Date 1 / 17 / 13

Cues Subjective: Dili pa ko andam na mamatay. Verbalized by the patient. Objective: Restless. Anxious.

Need C O G N I T I V E P A T T E R N

Diagnosis Fear, related to disease process/prognosis.

Objectives At the end of 3 days of care the client would be able to formulate a plan dealing with individual concerns and eventualities of dying as appropriate.

Intervention

1.) Ascertain clients percept how this affects her life. protecting oneself but, if left to the clients life. developmental level. what type of fear the patient experiencing.

what is occurring to her now

R: Fear is a defense mechani

unchecked, can become disab

2.) Determine clients age and

R: This will help in understan

3.) Not degree of incapacitati

R: Of this is happening this w the patient. 4.) Compare non verbal and responses.

affect the coping mechanism

Date

Cues

Need

Diagnosis

Objectives

Intervention

R: To note congruencies or misperceptions of situation.

5.) Be alert to signs of denial deficits that may be present, R: Affects sensory reception

depressions and identify sens

as vision or hearing impairm

interpretation of the environm

6.) Stay with the client or ma else to be there. desired support person can diminish feelings of fear.

arrangements to have someon

R: Providing client with usua

7.) Discuss clients perceptio clients concern. and permits explanation or

fearful feelings. Actively list

R: Promotes atmosphere of c

Date

Cues

Need

Diagnosis

Objectives

Intervention

or correction of misinterpreta 8.) Present an objective

information and encourage c

to use it freely. Avoid arguing situation.

about clients perceptions on

R: Limits conflicts when fear thinking.

response may impair rational

9.) Promote client control wh and accept those things over control is not possible. control. 10.) Assist client in fear for taking care of self.

possible, and help client iden

R: Strengthens internal locus

acknowledging the usefulnes

R: Enhances sense of control