ARELLANO UNIVERSITY

2600 legarda st. Sampaloc Manila, Philippines College of Nursing

Grace halfway Homes, Inc. Fairview Q.C Requirements

Submitted to: MS. Edelyn Lopez Submitted by: Maronne C. Arroyo

Patient data
Name: Rohel Flores Age: 48 y/o Gender: male Date of birth: Aug. 15 1962 Civil status: single Nationality: Flipino Address: 22 matimtiman st. teacher vill q.c Attending physician: DR. Los Ban~os Diagnosis: mental retardation (Moron)

History of Illness
He was discovered by his illness by his father after birth

ASSESSMENT Subjective

DIAGNOSIS Impaired Social Interaction related to organic brain dysfunction

PLANNING
After 1 year of

INTERVENTION
Spend time with client. This may mean just sitting in silence for a while. . Develop a therapeutic nurse.client relationship through frequent, brief contacts and an accepting attitude. Show unconditional positive regard.

RATIONALE

nursingintervention the patient will:

Your presence may help improve clients percepti self as a worthwhile pers

Objective: by lack of responsiveness,

,sensory stimulation as

Demonstrate willingness and desire to socialize with other . Voluntarily attends to group activities. Approaches others in appropriate manner for one-toone interaction.

Your presence, accept and conveyance of po regard enhance the cl feelings of self-worth.

lack of eye contact evidence by lack of

Social isolation Low self esteem Knows only few of his coresidence Shy

responsiveness ,lack of eye contact

After client feels comfortable in a one-to-one relationship, encourage attendance in group activities. May need to attend with client the first few times to offer support. Accept clients decision to remove self from group situation if anxiety becomes too great.

The presence of a truste individual provides emot security for the client.

Verbally acknowledge clients absence from any group activities.

Knowledge that his or h absence was noticed ma reinforce the clients feel of self-wort

Teach assertiveness techniques. Interactions withothers may be discouraged by clients use of passive or aggressive behaviors.

Knowledge of the us assertive techniques improve clients relation with others.

Provide direct feedback about clients interactions with others. Do this in a nonjudgmental manner. Help client learn how to

Client may not realize he or she is being perc by others. Direct feed from a trusted individua

respond more appropriately in interactions with others. Teach client skills which may be used to approach others in a more socially acceptable manner. Practice these skills through role-play.

help to alter these beha in a positive manner. H practiced these skills in play facilitates their us real situations.

Provide voluntary interactions with others. .

Positive reinforce enhances self-esteem and encourages repetitio of desirable behaviors.

ASSESSMENT

DIAGNOSIS Self Care Deficit

PLANNING After 1 year of nursing intervention the patient will be able to perform proper good hygiene and he will cooperate in the procedure of bathing and proper grooming.

INTERVENTION
Perform Cleansing Bed Bath as well as shampoo in bed.

RATIONALE

Subjective

Related to lack of motivation in performing good hygieneas evidence by

Cleansing of the skin he prevent skin breakdown, infection and odor.

Perform oral care using Bactidol

Objective: Unpleasant odor Weakness Oily skin

unpleasant odor, weakness and oily skin

stroke patients doesnt h the ability to maintain go oral hygiene due to loss coordination

.Cut untrimmed fingernails and toenails Comb patients hair . Apply lotion on the skin

to reduce or avoid injury

to maintain good hygien

to prevent dryness and s breakdown

Clean the external ear canal with ear buds Provide frequent assistance as needed with dressing. Provide privacy during dressing.Patients may take longer to dress and may be fearful of breaches in privacy. Inform family members and significant other the need for performing grooming and hygiene as necessary. Encourage family members and significant other to provide

to remove cerumen thus maintaining good hygien these reduces energy expenditure

provides opportunities to learn and adopt to activi and to maintain hygiene

such clothing ensures ea

clothing easily managed by patient, clothing slightly larger than regular size and Velcro straps may be helpful.

dressing and comfort

HEALTH TEACHING

Teaching adult with autism is a challenging experience. These patient often cant speak, which means they cant communicate their feelings or tell you when theyre feeling a specific way. You may not know when theyre learning or even if theyre learning. The only thing you can do is to take breaks and limit the number of distractions the person has in the room. These steps will help those teaching one child in a classroom setting or in a home setting.

Build a good relationship with your pateint. The more comfortable thepatient is with you, the more likely you will be to be successful in teaching them. This can be difficult with people with autism, but it can be accomplished if you are patient, understanding and respectful of boundaries. Establish the right atmosphere for learning. You will need to establish a very relaxed environment for your student. This means that you cannot push them and they should not feel as though they are being competitive in any way. Soothing music in the background can help keep autistic students calm, as can using calm and soothing voice while teaching. You can also have the walls painted soothing colors, and keep everything as neat and uncluttered as possible. Build your lesson plans on what works best for the autistic pateint. Through careful observation you should be able to determine what your student is good at and how they learn the best. You can use this information as a springboard for your lesson plans.Target the senses as much as possible. Patient with autism are not going to remember things they have learned as easily. The more they use their senses to learn, the more they will be able to remember of what they have learned later. Promote independence in everything that you do with your patient with autism. As tasks are performed each time, assist the student less and less each time. Give assistance when it is needed, but always try to see if the student can accomplish the task on their own. Independence is the goal of any teaching with adult autistic students.