Assessment
Diagnosis
Planning
Subjective:
Impaired parenting
related to failure to
provide safe home
environment as
evidence by exposure
of children to
secondhand smoke.
STG: After an hour of
nursing intervention,
the client will verbalize
awareness of at least
two (2) predisposing
factors related to their
child illness.


LTG: After an eighthours of nursing
intervention, the client
will be able to
identify/initiate at least
one (1) necessary
lifestyle changes to
eliminate the effects of
risk factor.
“I smoke two packs of
cigarette per day for
eight years now”
as verbalize by the
father.
Objective data:

One their
children has
developed
respiratory
illness
Implementation
Rationale
Evaluation
Establish
Rapport
This promotes trust and
enhance patient-nurseinteraction
Be aware of and
deal with anxiety
of patient and
family members
Anxiety can interfere
with ability to hear and
assimilate information
STG met as evidence
by the client verbalizing
awareness to smoking
as a predisposing factor
to their child illness.

Involve all
available
members of the
family in
learning.
Having a support
system facilitate
willingness to comply to
plan

Assess client’s
knowledge about
the situation
(disease,
complications
and needed
changes in
lifestyle.
Patient may have street
knowledge about
smoking but can be
ignorant of medical
facts.

Provide learning
materials such as
charts and/or
audiovisuals.
Learning materials help
the client understand
and remember the
concept for longer
period of time.

Educate about
the effects of
smoking to the
body. Discuss
the meaning of
firsthand,
secondhand and
Information will help
the client the
understand the longterm effects of smoking.
Defining what is
firsthand, secondhand
and thirdhand smoking
LTG met as evidence
by the client verbalizing
willingness to stop
smoking by undergoing
therapy for smoking
cessation.
thirdhand
smoking
enable them to realize
how they inhale
harmful chemicals and
how serious its effect to
health

Discuss the
relationship of
smoking to their
current situation.
Smoking affects not
only the smokers but
also the people around
him. Secondhand and
thirdhand smoke can be
as dangerous or even
more dangerous than
first hand smoking.

Advise the client
to quit smoking
Smoking poses serious
long-term effect to the
body. It is one of the
leading causes of
preventable death

Enumerate
benefits of
quitting
smoking.
To promote compliance
in quitting smoking.

Enumerate and
discuss the
emergence of
different
withdrawal
symptoms and
how to cope with
it
Withdrawal symptoms
usually occur within 24
hours of stopping
smoking or reducing
the number of
cigarettes smoked per
day. These symptoms
are signs that the body
is recovering from
smoking

Discuss variety
of helpful
organizations
and programs
that are available
for assistance
and referral.
Long-term support is
necessary to maintain
optimal recovery.