Date

Cues Subjective: Sugod bata pa ko, di gyud mi mu inom ug tambal kay para di mag salig ang lawas. as

Need H E A L T H

Nursing Diagnosis Ineffective Health Maintenance related to low income

Objectives Within 3 hours span of care, the patient will be able to identify

Nursing Interventions 1. Establish rapport. To develop trust.

Evaluation August 07, 2013 @ 4pm GOAL MET

A U G U S T

2. Provide a nonthreatening atmosphere. This allows patient to concentrate more completely.

RATIONALE: Although heredity

necessary health maintenance

At the end of 8 hours span of care, the patient was able to

and personal choices activities as P E R C E P T I O N H E A indisputably play an important role in our overall health, a variety of factors associated with income level, such as inability to afford adequate medical care, also come into play. This can become a selfperpetuating, multigenerational problem c. enumeration of as health problems activities that will b. verbalization of understanding of factors contributing to current situation; a. participation during the discussion; evidenced by:

07,

verbalized by the patient Wala ko naga adto ug health center, wala man pud gud koy mga

3. Note health values, religious or cultural beliefs and expectations regarding healthcare To identify risk factors in clients personal and family history. In order to know boundaries about the learning activity and prevent conflicts regarding values and beliefs.

identify necessary health maintenance activities as evidenced by:

2 0 1 3

laing ginabati. As

a. participates and asks questions regarding activities that needed to be

1 pm

verbalized by the patient Naka bantay na gyud ko

nga nay nitubo sa akong tiyan daot, pero wala ra pud nako gitagad kay wa may sakit. As verbalized by the patient Karon ra pud nako nahibaw-an nga taas diay kog dugo. As verbalized by the patient Ang sweldo nako sa una kay gina igo jud namo para sa mga

L T H

interfere with families' ability to learn, work and thrive.

gear towards the maintenance of health; and

d. recognize necessity of adopting the health maintenance activity

4. Assess level of clients cognitive, emotional, physical functioning. Determine presence of developmental disabilities.

taken in maintaining health; b. tungod sa kalisod sa

M A N A G E M E N T

5. Asses health history. This may give some perspective on whether poor health habits are recent or chronic in nature.

pagpangitag kwarta, mapasagdaan jud ang kalawasan. Imbes mao ni ang atong puhonan.;

6. Allow patient to identify situation and the factors that give hindrance in c. enumerates the health maintenance activities such as having a healthy lifestyle by eating nutritious foods, adequate sleep, check-up at loacal

P A T T E R N

maintaining health or the seeking of health care. To assist patient in understanding own situation and enhance interest/involvement in meeting own health needs.

gasto sa balay ug pagkaon. Kung magpa check-up man gud kay madungagan ang gastohonon.

Also, this is a way of making patient aware about his own reasons.

health center and availing free consultations, taking of her

7. Ask patient to identify activities that would promote her health and make her prevent illnesses. This makes patient sight

home medications, practicing regular time of defecation and washing of hands before and after eating; and d. Lagi day uy, lawas ra gyuy

Objective: - (+) hypertension, no maintenance -Past occupation: security guard (weekly shifting) watcher -on early

solutions that he thinks that would maintain and promote his health.

8. In cases where some of the identified solutions are inappropriate in health maintenance, give correction to patient respectfully. Correcting inappropriate interventions respectfully

puhonan nato, mao paningkamotan jud nako nga masunod ning atong listahan nato.

retirement -does not takes bath during fever -frequently forgets to wash hands before and after eating -does not go for check-up -brushes teeth once a day -believes in anting-anting

prevents conflicts.

9. Provide information about individual healthcare needs and add other solutions that are not being answered by patient such as the washing of hands before and after eating using clean water and soap, brushing of teeth at least 2 times a day and routine check-up at health centers. To assist client in understanding own situation and enhance interest/involvement in meeting own health needs. To make patient aware of other health promoting activity.

10. List down health maintenance activity on a clean sheet of paper. This prevents the forgetting of the discussion. Placing on a clean sheet of paper prevents it in displacing with receipts and other papers.

11. Determine patient's specific questions related to health maintenance. Patient may have health education needs; meeting these needs may be helpful in mobilizing the patient.

12. Reassess clients

thoughts after the discussion by asking him the importance about the activities that would maintain health, Verify the outcome of the discussion.

13. Discuss with the client and support person the realistic goals for changes in health maintenance. The importance of personalized goals and social support in designing health interventions for older adults is a unique predictor of health goal attainment.