POBLETE, JESSAMINE B.

ANGCO GROUP 86/ 4B-BSN ANXIETY ASSESSMENT SUBJECTIVE: Natatakot ako, unang pagbubuntis ko kasi to as verbalized by the patient. OBJECTIVE: Restlessness Narrowed focus Voice quivering Hand tremors Facial flushing Sweating DIAGNOSIS Anxiety related to actual/ perceived threat to health as evidenced by increased tension. PLANNING Long term goal: After series of effective nursing intervention the clients anxiety will be eliminated. Short term goal: After 10-30 mins of nursing intervention the client will be able to know some techniques on how to lessen the anxiety such as deep breathing exercise and verbalization of hindi na ako natatakot magpaopera -Instruct to do deep breathing exercise. -Provide accurate information about the situation. -Establish a therapeutic relationship, conveying empathy and unconditional positive reward. Maintain a calm manner while interacting with patient. Establish a working relationship with the patient through continuity of care. Use simple language and brief statements when INTERVENTION Assess patients level of anxiety. -Monitor vital signs.

ACMH-OR/DR; MS. JULY 26, 2011 EVALUATIO N Goal met. After 4 hours of nursing intervention, the patient was relax and anxiety reduced as evidenced by: (-)Hand tremors (-)Voice quivering (-)sweating And verbalized hindi na ako natatakot, naintindihan ko na kung ano ang gagawin sa akin sa loob ng OR

RATIONALE Different levels of anxiety will affect the coping mechanism of the client. -To identify physical responses associated with both medical and emotional conditions. Acknowledgment of the patients feelings validates the feelings and communicates acceptance of those feelings. -this may help the client to relax. -Helps the client to identify what is reality based. -To avoid a contagious effect/ transmission of anxiety. The health care provider can transmit his or her own anxiety to the hypersensitive patient. An ongoing relationship establishes a basis for comfort in communicating anxious feelings. When experiencing moderate to severe anxiety, patients may be unable to comprehend

Acknowledge awareness of patients anxiety.

instructing patient about self-care measures or about diagnostic and surgical procedures. Assist the patient in developing anxietyreducing skills. Instruct patient in the proper use of medications and educate him or her to recognize adverse reactions.

anything more than simple, clear, and brief instructions. Using anxiety-reduction strategies enhances patients sense of personal mastery and confidence. Medication may be used if patients anxiety continues to escalate and the anxiety becomes disabling.