Ncp Self Esteem
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CUES SUBJECTIVE: “ Wala pa yung dalaw ko.. naghahanap pa kasi siya ng pambili ng gamut ko..” “andami na naming gastos.. tapos nagcesarean pa ako.. mas lalaong dumagdag sa gastusin..” “biglaan lang kasi itong CS ko dapat normal talaga ako..kaya di ko talaga napaghandaan ang ganitong gastos ee”
“pang 6 ko na kasi itong anak kaya
NURSING DIAGNOSIS Situational low selfesteem related to perceived failure at a life event AEB verbalization of negative feelings about self in situation (e.g helplessness, shame/guilt), evaluates self as unable to handle situation, difficulty making decisions.
GOALS AND OBJECTIVES General objectives: After 2 days of nursing interventions, the client will be able to verbalize understanding of individual factors that precipitated current situation.
NURSING INTERVENTION INDEPENDENT:
RATIONALE
Determine clients/ couple emotional response to caesarean birth.
Both members of the couple may have a emotional reaction to the surgical intervention. An unplanned cesarean birth may have a negative effect on the client’s selfesteem, leaving her feeling that she is inadequate and has failed as a woman.
Determine client’s level of anxiety and source of concern. Encourage client/couple to verbalize unmet needs and expectations. Provide information regarding the normalcy of such feelings
Cesarean birth may be viewed by the client/ couple as a failure at a life event, and this may have a negative impact on the bonding/parenting process.
Specific objectives: After 1 day of nursing interventions the client will be able to: Discuss concerns related to his role in and perception of the birth experience. Express positive self-appraisal
EVALUATION
medyo nahihirapan na kami ng asawa ko..”
Encourage presence/participation of partner in all that is going on.
Provides emotional support; may encourage verbalization of concerns
OBJECTIVES: •
Emotionally stressed. • Facial grimace • Narrowed focus • V/S taken as follows: BP: 120/80 RR:21 PR:76 TEMP.:36.8
Emphasize similarities between vaginal and cesarean birth. Convey positive attitude, and manage postpartal care as close as possible to care provided to clients following vaginal birth.
Client may alter her perception of cesarean birth experience as well as her perception of her own wellness or illness based on the professional’s attitudes. Similar care conveys the message that cesarean birth is a necessary alternative to vaginal delivery, focusing on the optimal outcome rather than on the birth process.
Assist client/couple in identifying usual coping mechanisms and developing new coping strategies if needed. Provide accurate information about client/ infant status.
Helps facilitate positive adaptation to new role; reduces feelings of inadequacy. Fantasies caused by lack of information or misunderstanding may increase sense of helplessness/loss of control.
COLLABORATIVE: Refer client/couple for professional counselling if reactions are maladaptive.
Client who is unable to resolve grief or negative feelings may need further professional help.
Nursing Care Plan
Pinca, Angelica L. BSN 128 GROUP 111-A
“pang 6 ko na kasi itong anak kaya
NURSING DIAGNOSIS Situational low selfesteem related to perceived failure at a life event AEB verbalization of negative feelings about self in situation (e.g helplessness, shame/guilt), evaluates self as unable to handle situation, difficulty making decisions.
GOALS AND OBJECTIVES General objectives: After 2 days of nursing interventions, the client will be able to verbalize understanding of individual factors that precipitated current situation.
NURSING INTERVENTION INDEPENDENT:
RATIONALE
Determine clients/ couple emotional response to caesarean birth.
Both members of the couple may have a emotional reaction to the surgical intervention. An unplanned cesarean birth may have a negative effect on the client’s selfesteem, leaving her feeling that she is inadequate and has failed as a woman.
Determine client’s level of anxiety and source of concern. Encourage client/couple to verbalize unmet needs and expectations. Provide information regarding the normalcy of such feelings
Cesarean birth may be viewed by the client/ couple as a failure at a life event, and this may have a negative impact on the bonding/parenting process.
Specific objectives: After 1 day of nursing interventions the client will be able to: Discuss concerns related to his role in and perception of the birth experience. Express positive self-appraisal
EVALUATION
medyo nahihirapan na kami ng asawa ko..”
Encourage presence/participation of partner in all that is going on.
Provides emotional support; may encourage verbalization of concerns
OBJECTIVES: •
Emotionally stressed. • Facial grimace • Narrowed focus • V/S taken as follows: BP: 120/80 RR:21 PR:76 TEMP.:36.8
Emphasize similarities between vaginal and cesarean birth. Convey positive attitude, and manage postpartal care as close as possible to care provided to clients following vaginal birth.
Client may alter her perception of cesarean birth experience as well as her perception of her own wellness or illness based on the professional’s attitudes. Similar care conveys the message that cesarean birth is a necessary alternative to vaginal delivery, focusing on the optimal outcome rather than on the birth process.
Assist client/couple in identifying usual coping mechanisms and developing new coping strategies if needed. Provide accurate information about client/ infant status.
Helps facilitate positive adaptation to new role; reduces feelings of inadequacy. Fantasies caused by lack of information or misunderstanding may increase sense of helplessness/loss of control.
COLLABORATIVE: Refer client/couple for professional counselling if reactions are maladaptive.
Client who is unable to resolve grief or negative feelings may need further professional help.
Nursing Care Plan
Pinca, Angelica L. BSN 128 GROUP 111-A
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