Assessment Diagnosis Planning Implementation Evaluation

Subjective data: Unhealthful lifestyle STG: After 2-3 hrs of I. STG:

“Dahil sa pitong anak and personal nursing intervention the 1. Establish rapport Goal met as
ko, minsan ang habits/practices family will be able to evidenced by
dudumi na talaga nila. related to poor verbalize understanding Rationale: This will make the after 2-3 hours of
Hindi ko na naliliguan personal hygiene as the importance of client comfortable and enhances nursing
lahat araw-araw.” As evidenced by the practicing good personal cooperation during the health interventions the
verbalized by Father family practice hygiene; the health risks teaching. family understand
Juan improper physical associated with poor the importance of
hygiene personal hygiene; and 3. Educate the client about the practicing good
Objective data: lastly, able to demo the importance of good personal personal hygiene;
 The father steps on handwashing. hygiene, such as identified health
works as  Bathing regularly risks associated
garbage  Trimming fingernails and with poor
collector LTG: After 1-2 days of toenails personal hygiene;
 The couple nursing intervention the  handwashing and lastly,
have 7 children family will be able to demonstrated on
 The mother continue the health Rationale: To enhance their how to properly
feeds her teaching provided, and knowledge about this matter and wash our hands.
children with carry on good personal to reinforce the family to practice
bare hands hygiene. good personal hygiene LTG:
without hand Goal met as
washing 4. Enumerate and discuss health- evidenced by
 fingernails and risks associated with poor after 2-3 days the
toenails of personal hygiene. family are now
children were practicing good
not trimmed personal hygiene.
properly and Rationale: To determine possible
filled with dirt. risks that family might acquire If
 The family they continue to practice poor
practice personal hygiene.
improper waste
disposal and 5. Demonstrate the steps of
physical handwashing, and allow for return
hygiene demo.

Rationale: Demonstration will

help the family to learn, and raise
client’s interest and motivation.
Furthermore, return
demonstration make sure that the
client fully understand the skills
taught and its application.

C.
4. Develop plan of care
appropriate to individual
situation, scheduling activities to
conform to client’s usual desired
schedule

Rationale: To achieve goals and

priorities in the time available

5. Active-listen client’s/SO(s)’
concerns.

Rationale: Exhibits regards for

client’s values and beliefs,
clarifies barriers to participation
in self-care, provides opportunity
to work on problem-solving
solutions and to provide
encouragement and support.
 I Diagnosis Planning Implementation Evaluation
This should This should This should This should This should
include include the include a include include data
subjective, most family goal interventions or that are listed
objective and appropriate that is most nursing actions as criteria in
historical data diagnosis for appropriate that directly relate goal
that support the family for the to the family’s statement.
that includes
actual or risk family and goal, that are Based on
all
for nursing the nursing specific in action these data,
appropriate
diagnosis. parts [stem, diagnosis. and frequency, are goal is
related to, Goal should labeled "I" for determined to
and as be independent and be met,
evidenced by measurable "C" for partially met,
for actual by at least collaborative, and or not met. If
diagnosis] two criteria include a goal was not
and is and have a referenced met or
NANDA- target date or rationale with partially met,
approved) time. page number [if plan of care is
applicable]. revised or
Number of continued and
interventions a new
should be evaluation
appropriate to date/time is
help the family set.
meet their goal.