Van U.

Tabaniag BSN V block 1

Assessment
S: Natatakot ako sa pwedeng mangyari sakin pagkatapos ng operasyon as verbalized by the patienty O: cold clammy skin pale in apperance facial flushing poor eye contact restlessness irritability

Diagnosis
Anxiety related to fear of unknown

Planning
Short term After 4 hours of nursing intervention, the patient's anxiety level will gradually decreased to manageable level. Long Term After 2 days of nursing intervention patient will be able to control the anxiety and be knowledgeable about the operation that was done

Intervention
Independent Monitor vital signs,

Rationale
To have baseline data

Evaluation
Short term (GOAL MET) After 4 hours of nursing intervention, the patient's anxiety level was gradually decreased to manageable level. Long Term (GOAL MET) After 2 days of nursing intervention patient is able to control the anxiety and was knowledgeable about the operation that was done

increased anxiety may affect physiologic changes

Observe behaviors, to

determine the level of patient's anxiety: mild, moderate, severe or panic

Encourage therapeutic relationship and be available to client for listening and talking Provide accurate information to the situation and do not give false reassurance Provide diversional activities such as watching TV or listening to music, before and

To comfort the patient and reduce anxiety leves

V/S Temp: 36.5 C BP: 130/80 mmHg PR: 88 bpm RR: 18 cpm

Being there for the client is the best therapeutic intervention Helps the client what is reality based

To divert the client from negative feelings of anxiety

after the operation

Dependent Determine prescribed medications or OTC medications, some To prevent the increased level of anxiety to the patient

medications can heighten sense of anxiety such as steroids, weight-loss pills, and caffeine.

Interdependent Consult psychologist prior to the surgery

To verbalize negative feelings about surgery and be provided with approriate knowledga about it