Table 2. Nursing diagnoses, objectives or results and activities.
| NANDA diagnoses | Expected outcomes NOC | Main indicators | Interventions NIC | Main activities |
|---|---|---|---|---|
| 2-Pattern:nutritional-metabolic. (00046) Impaired skin integrity related to mechanical factors, shown by tissue wound. | (1103) Wound healing: secondary intention. Initial score: 1. Daily score: 5. Expected time: during stay in prison. | (110321) Decreased wound size. Scale value: 3, moderate. (110301) Granulation. Scale value: 3, moderate. | (3660) Care of thoracic window. (3590) Inspection of skin. | (366007) Monitor characteristics of wound. (366006) Observe ulcers, bleeding, sloughing, secretions, colour, size, smell. (366014) Describe interventions carried out. Daily treatment of wound as per protocol. |
| 7-Pattern: self perception-self concept. (000146) Anxiety related to threat of loss of health, shown by confusion, concerns expressed due to changes in vital events and insomnia. | (1211) Anxiety level. Initial score: 3. Daily score: 5. Expected time: during stay in prison. (1302) Coping. Initial score: 3. Daily score: 5. Expected time: during stay in prison. | (121117) Verbalised anxiety. Scale value: 3, moderate. (130203) Verbalises sensation of control. Scale value: 3, sometimes shown. | (4920) Active listening. (5230) Coping enhancement. (5820) Anxiety reduction. | (492011) Encourage expression of feelings. (523017) Help patient to identify the information that he is most interested in obtaining. (582005) Encourage patient to express feelings, perceptions and fears. (582012) Listen attentively. |
| 1-Pattern: Health awareness-health management. (00099 ) Ineffective health maintenance related to ineffective individual coping, shown by lack of adaptive behaviours to internal or external changes. | (0313) Self-care status. Initial score: 1. Daily score: 4. Expected time: during stay (1602) Health promoting behaviour. Initial score: 1. Daily score: 4. Expected time: during stay (1813) Knowledge: treatment regimen. Initial score: 1. Daily score: 4. Expected time: during stay in prison | (031308) Controls oral and topical medication to meet therapeutic objectives. Scale value: 4, slightly compromised. (160205) Uses effective behaviours ro reduce stress. Scale value: 4, frequently shown. (181310) Description of nursing process. Scale value: 4, substantial. | (2380) Medication management. (4470) Reinforcement of self-directed change. (5230) Coping enhancement. (5602) Teaching: disease process. | (238009) Determine what drugs are needed and administer as per medical prescription and/or the protocol. (447007) Encourage the patient to examine personal values and beliefs and satisfaction with same. (523002) Encourage patient find a realistic description of the change of role. (523006) Encourage a realistically hopeful attitude as a way to manage feelings of impotence. (560203) Comment on changes in lifestyle that may be necessary to prevent future complications and/or control the disease process. |
Note. NANDA: North American Nursing Diagnosis Association. NIC: Nursing Interventions Classification.
NOC: Nursing Outcomes Classification.