NURSING CARE PLAN
ASSESSMENT
Subjective:
“Is it normal for my
age to experience
dysmenorrhea? Is
there something
wrong with me
internally if I
experience it often?”,
as verbalized by the
client.
Objective:
• Confusion
• Request for
information
DIAGNOSIS
Deficient knowledge
regarding condition
related to
unfamiliarity with
information as
evidenced by
verbalization of
concerns
PLANNING
After an hour of
nurse-patient
interaction, the client
will verbalize
understanding of the
condition.
INTERVENTION
Independent
• Ascertain
level of
knowledge of
the client.
RATIONALE
•
To determine
level of
teaching.
•
Use short,
simple
sentences and
concepts.
•
This will
make the
client easily
understand
and
comprehend
the concepts.
•
Begin with
information
the client
already
knows and
move to what
client does
not know.
•
This will
arouse
interest and
limit sense of
being
overwhelmed.
•
Provide
information
about
menstruation
•
To know its
significance
and how it
works as a
EVALUATION
Goal met.
After an hour of
nurse-patient
interaction, the client
was able to verbalize
understanding of the
condition.
in teens
including
menstrual
symptoms.
normal and
healthy part
of being a
female.
•
Discuss
menstrual
cramps, its
types,
associated
symptoms
and causes
thoroughly.
•
Providing
facts relevant
to what she
experience
reduce further
confusion.
•
Provide for
feedback and
evaluation of
learning.
•
Validates
current level
of
understanding
and identifies
areas
requiring
follow-up.
•
Provide
written
information
for client to
refer to as
necessary.
•
This
reinforces the
learning
process.
NURSING CARE PLAN
ASSESSMENT
DIAGNOSIS
Subjective:
Fear related to
change in health
• The client
states that she status
did not
experience
any unusual
discomforts
until early
middle last
year when she
turned 18.
• The client
states she is
afraid because
her aunt had
her uterus
removed
because of
frequent
severe
dysmenorrhea.
PLANNING
After 2 hours of
nurse-patient
interaction, the client
will verbalized
accurate knowledge
of and sense of
safety related to
current situation.
INTERVENTION
Independent
• Ascertain
client’s
perception of
threat
represented
by the
situation.
RATIONALE
•
Defines scope
of individual
problems and
influences
choices of
intervention.
•
Discuss the
client’s
perceptions
and fearful
feelings.
•
Promotes an
atmosphere of
caring and
provides
opportunity
for dealing
with concern.
•
Provide
opportunity
for questions
and answer
honestly.
•
This enhances
sense of trust
and nurseclient
relationship.
•
Explain the
relationship
between
disease and
symptoms.
•
Providing
accurate
information
promotes
understanding
EVALUATION
Goal met.
After 2 hours of
nurse-patient
interaction, the client
was able to verbalize
accurate knowledge
of and sense of safety
related to current
situation.
of why the
symptoms
occur,
allaying
anxiety about
them.
•
Encourage
use of
relaxation
techniques
like deep
breathing.
•
Provides
active
management
of situation to
reduce
feelings of
helplessness.