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Subjective Data Objective Data Assessment Planning Intervention Rationale Evaluation

 Caregiver  Tooth enamel After 30 minutes 1. Demonstrate to 1. For the client to

verbalizes discoloration of nursing the client the know the proper The caregiver was
that her child
Impaired intervention, the proper way of way of brushing able to verbalize
 Erosion of
sometimes enamel dentition r/t client will be able brushing teeth. teeth. understanding of
has  Crown and dietary to: 2. Promote 2. For client the matters about
toothaches root carries on - verbalize and wellness through independence in oral hygiene.
habits, demonstrate caregiver doing self-care However, the
 Caregiver almost all
reports the teeth ineffective effective teaching by: and assisting the client was not
child’s dietary  Premature loss oral hygiene, dental hygiene a. Instruct client in learning; able to
habits (eats skills caregiver in home To treat condition demonstrate
of primary and lack of interventions like: and/or prevent proper brushing
more candies teeth (upper
and sweet center knowledge After 30 minutes -brushing further techniques.
milk) and oral incisors) regarding of nursing teeth complications Therefore, the
hygiene intervention, the -gargling warm goal is partially
 Incomplete dental habits caregiver will be water with salt met.
(merely eruption of
brushes her able to: - flossing 3. For optimum
teeth for age
teeth) - verbalize 3. Assisting/ oral health
understanding encouraging
teeth are 18, 2
of the brushing at least 4. For optimal
upper center
importance of twice a day. nutrition and for
incisors fell
oral health 4. Advising oral health
- encourage and minimal intake of promotion
assist the sugary foods and
client in her more on foods
dental hygiene rich in protein,
and set as an carbohydrates,
example to her vitamins and
- follow through minerals, 5. For client’s
on referrals for especially knowledge and
appropriate calcium-rich food. accessibility to
dental care 5. Review the needed
resources that are resources
needed for client
to perform 6. To minimize
adequate dental oral/ dental
hygiene care damage.
6. Discuss
advisability of
dental check-ups
Subjective Data Objective Data Assessment Planning Intervention Rationale Evaluation
 Caregiver  Able to speak After 30 minutes 1.Improve client’s
verbalizes a language Readiness for of nursing ability to Most of the
that her child  Forms small intervention, the communicate interventions are
is able to
enhanced client will be able thoughts, for the client.
words and
speak but is phrases communicati to: needs, and However, the
still slurry  Uses and on r/t - Express ideas by: 1.a. For client client’s
when interprets information/ a.Maintaining a comfort availability at the
development thoughts/ calm, time of
nonverbal cues
sentences appropriately in child’s feelings in a unhurried intervention is
 Imitates language and satisfactory manner. b. To establish unheard of. She
manner b.Sitting down trust with the was busy playing
written letters cognition - Write at least and client and her attention
though letters
are not well her first name maintaining is not on the
formed eye contact. c. To establish examiner/nurse.
After 30 minutes c. Paying trust and rapport On the other
of nursing attention to with the client, hand, the
intervention, the the client. and to make her caregiver
caregiver will be feel that she is verbalized that
able to: heard she has no
- Verbalize/ d. May reveal questions with
indicate d.Observe body unspoken regards to the
understanding language, concerns topic discussed
of techniques eye about improving
that will assist movements, the client’s
the client to and e. To enhance communication
learn/ behavioral understanding skills.
comprehend cues. and to enhance Therefore, the
on e.Establish cooperation and goal is partially
communicatio hand and eye interest met.
n lessons signals if f. To enhance
necessary. learning and
interest in
f. Provide learning
writing and
learning g. Distracting
materials environment can
(e.g. picture interfere with
boards) communication,
g.Reduce limiting attention
distractions to tasks, and
and making speech
background and
noises communication
more difficult.
Reducing noise
can help both
parties hear
clearly, thus,

2. Promote a. For effective

optimum communication
communication on both parties
with caregiver b. Enhances
effective ways family
to which the relationship and
client promotes self-
communicate esteem for all
b. Encourag members
e client and
caregiver to
use successful
techniques for
Subjective Data Objective Data Assessment Planning Intervention Rationale Evaluation
 The caregiver Client has After 30 minutes 1. Ask the .1. To promote
verbalizes that developed Deficient of nursing caregiver to predictability of The caregiver
her child needs micturation Knowledge r/t intervention, the regulate liquid voiding patterns was able to
and is willing to patterns and has best method of caregiver will be intake of the verbalize
be toilet trained learned how to toilet training able to: client at understanding of
 The caregiver control urgency - Verbalize prescheduled the topic and the
verbalizes that except when understanding of times. Restrict client’s condition.
her child still sleeping client’s condition fluid intake 2-3 However,
voids in bed that has hours before 2. To promote alterations of the
potential for bedtime to pro-active environment was
altering reduce voiding problem solving not carried out.
elimination at night. and support Therefore, the
- Alter the 2.Encourage normalization of goal is partially
environment to activities met.
continuation of
client’s needs
- Assist the client
program and
in achieving 3. To promote
identify possible
normal and client comfort
alterations to
meet individual
caregiver in
cues (voiding on
adequate room
lighting, easy
access to
comfort room)
that client needs
to improve