ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING IMPLEMENTATION RATIONALE EVALUATION

RATIONALE
GOAL
Subjective: RISK FOR Cells all throughout Discharge * Assess mood, *May result in ACHIEVED!!!
“Oo nga, malabo INJURY related to life is retained in Outcome: coping abilities, careless/increase
na mata ko, ang regulatory function the lens personality styles risk taking without After 4days of
dami pa naman (sensory After 4days of (impulse behavior, consideration of Nursing
naming gamit difunction) as ↓ Nursing level of self-esteem) consequences Intervention the
minsan muntik na evidenced by Intervention the client had been
nga akong decrease visual Lens susceptible to client will be able *Evaluate *May enhance able to
mabanga wala din acuity, unable to deterioration to demonstrate individuals disregard for own/ demonstrate
kasi akong recognize object because of aging behaviors, lifestyle response to others safety behaviors, lifestyle
salamin” as 12-14 inches changes to reduce violence in changes to reduce
verbalized by the away, not wearing ↓ risk factors and surrounding (tv, risk factors and
client. of eyeglasses. protect self from peer group) protect self from
Lens continues to injury. injury.
grow *Demonstrate/ *To reduce risk
Short Term: encourage use of After 4hrs of
↓ techniques to Nursing
Objective: After 4hrs of minimize/ manage Intervention the
The client Gradual thickening Nursing stress and vent client had been
manifested: Intervention the emotions such as able to verbalize
*age: 64 ↓ client will be able anger and hostility. understanding of
*decrease visual to verbalize individual factors
acuity Increasingly dense understanding of *Encourages *To enhance self that contribute to
*unable to core individual factors participation in self- esteem possibility of injury
recognize object that contribute to help programs, and take steps to
12-14 inches away ↓ possibility of injury such as correct situations.
*not wearing of and take steps to assertiveness
eyeglasses Limit correct situations. training, positive
*eye grade, left- accommodation self-image
400, roght-450 powers of the lens

↓ Collaborative:

Decrease visual *Identify *To promote safe

acuity interventions/safety physical
devices. Refer to environment and
↓ physical or individual safety.
occupational
Risk for injury therapist as
appropriate.

-Medical Surgical,
page 2045