Date/ Cues Need Nursing Objectives of Care Nursing Intervention Evaluation

Time Diagnosis

10 Subjective: Knowledge After 4 hours of 1. Establish rapport. Goal Met!

deficit nursing intervention
/23 C ® to gain patient’s trust and have a 10/23/19
regarding my patient will be
good nurse-patient relationship
/19 “Wala ko kabalo asa O condition, and able to know and @
gikan ning akong treatment understand the
G related to disease process and 6:00pm
hepatitis, wala pud
absence of treatment regimen 2. Evaluate desire/readiness of
@ gani ko kabalo unsa N
information as evidenced by: patient to learn.
na.”
I After 4 hours of
® determine amount or level of
my nursing
2:00 T information to provide at any given
a.) Participate intervention my
“Katong nagsakit ko moment.
pm I in learning patient was able
sauna kay
® Deficient to know and
nagpadoctor ko ato V process
knowledge is a understand the
unia naa man to mga 3. Provide an atmosphere of respect,
E state in which b.) verbalization possible diseases
tambal, tapos openness, trust, and collaboration.
cognitive of and treatment
nagkasakit napud ko - information or understandi ® important when providing regimen as
mga pila ka bulan,
psychomotor ng about his education to patients with different evidenced by:
mao to gbalik lang P
skills required disease values and beliefs about health and
nako ug tumar tong
E for health process illness.
mga tambal pero
recovery, a.)patient
wala nako R c.) initiation of
maintenance, participated in
nagpacheck up ug lifestyle
C or health 4. Assess motivation and willingness learning process
usab.” changes and
promotion are of patient and caregivers to learn
E participate
As verbalized by the lacking.
in treatment ® some patient are ready to learn as
patient P regimen soon after they are diagnosed; others
 T cope better by denying or delaying b.) “Ah. Kabalo
the need for instruction nako kung diin na
Objective: U
makuha ang
A infection kung
5. Assess history of hepatitis b hindi ka maninlo
- Lack of L sang kalawaswan
infection
source of mo.” As
P
information ® to trace the source of infection verbalized by the
A patient
- Asked
questions T
6. Be alert to signs of avoidance
regarding his
condition T c.) “Dapat kung
® May need to allow client to suffer
E consequences of lack of knowledge mag masakit ko,
- Expresses magpa-check up
before client is ready to accept
confusion on R ko dayon sa
information.
the nature of doctor kag hindi
the condition N
ko magpataka
- Denial of 7. Discuss patient’s perception of lang inom bulong
condition need na wala man gin
resita sang akon
- Purchase of ® Relate information to patient’s doctor.” As
over the personal desires/needs and values or verbalized by the
counter beliefs. patient
drugs
without
consulting 8. State objectives clearly in learner’s
the physician term

® to meet learner’s need according to

level of understanding
9. Participate in learning process

® to assess learning patient and

correct the wrong belief of the
patient

10. Teach patient about infection

contol

® to avoid transmission of the present

condition of the patient