NCP 3

 

San Beda College COLLEGE OF NURSING P.O. Box 4457 1005 MANILA, PHILIPPINES TELEFAX: 735-6011 to 15 Loc. 4131   ASSESSMENT

SUBJECTIVE: “Hindi ko alam, feeling ko pagtritripan ako sa skwelahan dahil sa itsura ko” as verbalized by the patient. OBJECTIIVE: esotropia •

NURSING

SCIENTIFIC

DIAGNOSIS

RATIONALE

Disturbed body image related to esotropia.

Esotropia is a form of  of strabismus strabismus,, or "squint", in which one or both eyes turn s inward. The condition can be constantly present, or occur intermittently, and can give the affected individual a "cross-eyed" appearance. Esotropia is sometimes erroneously called "lazy eye", which describes the condition of  of amblyopia amblyopia— — a reduction in vision of one or both eyes that is not the result of any pathological lesion of the

PLANNING

After 8 hours of nursing intervention, the client will verbalized understanding and acceptance acceptanc e of  body changes

INTERVENTIONS

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Observe emotional changes

encourage verbalizatio

RATIONALE

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n about of  concerns disease process, future expectation s. •

Involve patient in planning

Assist with grooming needs as necessary

provides opportunity to identify fears/misconc eptions and deal with them directly

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care and scheduling activities

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this may indicate acceptance or nonacceptanc e of situation

enhances feelings of  competency / self-worth, encourages independence and participation in therapy

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maintaining appearance enhances self-image

EVALUATION

After 8 hours of nursing intervention, the client verbalized understanding and acceptance of  body changes

 

visual pathway and cannot be resolved by the use of  corrective lenses.