ASSESSMENT
NURSING DIAGNOSIS Mild anxiety related to upcoming surgery
INFERENCE
PLANNING
INTERVENTION Independent:
RATIONALE
EVALUATION
Subjective: Kinakabahan ako sa operasyon ko at hindi ako makatulog masyado. as verbalized by patient. Objective: V/S taken as follows: T: 37.1 P: 90 R: 18 Bp: 130/80 Restless Irritable Patient could not talk straight when asked about the surgery.
Anxiety is basically your bodys natural warning system telling you to go on alert when there is no actual cause for alarm. It is caused by a variety of biological, genetic, psychological and environmental factors. Those suffering from mild anxiety will usually only suffer from the physical and mental symptoms.
After 1-2 hours of nursing interventions, the client should be able to experience a reduction in fear and anxiety as evidenced by: Verbalization of feeling less anxious usual sleep pattern, relaxed facial expression and body movements.
Provide preoperative education like explaining the procedure.
Can provide reassurance that client safety precautions are constantly ongoing, alleviate clients anxiety, as well as provide information for formulating intraoperative care. Establishes rapport and psychological comfort with operative team.
After 1-2 hours of nursing intervention the client was able to: Experience a reduction in fear and anxiety as evidenced by verbalization of feeling less anxious usual sleep pattern, relaxed facial expression and body movements and stable vital signs.
Introduce client to staff.
Verbalize and Provides for document clients positive identifiers to surgery identification,
schedule; client identification band, chart, marked site and signed operative consent for surgical procedure according to facilitys protocol and checklist.
reducing fear that wrong procedure may be done as well as minimizing risk for wrong procedure and site.
Provide a calm, Promotes restful environment. relaxation.