ASSESSMENT DIAGNOSIS RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective data: Situational Low Development After 2 hours of 1. Use touch during 1. Use touch during Goal was met.
 “Nasusupog Self-Esteem of a negative nursing interactions, if interactions, if After 2 hours
ngani ako ta perception of interventions acceptable to patient, acceptable to patient, of nursing
igwa akong self-worth in the patient: and maintain eye and maintain eye interventions,
arog kani sa response to  Verbalize contact. contact. the patient:
muka.” As current understandi 2. Acknowledge difficulties 2. Validates reality of  Verbalized
verbalized by situation. ng of body patient may be patient’s feelings and understan
the patient. changes, experiencing. Give gives permission to ding of
Objective: acceptance information that take whatever body
 Facial sores of self in counseling is often measures are changes,
situation. necessary and necessary to cope with acceptance
 Begin to important in the what is happening. of self.
develop adaptation process. 3. Therapeutic  Developed
coping 3. Develop a therapeutic relationship promotes coping
mechanisms nurse client relationship understanding and can mechanis
to deal through frequent, brief help establish a ms to deal
effectively contacts and an constructive effectively
with accepting attitude. Show relationship between with
problems. unconditional positive the nurse and the problems.
regard. Your presence, client.
acceptance, and 4. Affirmation of
conveyance of positive individuality and
regard enhance the acceptance is
client's feelings of self- important in reducing
worth patient’s feelings of
4. Use touch during insecurity and self-
interactions, if doubt.
acceptable to patient, 5. May be necessary to
and maintain eye regain and maintain a
contact. positive psychosocial
5. Refer for professional structure
counseling if indicated.