P3 Week 1- CASE SCENARIO

STUDENT ACTIVITY

Mrs. Helen, a 45-year-old woman, was brought to the Barangay Health Center for check-up. Mrs. Helen had been living with her
daughter Marivic for twenty years till she died in an accident one month ago. She had one cat, who died 2 months ago due to
Parvovirus. Mrs. Helen shared a house with her son Pablo until she was admitted to the Barangay Health Center. Pablo states that her
mom has difficulty sleeping for the past 2 weeks, and has stopped engaging in all social activities, including weekly church services,
and visiting shopping malls. She cries frequently and can be seen staring out into space in the early afternoon. On admission to the
Barangay Health Center, Mrs. Helen says, “I’m a sick woman, and no one will listen to me! I can’t walk, I’m so weak. My head hurts,
and I never sleep more than 3 hours a night.”

Physical assessment finding includes restlessness, Irritable and abnormally sleepy with blood pressure: 160/100mmhg, Pulse Rate:
102bpm, Respiratory Rate: 22cpm and Body temperature 37.2 degree celsius.

Doctor Hannyshane Jamaca prescribed melatonin 3mg/tab, 1 tablet 1 hour before going to sleep and advised to consume a cup of milk
before going to bed.

Which do you think is the PRIORITY Nursing Diagnosis for this case?
A.) Situational grieving
B.) Disturbed Body Image
C.) Chronic Pain
 Phinma Cagayan de Oro College
College of Nursing

NURSING CARE PLAN

NAME OF STUDENT: Dammang, Marjan Ramalan SECTION: FC2-C-02 DATE: 08/03/22 CLINICAL INSTRUCTOR: Ma’am, Ramos, Sheena Ley

NAME OF PATIENT: Mrs; Helen ATTENDING PHYSICIAN: Doctor Hannyshane Jamaca DIAGNOSIS: situational grieving HOSPITAL/ROOM: _________

ASSESSMENT DIAGNOSIS PLANING INTERVENTION EVALUATION

SUBJECTIVE SHORT TERM GOALS INDEPENDENT SHORT TERM GOALS
Mrs Helen says, I’m sick Within 2 hours of nursing intervention the patient  Provide a pleasant environment After 2 hours of nursing intervention
woman, and no one will listen will:  Provide good oral hygiene and the client:
to me! I can’t walk, I’m so  identify and express feelings dentation  Identified and expressed
weak. My head hurts hurts, appropriately  Provide open, nonjudgmental feelings appropriately
and I never sleep more than 3  Verbalize understanding of the  Verbalized understanding of
environment. Use therapeutic
hours a night. process and feelings of being dying process and feelings of
SITUATIONAL communication skills of active
supported in grief work. being supported in grief work
GRIEVING listening and acknowledgement.
 Encourage verbalization of
thoughts or concerns and accept
expressions of sadness, anger,
rejection.

 Doctor Hannyshane Jamaca

prescribed melatonin 3mg/tab 1 tablet
I hour before going to sleep and
advised to consume a cup of milk
before going to bed.
OBJECTIVE LONG TERM GOALS DEPENDENT LONG TERM GOALS
Within 1-2 weeks of nursing interventions, the client After 1-2 weeks of nursing
will: Patient’s family/son was able to understand interventions, the patient:
BLOOD PRESSURE: 160/100  Mrs. Helen is finally healed and will go back and become aware to the patient’s condition  Continued life and plan for
mmhg to its and was able to show assistance and care to future
PULSE RATE: 102bpm the patient.  Increased in weight
RESPIRATORY RATE: 22cpm  The patient will sleep well.
BODY TEMPERATURE: 37.2
DEGREE CELSIUS