Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Data: Readiness for enhanced Short Term Goals: Independent: Short Term Goals:
“Kailangan ko lang diba knowledge: Health After 1 hour of nursing -To promote ease in The patient was able to
inumin yung gamot para related to patient intervention, the patient -Encourage patient to handling difficult verbalize understanding
di ako mag high blood” expressing knowledge will able to verbalize verbalize concerns situation of information gained
as verbalized by the about condition understanding of regarding knowledge and
patient information gained skills about condition -Applying or using Long Term Goals:
needed by the patient information increases the After continuous nursing
Long Term Goals: desire to learn and retain intervention, the patient
Objective Data: After 2 days of nursing -Repeat instructions and information. Repetition has used the information
-The patient shows interventions, the patient demonstrate skills needed reinforces learning gained to develop an
positivity towards the will be able to use the by the patient such as individual plan to meet
treatment information gained to time of taking the -Promotes ongoing health needs and goals.
develop plan to meet medicine, amount of learning at own pace
health needs and goals. medicine to be taken in a
day, eating well-balanced -Promotes hands-on
diet that’s low in salt and problem solving
maintaining healthy
weight. -To ensure complete
knowledge concerning
-Provide information condition to prevent risks.
about additional learning
resources such as giving
books, magazines, TV
programs that can give
patient additional
knowledge about
condition

-Promote client or SO
involvement in planning
for implementing added
tasks or responsibilities
such us monitoring blood
pressure, reminding the
client to take medicine on
time, maintaining healthy
weight

-Encourage patient to ask

questions and clarify
information concerning
condition