NCP social interaction
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COLLEGE OF NURSING Silliman University Dumaguete City NURSING CARE PLAN CUE/EVIDENCES NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS EVALUATION SUBJECTIVE DATA: - Patient verbalized: “Anha ra panutana sa akong asawa.” Kamo ra sa akong asawa pagsabot.” To wife,”Ayaw sige isturyakay daghan unya kag sayop ma sulti.” OBJECTIVE DATA: - T: 37.4℃ - P: 104 bpm strong and bounding - R: 22 cpm strong, regular, with no Impaired social interaction related to altered thought process. At the end of our care, the patient will… - Patient will demonstrate stable vital signs: T: 37.4℃ P: 104 bpm strong and bounding R: 22 cpm strong, regular, with no use of accessory muscles BP: 120/90 mmHg - Patient and family members will report - Monitor and record V/S every 15 mins for 1 hour, then every shift until discharge. - Assess neurologic function and mental status every shift to monitor changes in patient’s - Goal met as evidenced by patient demonstrating stable vital signs: T: 37.4℃ P: 104 bpm strong and bounding R: 22 cpm strong, regular, with no use of accessory muscles BP: 120/90 mmHg - Goal not met as evidenced by
Transcript of NCP social interaction
COLLEGE OF NURSINGSilliman UniversityDumaguete City
NURSING CARE PLANCUE/EVIDENCES NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS EVALUATION
SUBJECTIVE DATA:
- Patient verbalized: “Anha ra panutana sa akong asawa.”Kamo ra sa akong asawa pagsabot.”To wife,”Ayaw sige isturyakay daghan unya kag sayop ma sulti.”
OBJECTIVE DATA:
- T: 37.4℃- P: 104 bpm strong and
bounding- R: 22 cpm strong,
regular, with no use of accessory muscles
- BP: 120/90 mmHg- Hospitalized for severe
head trauma- Patient was irritable
and uncooperative
Impaired social interaction related to altered thought process.
At the end of our care, the patient will…
- Patient will demonstrate stable vital signs:
T: 37.4℃P: 104 bpm strong and boundingR: 22 cpm strong, regular, with no use of accessory musclesBP: 120/90 mmHg
- Patient and family members will report concerns about difficulties in social interaction.
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- Patient and family will members will participate in care and
- Monitor and record V/S every 15 mins for 1 hour, then every shift until discharge.
- Assess neurologic function and mental status every shift to monitor changes in patient’s status; reorient as often as necessary.
- Assist patient and family members in progressive
- Goal met as evidenced by patient demonstrating stable vital signs:T: 37.4℃P: 104 bpm strong and boundingR: 22 cpm strong, regular, with no use of accessory musclesBP: 120/90 mmHg
- Goal not met as evidenced by neither patient nor family members reporting difficulties in social interaction.
- Goal not met as evidenced by neither patient nor family members participating
- Patient does not comply with recommended therapies: has not ambulated since admission
prescribed therapies.
- Patient will demonstrate effective social interaction skills in one-on-one and group settings
participation in care and therapies.
- Provide specific, non-care-related time with patien each shift to encourage social interaction beginning with one-on-one interaction and increase to group interaction as patient’s skill indicates.
in ambulation therapy.
- Goal not met as evidenced by patient still demonstrating abrasive and indifferent attitude toward healthcare workers and family members.
