ASSESSMEN DIAGNOSIS BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION

T KNOWLEDGE
Subjective: Deficient knowledge A lack of cognitive After 3 hours of Independent: Independent: After 3 hours of
“Natatakot r/t lack of information or nursing nursing
po ako information/ psychomotor ability intervention, the 1. Assess patient or SO 1. Necessary for intervention, the
kumain nang misunderstanding of needed for health patient will be level of knowledge and creation of patient was able
marami baka restoration,
medical condition/ able to: ability and desire to individual to:
lumala ang preservation, or
therapy needs.  Verbalize learn. instruction plan.  Verbalize
sakit ko” health promotion is
identified as a understandin understanding
Objective: knowledge deficit. g of condition, 2. Be alert to signs of 2. Reinforces of condition,
 Patient Knowledge plays an potential avoidance (changing expectation that potential
appears influential and complications, subject away from this will be a complications,
to be significant part of a individual risk information being “learning individual risk
anorexic patient's life and factors, and presented or extremes experience.” factors, and
 Failure to recovery. function of of behavior). Verbalization function of
improve pacemaker (if identifies pacemaker (if
from the used). misunderstandings used).
previous
 Relate signs of and allows for  Relate signs of
regimen
pacemaker clarification. pacemaker
failure. failure.
 Verbalize 3. Present information in 3. Natural defense  Verbalize
understandin varied learning formats: mechanisms, such understanding
g of programmed books, as anger or denial of therapeutic
therapeutic audiovisual tapes, of significance of regimen.
regimen. question and answer situation, can block  List desired
 List desired sessions, group learning, affecting action and
action and activities. patient’s response possible
possible and ability to adverse side
adverse side assimilate effects of
effects of information. medications.
medications. Changing to a less  Correctly
 Correctly formal or perform
perform structured style necessary
necessary may be more procedures
procedures effective until and explain
and explain patient and SO is reasons for
 reasons for ready to accept or actions.
actions. deal with current  Verbalize
 Verbalize situation. awareness of
awareness of and plan for
and plan for 4. Reinforce explanations 4. Using multiple lifestyle
lifestyle of risk factors, dietary learning methods changes to
changes to and/or activity enhances retention maintain a
maintain a restrictions, medications, of material. normal
normal and symptoms requiring weight.
weight. immediate medical  Assume
 Assume attention. responsibility
responsibility for own
for own 5. Encourage identification 5. Provides learning.
learning. and reduction of opportunity for
individual risk factors patient to retain The goal was met.
(smoking/alcohol information and to
consumption, obesity). assume control and
participate in
rehabilitation
program.

6. Warn against isometric 6. These behaviors

activity, Valsalva and chemicals have
maneuver, and activities direct adverse
requiring arms effects on
positioned above head. cardiovascular
function and may
impede recovery,
increase risk for
complications.

7. Review programmed 7. These activities

increases in levels of greatly increase
activity. Educate patient cardiac workload
regarding gradual and myocardial
resumption of activities, oxygen
 e.g., walking, work, consumption and
recreational and sexual may adversely
activity. Provide affect myocardial
guidelines for gradually contractility and
increasing activity and output.
instruction regarding
target heart rate and
pulse taking, as
appropriate.

8. Differentiate between 8. Pulse elevations

increased heart rate that beyond established
normally occurs during limits,
various activities and development of
worsening signs of chest pain, or
cardiac stress (chest dyspnea may
pain, dyspnea, require changes in
palpitations, increased exercise and
heart rate lasting more medication
than 15 min after regimen.
cessation of activity,
excessive fatigue the
following day).

9. Emphasize importance 9. Timely evaluation

of contacting physician if and intervention
chest pain, change in may prevent
anginal pattern, or other complications.
symptoms recur.

10. Encourage patient and 10. Depressed patients

SO to share concern and have a greater risk
feelings. Discuss signs of of dying 6–18 mo
pathological depression following a heart
versus transient feelings attack. Timely
frequently associated intervention may
 with major life events.
Recommend seeking
professional help if
depressed feelings
persist.
11. Review dietary needs, 11. Patient and family
answering questions as
indicated. Encourage the
inclusion of high-fiber
foods and adequate fluid
intake.
12. Encourage the use of 12. New ways of
relaxation and other
stress-management
techniques (visualization,
guided imagery,
biofeedback).
be beneficial. Note:
Selective serotonin
reuptake inhibitors
(SSRIs), paroxetine
(Paxil), have been
found to be as
effective as tricyclic
antidepressants but
with significantly
fewer adverse
cardiac
complications.
may need
assistance with
planning for a new
way of eating. 
coping with
feelings of anxiety
and fear help
patient manage
these feelings in
more effective
ways, assisting in
giving up
maladaptive
behaviors of not
eating and binging-
purging.