Cholecystectomy Nursing Care Plan: Fear RT Outcome of Surgery

Assessment
S: The patient
may verbalize:
> statements
about the object
of fear
> decreased self
assurance
>increased
tension;
jitteriness

Nursing
Diagnosis
Fear r/t outcome
of surgery

Scientific
Explanation
Undergoing open
cholecystectomy,
the patient may
perceive threat like
the outcome of the
surgery that is
consciously
recognized by the
client as danger

Planning
(Objective/Goal)
Short-term:

1. establish
rapport

After 1 hour of nursing

interventions, the
2. monitor/ record
patient will verbalize
vital signs
accurate knowledge or
sense of safety related 3. assess patients
to current situation
condition

Long-term:
O: The patient
may manifest:
>increase
alertness
>impulsive
>diaphoresis
>pallor
>muscle
tightness

Interventions

After 4 hours of
nursing intervention
the patient will
demonstrate
understanding
through use of
effective coping
behaviors and
resources

Rationale
1. to gain trust
of the patient
2. for baseline
data

3. to note any
abnormalities
within the
patient

4. Determine
clients ability to
learn
4. to assess the
capability of
the client
5. Provide
information
relevant to the
5. to present
situation
reality to the
patient
6. compare verbal
and nonverbal
responses
6. to note
congruencies
or
7. note degree of
misperceptio
concentration
ns of situation
or focus
7. identifies the
8. stay with the
starting point
client
of what to do

Evaluation
Short-term:
After 1 hour of
nursing
interventions, the
patient shall have
verbalized
accurate
knowledge or
sense of safety
related to current
situation
Long-term:
After 4 hours of
nursing
interventions, the
patient shall have
demonstrated
understanding
through use of
effective coping
behaviors and
resources

9. provide
10. information in
verbal and
written form
11. provide
opportuniy for
questions and
answer honestly
12. explain
procedure
within clients
abilities

8. sense of
abandoneme
nt can
exacerbate
fear
9. facilitates
understandin
g and
retention of
information
10. enhance
sense of trust
and nurepatient
relationship
11. to prevent
confusion