Identifi ed Problem: Expressi ons of doubt regarding role performance Nursing Diagnosis: Powerlessness related to emotional emotional response secondary to personal loss CUES
OBJECTIVES
SUBJE!I"E: #$ala naman %oy ma&imo ana' mao mana ang pag buot sa (inoo) #(usto na namo sundan ang among usa %a ana% pero dili man *ud mi &atagan) as +erbali,ed by t&e patient-
$it&in 0 &ours or pro+iding proper nursing inter+entions' inter+entions' pt- will be able to: Express sense of control o+er t&e present situation and future outcome1 2c%nowledge reality t&at some areas are beyond indi+idual3s control
.BJE!I"E: Expressions of doubt regarding role performance /eeling of guilt Seen to be always in deep t&oug&t
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INTERVENTIONS
6- Identify Identify situation situational al circumstanc circumstances es t&at made &er feel powerless 4- Encourag Encourage e patien patientt to rest
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!o promote ade>uate rest was able to: and sleep Express sense of control Perception and o+er t&e present situation %nowledge of t&e and future as s&e was condit condition ion ser+es ser+es as t&e able to +erbali,e basi basis s for for appr approp opri riat ate e # 5as%i ani ang na&itabo nursing inter+entions sa amoa' naa lang man *ud na sa amoa amoa %ung !o determin determine e degree degree of gusto pa mi mag%a ana% powerlessness o dili# 2c%nowledge reality t&at (estures (estures and non+erba non+erball some areas are beyond cues cues are are sign signif ific ican antt in indi+idual3s indi+idual3s control loo%ing deeper into w&at a #@aning ing ani na pers person on feel feelss- It is one one sitwasyon wala na *ud mi important way of ma&imo) as t&e patient expressing one3s feelings +erbali,ed!o ma%e ma%e t&e client client feel feel 5a%e c&oices related to t&at s&e is not alone and and be in+ol+ed in care gi+es gi+es increases increases &er self? #Sige lang' isa lang gyud esteem ana% nmo ani' atimanon !&ere !&ere is always always &ope in nala nalang ng to namo namo siya siya e+eryt&ing tarong) as +erbali,ed by !&is !&is &elp &elps s t&e t&e clie client nt t&e patient recogni,e &er own ability •
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7- Determine Determine client3 client3s s perception perception and and %nowledge of condition
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$it&in 4 days of pro+iding proper nursing inter+entions' inter+entions' pt- will be able to: 5a%e c&oices related to and be in+ol+ed in care-
EVALUATION
!o assess causati+e causati+e factor factor (.29 5E! of ; &ours span t&at t&at leads leads and affects affects t&e 2t t&e end of of nursing care' t&e patient problem
8- 9isten 9isten to +erbali,at +erbali,ation ion of feelings feelings and note for negati+e expressions li%e #gi+ing up) and #I3m tired)- Note non+erba non+erball be&a+io be&a+ioral ral responses
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;- S&ow concern concern for for client client as a person-
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Express &o &ope for t&e client •
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Identify t&e area t&at s&e can do and areas beyond &er control=Encourage client to to maintain a sense of perspecti+e about t&e
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!o promote optimism and
situation6A- Encourage use of anxiety and stress?reduction tec&ni>ues suc& as t&in%ing of &appy t&oug&ts and positi+e self?recitation
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positi+e outloo% towards life !o promote wellness-
