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Nursing Care Plan: Assessment Nursing Diagnosis Inference Planning Rationale Evaluation

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REPUBLIC of the PHILIPPINES

City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
MIDPOINT OF NURSING
J.P. Rizal Extension, West Rembo, Makati City 1215
Telephone No.: (+632) – 881 – 1571
_____________________________________________________________________
CENTER OF NURSING
NURSING CARE PLAN
NAME OF STUDENT:___________________________________ YEAR/GROUP:__________ CONCEPT:__________________________________________
AREA:________ DATE:__________

ASSESSMENT NURSING INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


DIAGNOSIS

Objective: Violence: After 2 days of Observed and maintained or listen For client safety. After 2 days of nursing
- Active Self directed nursing to the client or early cues of intervention the goal was met
- Agitated related to intervention the distress and a calm attitude to as evidenced by:
- Irritable. impaired client will not client. - Maintained good
sensory harm to others interpersonal relationship with
perception as evidenced Re-orient the client to person, Repeated presentation of co-patients and staff.
secondary to by: place and time. reality is concrete - Patient demonstrate self-
schezoprenia. - Good reinforcement for the control as evidenced by
interpersonal client. related posture nonviolent
relationship with behavior.
co-patients and Provide emotional support positive Providing support and
staff patient reinforcement. encouragement during the - Client will not harm self or
demonstrate experience increases the others.
self-control as patient, sense of security
evidenced by and control. Positive
relaxed posture reinforcement enhances
nonviolent. self-esteem
behavior.

NAME OF PATIENT:__________________________________
CLINICAL IMPRESSION/DIAGNOSIS:_________________________________
AGE:__________________
PATIENT CHIEF COMPLAINT:____________________________

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