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Cues Nursing Rationale Goals and Nursing Rationale Evaluation

Diagnosis Objectives Intervention


Subjective: Body image A disturbance After 30 Independent: -extent of response is After 30
“ang dami ko disturbance or alteration in minutes of -Assess perception more related to the valve minutes of
sugat sa related to the attitude of nursing of change in or importance patient nursing
katawan at hindi alteration person has intervention, the structure/function places on the part of intervention, the
ako masyado structure and/or about the actual patient will be of body part. function than the actual patient was able
makapagsalita. function. or perceived able to: value or importance. to:
structure or -Acknowledge
function of all Demonstrate normally of -stages of grief over loss Demonstrate
Objective: or part of the enhanced body emotional of a body part or function enhanced body
- Irritate body. This image and self- response to actual are normal, and typically image and self-
- Always attitude is esteem as or perceived involve a period of esteem as
looking dynamic and evidenced by change in body denial. evidenced by
for a altered through ability to look structure/function. ability to look
change interaction with at, touch, talk at, touch, talk
on other persons about, and care -Help patient -patients may perceive about, and care
wounds. and situations for actual or identify actual changes that are not for actual or
and is perceived changes present/real. perceived
influenced by altered body altered body
age and part/function. part/function.
developmental
level

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