to add my family data assessment, so I made
intervention to Mr. Hernandez and family, Mr. Hernandez is a
52 years old, a farmer and resides with his family in Brgy.
Trinidad Surigao City. During the interview I observed that Mr.
Hernandez have a productive cough while watching the news
with presence of rapid breathing and wheezing. I observed that
he had a 1 pack of ciggarete in his pocket, while taking his vital
signs. Vital signs are taken and noted as follows: Body
temperature is 36.8 degrees Celcius, blood pressure is 130/90
mmHg, respiratory rate of 25 cycles per minute, and pulse rate
of 72 beats per minute. He has history of ephysema said by his
wife. He can take 2 packs of cigarette in a single day. He was
diagnosed 4 months ago with emphysema and yet he still do
smoke. He manifested some respiratory problems but he just
ignoring the facts and considered it normal since he is a smoker.
The condition of the family was “siksikan” and they are
extended family, knowing the fact that family members of Mr.
Hernandez can also be prone to second hand smoking and might
cause complications if he still continue with his habit. I was able
to give therapeutic communication with the family, I realized
that, therapeutic communication involves using broad opening
statements, reflecting, sharing observations, acknowledging the
client and family’s feelings, using silence, giving information,
clarifying, verbalizing implied thoughts and feelings, exploring,
presenting reality and validating. When approaching and
interacting with families, I always greet them with a smile. I
always introduce my name and profession to them. I have
effectively communicated with them by sharing, clarifying and
validating their knowledge of health. They may not process the
information given to them at the same speed that they used to
be; therefore, I talk to them at the speed that they can follow.
Paying attention to their nonverbal cues is also important. I
approached to them and learned that they speak with hospitality,
and they also welcomed me warmly. I started interviewing them
using their primary language. They were more opened up and
willing to share their thoughts and concerns. After this day, I
was able to sleep well for another day to be happy and awake.