West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

NURSING PROCESS

Clustered Cues Nursing Diagnosis Rationale Outcome Criteria Nursing Interventions Rationale Evaluation

January 21, 2009, 8:40 Ineffective health Inability to identify, 1. Determine level To note individual January 21, 2009,
AM maintenance r/t manage, and/or seek out of adaptive adaptation needs 12:00PM.
avoidance of to help maintain health behavior,
“Permi lang bulong, medication therapy 1. The patient will knowledge about 1. Goal met: “Amo
wala naman ako pag- secondary to lack of Source: Nurse’s pocket be able to health na gale ngaa
ayo.” ability to make guide identify maintenance, ginahatagan niyo
deliberate and necessary health environment and ako sang bulong
“Hindi na ako anay sina, thoughtful judgments maintenance safety. nga ina, subong
karon lang kung activities on naintindihan ko
makatapos na ako pa January 21, 2009, 2. Evaluate To note individual na kung ngaa,” as
dialysis.” 12:00PM. environment adaptation needs verbalized by the
patient
“Hambal nila guba na 2. The patient will
akon nga kidney, wala na be able assume 3. Develop plan Allows for incorporating 2. Goal met: “Ari
pagfunction. Ano pa ang responsibility for with patient existing disabilities, man di si nanay
pulos sina nga bulong.” own healthcare adapting and organizing kag bayaw ko,
needs within care as necessary mayo man ako
level of ability on sini kung ara sila
January 21, 2009, 4. Provide To maintain and manage nga nagabulig
12:00PM. anticipatory effective health practices kag kamu man
guidance during periods of e,” as verbalized
wellness by the patient
3. The patient will
be able to adopt 5. Monitor To alter the care plan as 3. Goal unmet: “
lifestyle changes adherence to needed
supporting prescribed
individual medical regimen
healthcare goals
on January 21,
2009, 12:00PM.