Medical Diagnosis: Abd Pain
| NURSING DIAGNOSIS |
| Ineffective health maintenance related to lack of ability to make good judgments regarding ways to obtain help as evidenced by patient statement “I’m just so stressed, I don’t know what to do anymore.” |
| PLANOUTCOME CRITERIA |
| Short Term: Patient will discuss fear of or blocks to implementing health regimen as measured by identification of two fears or blocks to implementation.
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| ASSESSMENT DATASubjective
statement “I’m just so stressed, I don’t know what to do anymore.”
Objective Blood sugars 150, client sitting up in bed with arms crossed, client leaning forward and appears distressed.
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| INTERVENTIONS |
| -Assess the client’s feelings, values, and reasons for not following the prescribed plan of care. -Assess for family patterns, economic issues, and cultural patterns -Help the client to choose a healthy lifestyle and to have appropriate -Discuss with the client and support person realistic goals for
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| RATIONALE for INTERVENTIONS |
| . Assessment of an individual’s preferences for participation in decision-making will allow for enlisting involvement in decision-making at the preferred level.
The family’s
Healthy lifestyle measures, such
The importance of personalized goals
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| EVALUATION |
| Pt was able to identify specific fears to maintaining their health regimen.
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References: Varcarolis, E., Halter, M. (2010). Foundations of psychiatric mental health nursing: A clinical approach 6th. Saunders, St Louis. |