Nursing Diagnosis
Anxiety related to acute
breathing difficulties and fear
of suffocation as evidenced by,
changes in eating habits,
alterations in sleep patterns,
anger, loss of physical and/or
mental abilities, inability to
problem solve and verbalized
fear of being alone.
Goal Interventions
Client will express Independent:
an increase in 1) Remain with the client
psychological during acute episodes of
comfort and breathing difficulty, and
demonstrate the provide care in a calm,
use of effective reassuring manner.
coping 2) Provide a quiet, calm
mechanisms. environment.
3) During acute episodes, open
doors and curtains and limit
the number of people and
unnecessary equipment in
the room. Provide a fan if the
client perceives a benefit
from the moving air.
4) Encourage the use of
breathing retraining and
relaxation techniques such as
imaging and music therapy.
Dependent:
1) Give sedatives and
tranquilizers with extreme
caution.
Collaborative:
1) Refer to appropriate
counselor as needed (e.g.,
Psychologist..etc.)
Rationale Evaluation
Anxiety can usually be
1) Reassures the client that controlled quickly but may
competent help is available if recur with each episode of
needed. Anxiety can be dyspnea and requires both
contagious; remain calm. short term and long term
interventions.
2) Reduction of external stimuli
helps promote relaxation.
3) Environmental changes may
lessen the client’s perceptions of
suffocation.
4) A feeling of self-control and
success in facilitating breathing
helps reduce anxiety.
1) To reduce anxiety
pharmaceutically.
1) Compassion and support can
help alleviate distress or palliate
feelings of fear to facilitate
coping and foster growth.
Assignment in NCM102

Submitted by:

Dichoso, Kristin Romela

Dimzon, Gillian M.

BSN3-E

Submitted to:

Mrs. Jonalen Samaniego R.N.

January 2010