POROY, CHRISTIAN J.

GRIEF April 15, 2019

SCIENTIFIC
ASSESSMENT DIANOSIS PLANNING INTERVENTIONS RATIONALLE EVALUATION
BASIS

SUBJECTIVE: Grieving related to Dysfunctional After 8 hours INDEPENDENT: After 8 hours

“Mahadlok ko perceived, actual, grieving is a of holistic Determine if To identify safety of holistic
biyaan” as or potential loss of maladaptive nursing the client is issues.(Nurse’s nursing
verbalized by physiopsychosocial process that interventions, engaging in Pocket Guide by interventions,
the patient. well-being, occurs when the patient reckless or self- Doenges M.et.al the patient
personal grief is will be able destructive 12th Ed. P401) was able to
OBJECTIVE: possessions, or SO; intensified to to verbalized behaviors. verbalize and
Depression cultural beliefs the degree and demonstrate
Unwell about aging that the demonstrate Listen to Indicating person is a sense of
Physical and/or debilitation person is a sense of words/ possibly unable to progress
disturbance as manifested by overwhelmed, progress Communication adjust or move on toward grief
denial of feelings, becomes toward grief indicative of from feeling or resolution,
depression, stuck in one resolution, renewed or sever grief.(Nurse’s hope for the
sorrow, guilt. phase of hope for the intense grief. Pocket Guide by future;
grieving an future; Doenges M.et.al acknowledge
demonstrates acknowledge 12th Ed. P401) presence and
excessive presence and impact of
prolonged impact of Encourage Helps begin dysfunctional
emotional dysfunctional verbalization resolution and situation.
responses to situation. without acceptance.(Nurse’s
a significant confrontation Pocket Guide by
loss. about realities. Doenges M.et.al
12th Ed. P401)

McFerland Assess Anxiety and

et.al. 2nd Ed. emotional depression are
1993 State. Note common reactions
cultural beliefs to changes and
and losses associated
expectations with long term
illness or
debilitating
condition.(Nurse’s
Pocket Guide by
Doenges M.et.al
12th Ed. P401)

Assess suicidal May be related to

potential physical disease,
social isolation, and
grief.(Nurse’s
Pocket Guide by
Doenges M.et.al
12th Ed. P401)

COLLABORATIVE:
 Refer to other  May need further
resources as assistance to
indicated, resolve some
such as a problems.(Nurse’s
spiritual Pocket Guide by
advisor, parish Doenges M.et.al
nurse, case 12th Ed. P401)
manager, or
social worker.
POROY, CHRISTIAN J. GRIEF April 15, 2019

SCIENTIFIC
ASSESSMENT DIANOSIS PLANNING INTERVENTIONS RATIONALLE EVALUATION
BASIS

SUBJECTIVE: Self-care Intolerance After 8 hours INDEPENDENT: After 8 hours

“sakit e lihokDeficit; to activity of holistic Determine Underlying of holistic
ako mga Bathing such bathing nursing clients ability to condition nursing
lawas, mao ng related to is an interventions, participate in dictates level of interventions,
dle ko maligo”intolerance impaired the patient self-care deficit, affecting the patient
as verbalized to activity, ability to will be able activities choice of was able to
by the decreased perform or to participate interventions. participate in
patient. strength complete in ADL’s ADL’s within
and activities of within level Meet needs level of own
OBJECTIVE: endurance, daily living of own ability while supporting ability and
Strong pain or foe oneself; and Provide client constraints of
body odor discomfort feeding, constraints of assistance with participation and the illness.
Physical as dressing, the illness. activities as independence
disturbance manifested bathing, necessary
Discomfort by toileting.
or disheveled Conserves
frustration and energy, reduces
Poor unkempt fatigue, and
personal appearance, enhances client’s
Hygiene strong body ability to perform
 odor. Encourage use tasks
of energy-
saving
techniques: Unhurried
sitting, not approach
standing; using reduces
shower chair frustration and
promotes client
participation,
enhancing self-
esteem

Recommend
scheduling
activities to
allow clients
sufficient time
to accomplish
tasks to fullest
of ability

DEPENDENT:
Render The patient’s
supervision for ability to perform
each activity as self-care measures
ordered by the may change often
doctor until the over time and will
patient exhibits need to be
the skill assessed regularly.
effectively and is
secured in
independent
care.

COLLABORATIVE:
 Consult with Provides
rehabilitation assistance in
team, such as developing a
physical or comprehensive
occupational therapy program
therapist. and identify
special equipment
POROY, CHRISTIAN J. GRIEF April 15, 2019
needs that can
increase client’s
participation in
self-care.