Name: Ladringan, Shane Ivan

Assessment Diagnosis Planning Interventions Rationale Evaluation

(Problem SMART (at least 5 per (Rationale for
+ Etiology (Specific, plan) each 5 per plan of
/ Cause + Measurabl interventions
Signs /) e, mentioned)
Attainable,
Realistic,
and Time
Bounded)

Subjective: Ineffective Short Independent: 1. Address the Short term:

As Family term: 1. Identify specific deficits
verbalized Health After 3-4 availability and Goal met:
by the Managem days of use of resources 2. Family member After 3-4
narrator: ent related nursing might days of
“Isang araw, to interventio 2. Determine misunderstand nursing
si rosario ay difficulty ns, the understanding of either the cause of interventions
nagkasakit managing family will and value of the illness or the , the family
ng tigdas. complexit be able to treatment prescribed was able to
Dinala sya y of participate regimen to the regimen and may participate in
sa malapit treatment in family disagreed with problem-
na health regimen problem- what is happening solving of
center kung as solving of 3. Provide identified
saan evidenced identified family-centered 3. Helps the concerns
niresetahan by concerns education family to make
sya ng statement addressing informed Goal
Muculex of Long management of decisions and see partially met:
Php 34.00, “Isang term: condition and the connection After 3-4
Keflex Php araw, si After 1 incorporation of between illness days of
57.00, at rosario ay month of strategies into and treatment nursing
Guanamycin nagkasakit nursing family’s lifestyle interventions
e Php 24.00” ng tigdas. interventio 4. Effective , the family
“Nang Dinala sya ns, the 4. Guide a interactions can was able to
maubos na sa malapit family will family member be enhanced and participate in
ang tig- na health be able to to recognize maintained. problem-
iisang bote center verbalize inappropriate solving of
ng tatlong kung saan acceptance family activities 5. Enhances identified
gamut ay niresetaha of need or commitment to concerns
hindi na n sya ng desire to 5. Make a plan the plan,
nakabili ang Muculex change jointly with optimizing the Goal unmet:
mga Php 34.00, actions in family member outcomes After 3-4
magulang ni Keflex order to to deal with the days of
Rosario Php 57.00, achieve complexity of 6. Involvement of nursing
dahil wala at the agreed- the healthcare other providers interventions
na silang Guanamyc on regimen or and agencies are , the family
pera.” ine Php outcomes system and other needed as some was able to
“hindi sya 24.00”; or goals related factors problems are participate in
tuluyang “Nang multifaceted problem-
gumaling. maubos na Collaborative: solving of
Patuloy ang tig- 6. Make a plan identified
syang iisang jointly with concerns
nagtae, bote ng other health,
hanggang tatlong social, and Long Term:
matuyuan ng gamot ay community
tubig sa hindi na resources/provid Goal met:
katawan.” nakabili ers After 1
ang mga month of
magulang nursing
ni Rosario interventions
dahil wala , the family
na silang was able to
pera.”; verbalize
“hindi sya acceptance
tuluyang of need or
gumaling. desire to
Patuloy change
syang actions in
nagtae, order to
hanggang achieve the
matuyuan agreed-on
ng tubig outcomes or
sa goals
katawan.”
Goal
partially met:
After 1
month of
nursing
interventions
, the family
will be able
to verbalize
acceptance
of need or
desire to
change
actions in
order to
achieve the
agreed-on
 outcomes or
goals

Goal unmet:
After 1
month of
nursing
interventions
, the family
will be able
to verbalize
acceptance
of need or
desire to
change
actions in
order to
achieve the
agreed-on
outcomes or
goals

Conclusion:

There are communities in the country who do not have an accessible health care service
which result to poor health and lifestyle of an individual, family, and even community as a
whole. Government and even non-government officials play a vital role when it comes to health
aspect of a community. As stated on the study of Tang et. al. (2004), there were different roles of
the government that should be done in relation to health care aspect such as provide health care,
ensure access and monitor the quality of health care especially to vulnerable populations,
develop the healthcare workers, and etc. In Philippines, concerns regarding access to quality
health care should give an attention by the government and non-governments officials and
address related issues. The story of Rosario is just one of the situations that people living in poor
and marginalized area are experiencing.
The story of Rosario depicts the life of poor and marginalized community when it comes
to accessing healthcare services. Different factors affect their ability to consult and got to
healthcare facilities when having a disease such as financial status, accessibility of healthcare
facilities and availability of resources that can be afford by poor communities. Rosario’s family
was not able to get a quality healthcare service, primarily because of their economic status. In the
healthcare field, it is important to give attention to people who seeks medical attention,
unfortunately, some people can’t afford to have a quality healthcare service and the family of
Rosario are just one of them. Even though that their family wants to seek medical attention due
to their current conditions, one thing that stopping them are the expenses they will spend once
they consult with healthcare professionals reason why they will just choose not to go to check
their conditions which may worsen due to lack of action to prevent and treat their illnesses. The
story showed me that not all family or even community are privileged enough to provide for a
quality healthcare service due to different factors and of these is their economic status. Programs
that prioritize the poor people must be done and promote by the leaders to improve the health of
the population in our country. One of the ways to help people cope up with their condition is the
duty of nurses to guide and help them in facing their health problems, one of it is through
creating an effective nursing care plans wherein it will be attainable and effective for the patient
considering their status and capabilities. In making a nursing care plan, it should be specific,
measurable, attainable, realistic, and time-bound for the client to achieve their goals. Nursing
care plans plays an important role in achieving wellness of an individual and it is the duty of
nurses to provide this plan for their patient which can be done in either independent and
collaborative way. Everyone deserves to be treated fairly and must be given the right to access a
quality healthcare services no matter what status they have in life because life is important and
precious that it should be taken care well. The story of Rosario should be an eye-opener to our
leaders and even to healthcare providers that they should prioritize and give rights to poor people
to have access to quality healthcare services.

References:
Doenges, M. E., Moorhouse, M.F., & Murr, A.C. (2016). Nurse’s Pocket Guide: Diagnoses,
Prioritized Interventions, and Rationales (15th ed.). F.A. Davis Company
Tang, N., Eisenberg, J. M., & Meyer, G. S. (2004). The roles of government in improving health
care quality and safety. Joint Commission journal on quality and safety, 30(1), 47–55.
https://doi.org/10.1016/s1549-3741(04)30006-7