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NURSING INTERVENTION
ASSESSMENT PLANNING EVALUATION
DIAGNOSIS ACTIONS RATIONALE
After 8 hours of Established rapport. To offer one’s self. To Goal Met as
“Magpapatulong Impaired nursing gain cooperation. evidenced by
sana ako sayo Transfer Ability intervention patient‘s
para lumipat sa related to patient will be Monitored vital signs. To have baseline data verbalization and
upuan, nahihilo Dizziness able to verbalize understanding of
kasi ako pag understanding of Instructed to use side rails Prevent further injury. the situation and
tumatayo” as situation and for safety and devices utilized safety
verbalized by the appropriate buzzer for immediate measures such as
patient’s relative. safety measures. response in times of need. side rails and call
light.
Facial Grimace Encouraged to verbalize Feelings of frustration
noted when feelings about her may impede
assisted to stand. situation. attainment of goals.