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    Assessment Diagnosis Planning Nursing Interventions Rationale Evaluation

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    Christine Denise Venus Valentino
    The document summarizes a nursing assessment, diagnosis, plan of care, and evaluation for a patient with impaired emotional control. The plan is for the patient to acknowledge their emotional control issues and participate in recommended activities after 6 hours of nursing interventions including relaxation techniques, goal setting, and occupational therapy. The rationale is that recognizing factors influencing their emotions and diverting attention can help gain independence in emotional regulation. After interventions, the patient was able to acknowledge their emotional control problems.

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    Assessment Diagnosis Planning Nursing Interventions Rationale Evaluation

    Uploaded by

    Christine Denise Venus Valentino
    819 views6 pages
    The document summarizes a nursing assessment, diagnosis, plan of care, and evaluation for a patient with impaired emotional control. The plan is for the patient to acknowledge their emotional control issues and participate in recommended activities after 6 hours of nursing interventions including relaxation techniques, goal setting, and occupational therapy. The rationale is that recognizing factors influencing their emotions and diverting attention can help gain independence in emotional regulation. After interventions, the patient was able to acknowledge their emotional control problems.

    Original Description:

    nursing care plan for pysch

    Original Title

    Ncp

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    The document summarizes a nursing assessment, diagnosis, plan of care, and evaluation for a patient with impaired emotional control. The plan is for the patient to acknowledge their emotional control issues and participate in recommended activities after 6 hours of nursing interventions including relaxation techniques, goal setting, and occupational therapy. The rationale is that recognizing factors influencing their emotions and diverting attention can help gain independence in emotional regulation. After interventions, the patient was able to acknowledge their emotional control problems.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    819 views6 pages

    Assessment Diagnosis Planning Nursing Interventions Rationale Evaluation

    Uploaded by

    Christine Denise Venus Valentino
    The document summarizes a nursing assessment, diagnosis, plan of care, and evaluation for a patient with impaired emotional control. The plan is for the patient to acknowledge their emotional control issues and participate in recommended activities after 6 hours of nursing interventions including relaxation techniques, goal setting, and occupational therapy. The rationale is that recognizing factors influencing their emotions and diverting attention can help gain independence in emotional regulation. After interventions, the patient was able to acknowledge their emotional control problems.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

    INTERVENTIONS

    Subjective: Ineffective At the end of 4-6 Independent: At the end of 6 hours of


    impulse control hours of nursing nursing interventions the
    “madali akong related to stress interventions, the -Assess patient’s -Any psychiatric patient was able to
    magalit kahit sa mga vulnerability and patient will be able to impulsiveness problem can result in understand the importance
    maliliit na bagay”, environment that acknowledge problem poor impulsive control. of impulse control and was
    As verbalized by the might cause with impulse control. able to acknowledge the
    patient -Healthy people are
    irritation and -Explore the patient’s aware of an impulse and problem.
    frustration as inability to control are able to make a
    evidenced by actions decision about
    Objective: irritability, following the urge or
    temper outburst not.
    -easily irritable
    and attention
    -temper outburst seeking.
    -Discuss the use of
    -attention seeking relaxation techniques -This helps the client
    divert her attention
    -too familiar with
    strangers
    -Encourage the client to
    make the decision to -Help the client gain
    change and set independence
    personally achievable
    goals.
    -It keeps the patient
    -Involve the client with occupied
    occupational therapy.
    Dependent:

    -Administer medications -Some medications can


    as prescribed help impulse control

    Collaboration:

    -Collaborate with -To help treat the


    treatment of underlying underlying cause
    conditions, when
    possible.
    ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION
    INTERVENTIONS

    Subjective: Impaired mood At the end of 4-6 Independent: At the end of 6 hours of
    regulation related hours of nursing nursing interventions the
    “minsal galit tapos to functional interventions, the -Determine specific -Allows for accurate patient was able to
    biglang masaya impairment as patient will be able to reasons for client’s mood planning of care. acknowledge reality of
    ulit”, as verbalized evidenced by acknowledge reality swings. mood problems.
    by the patient’s irritability, mood of mood
    sister swings and problems/needs. - A negative outlook is
    impaired -Discuss how client associated with
    Objective:
    concentration. perceives the current difficulty in cognitive
    -Irritability situation and how it is control and emotional
    affecting emotions. regulation strategies.
    -Moody

    -Sad affect
    -Discuss the use of -This helps the client
    -Impaired relaxation techniques divert her attention
    concentration

    -Short attention
    span -Encourage the client to -Help the client gain
    make the decision to independence
    change and set
    personally achievable
    goals.

    -Involve the client with -It keeps the patient


    occupational therapy. occupied
    Dependent:

    -Administer medications -Some medications can


    as prescribed help impulse control

    Collaboration:

    -Collaborate with -To help treat the


    treatment of underlying underlying cause
    conditions, when
    possible.
    ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION
    INTERVENTIONS

    Subjective: Labile emotional At the end of 4-6 Independent: At the end of 6 hours of
    control related to hours of nursing nursing interventions the
    “madali akong functional interventions, the -Determine individual -Many different factors patient was able to
    magalit at impairments as patient will be able to factors related to client may be involved in the acknowledge emotional
    magtampo”, As evidenced by acknowledge situation. loss of emotional control and participate in
    verbalized by the absence of eye emotional control and control. recommended activities.
    patient contact and participate in
    uncontrolled recommended -Note feeling of
    emotional activities. emotional exhaustion. -To recognize the
    Objective: outburst. situation.

    -easily irritable

    -temper outburst -This helps the client


    -Discuss the use of divert her attention
    -absence of eye relaxation techniques
    contact

    -difficulty in use of
    facial expressions -Encourage the client to
    make the decision to -Help the client gain
    change and set independence
    personally achievable
    goals.

    -Involve the client with


    occupational therapy. -It keeps the patient
    occupied
    Dependent:

    -Administer medications -Some medications can


    as prescribed help impulse control

    Collaboration:

    -Collaborate with -To help treat the


    treatment of underlying underlying cause
    conditions, when
    possible.

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