NOVILYN C.

PATARAY
BSN - II
ASSESSMENT DIAGNOSI PATHOPHYSIOLOGY PLANNING INTERVENTION RATIONALE EVALUATION
S
Subjective: Disturbed A burn is a type of after 8 hours of  Acknowledge  Acceptance of After 8 hours of
“nauram toy kudil body image injury that maybe nursing and accept these feelings nursing intervention,
na etoy anak ko” related to caused by heat, cold, intervention, the expression of as a normal the patient will
as verbalized by traumatic electricity, chemicals, patient will feeling of response to incorporate changes
the mother. event. lights, radiation, or incorporate frustration, what has into self-concept
friction. Burns can changes into self- dependency, occurred without negating
Objective: highly variable in concept without anger, grief, facilities self-esteem.
 Irritability terms of the tissue negating self- and hostility. resolution. It is
 Absence of affected, the severity, esteem. not helpful or
variable and resultant possible to
tissue complications. push patient
 V/S taken before ready
as follows: to deal with
T- 37.2 the situation.
PR- 85  Be realistic and  Enhances
RR-19 positive during trust and
BP- 110/80 treatments, in rapport
health teaching between
and in setting patient and
goals within the nurse.
limitations.
 Encourage  Promotes
patient to view acceptance of
wounds and reality of injury
assist with care and of change
as appropriate. in body.