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Student Date
: :
Client/Patient: Age : 19
DATE
1/11/11
CUES/ASSESS MENT
SUBJECTIVE Magtagili d na kog lakaw ani pagtigulang na ko.
NEEDS
SelfPerceptionSelfConcept Pattern
DIAGNOSIS
Disturbed body image related to altered body structure manifested by x-ray result of thoracic spine with convexity to the right. (Disturbed body image is a dissatisfactioni n mental picture of ones physical self) NANDA BOOK 12 EDITON
PLANNING/ OBJECTIVES
After 8 hours of nursing intervention, the client will be able to: Verbalize understanding of body changes. Seek information and actively pursue growth. Verbalize relief of anxiety and adaption to actual/altered body image. Verbalize acceptance of self in situation.
INTERVENTIONS
Determine whether condition is permanent with no expectation for resolution. Assess mental and physical influence of illness or condition on the clients emotional stage. Privide information to the clients level of acceptance and in small segments Assist client to incorporate therapeutic regimen into activities od daily living.
EVALUATION
Caregiver/ receiver response to interventio ns, teaching, and actions performed. Identificatio n of lifestyle changes to be made
Attainment