NURSING CARE PLAN: CUES

Subjective Cues
“Antonae bali aya a mga psuwaan iyo?” as verbalized by the patient.
Objective Cues
• Compensates lack of knowledge with exaggerated behavior
• Hostile behavior toward staff
• Verbalizes inaccurate information about condition/treatment
• Performs newly learned tasks inaccurately
NURSING CARE PLAN: NURSING
DIAGNOSIS
• Knowledge Deficit
NURSING CARE PLAN:OBJECTIVES
• Client will verbalize understanding of procedures/situation.
• Client will participate in decision-making process.
• Patient will recognize when to seek help to learn new information by
discharge
• Client will show willingness to cooperate.
NURSING CARE PLAN:
INTERVENTIONS
• Grant a calm and peaceful environment without interruption.
RATIONALE:
A calm environment allows the patient to concentrate and focus more
completely.
• Observe for possible barriers that might make learning more difficult
RATIONALE
Patients might have difficulty learning because of mental or physical
handicaps or economic disadvantages such as literacy. This information
allows for individualizing the care plan.
NURSING CARE PLAN:
INTERVENTIONS
• Encourage the patient to ask questions
RATIONALE:
Questions allow the patient to participate in the learning process. It means that
the patient is engaging in the material and shows interest in wanting to learn. By
asking questions, the patient participates in his or her care and lets the healthcare
team know what topics to address next.
• Inquire feedback about the learning process
RATIONALE:
The most crucial part is that the patient understands the new situation and
treatment. Therefore, it is critical to inquire about feedback regularly to make
adjustments to personalize the plan of care further.
NURSING CARE PLAN:
INTERVENTIONS
• Provide time to process learned material and use a step by step approach
RATIONALE:
Teaching too much material at once might overwhelm the patient and
subsequently discourage the individual. A step by step approach allows for time to
review the content and practice. It also provides for clarifying questions before
moving on to the next step.
• Involve the patient’s family in the learning process
RATIONALE:
It is often beneficial when family and friends are involved in the care and,
therefore, in the learning process. Having someone familiar present during
challenging times provides a feeling of comfort for the patient.
NURSING CARE PLAN:
INTERVENTIONS
• Explain the expected procedures to client:
Continuous monitoring of vital signs and contractions
RATIONALE:
Anxiety is allayed when client/ couple know what is happening and what to
expect. Cooperation and involvement are also enhanced.
• Provide different learning material such as paper, demonstration or video
RATIONALE:
As mentioned above, different learning materials will help your patient absorb
information easier. Studying with various media and seeing the information in
different ways makes it easier to retain information.
NURSING CARE PLAN: EVALUATION
• Client verbalizes their understanding by explanation of the procedure.
• Client can partake in the decision making process while well informed.
• Client asks for information in an unhesitant manner.
• Client provides full cooperation on their medical care.