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Assessment
Nursing Diagnosis
Planning
Interventions
Rationale
Evaluation
Subjective: -“Wala akong kausap sa loob ng ward.” Objective: -The client will develop trusting relationship with nurse within reasonable period of time.
-Impaired Social Interaction related to absence of available significant others or peers as evidenced by dysfunctional interaction with peers, family, and others.
- Encourage
client to express honest feelings in relation to loss of prior level of functioning. Acknowledge pain of loss. Support client through process of grieving.
- Encourage client's attempts to communicate. If verbalizations are not understandable, express to client what you think he or she intended to say. It may be necessary to reorient client
-Spend time with client. This may mean just sitting in silence for a while. -Develop a therapeutic nurse-client relationship through frequent, brief contacts and an accepting attitude. Show unconditional positive regard. -Provide positive reinforcement for client's voluntary interactions with others.
-Teach assertiveness techniques. Interactions with others may be negatively
-Your presence may help improve client's perception of self as a worthwhile person.
-Your presence, acceptance, and conveyance of positive regard enhance the client's feelings of self-worth.
-Positive reinforcement enhances selfesteem and encourages repetition of desirable behaviors.
-Client demonstrates willingness and desire to socialize with others. -Client voluntarily attends group activities. -Client approaches others in appropriate manner for oneto-one interaction.
frequently.
affected by client's use of passive or aggressive behaviors.
-Knowledge of assertive techniques could improve client's relationships with others.