Cues Nursing Analysis Goals and Interventio Rationale Evaluation

Diagnosis Objectives ns
Subjective— DISTURBED Short-Term Goal :
THOUGHT Grief affects all
“ kasi yung PROCESSES related
aspects of one's Within 1 week, client will
babaeng to Unresolved grief--
denial of depression life. Most often, it is be able to recognize and
gusto ko, The client was
evidenced by Impaired the response to verbalize when thinking
hindi ako able to
ability to make loss of a loved one is non--reality based
gusto, si experience no
decisions, problem through death or
Jackylou. Eh delusional
solve, reason separation. It may Long-Term Goal
kasi pauwi thinking by
also follow the loss
na kami discharge from
of something that is Client will experience no
noon, tapos treatment
highly valued, such delusional thinking by
ihahatid ko
as a job, an object, discharge from
sana sya
or status. People treatment.
gamit ang
often have Objectives:
motor ko, eh
emotional, physical, 1. Do not 1. Arguing with .
sabi nya
and behavioral argue or
may sundo the client or
reactions to an 1. Let the client express or deny the
daw sya” denying the
irrevocable loss. verbalized what he/she belief. Use belief serves
Grief usually feels. reasonable no useful
“kaya ayun,
lessens over time. doubt as a
nalungkot purpose,
ako ng therapeutic because
sobra, nag- technique: delusional
inom ako, "I find that ideas are not
tapos hard to eliminated
nagwala ako believe." by this
sa bahay approach,
dahil sa pag- and the
ibig k okay development
Jackylou” of a trusting
relationship
Objective: may be
• Mood and impeded
facial
expressio
n: happy
and
smiling
face
• VS
T-35.6
Bp-120/80
Pr-76
RR-18

2. Teach client
2. Tell the client to to intervene, 2. This noise or
minimize the time that using command
thought- Distracts the
he talks too much. Like
stopping individual from
when he seeks attention