B.

Nursing Care Plan

Pre-Operation
No Nursing Diagnose Desire Outcome Intervention Rasional Evaluation
1 Kecemasan 1. Klien is able to 1. Use a calming 1. A calming 1. The patient feels
berhubungan identify and approach approach can anxiety before
dengan diagnosis express anxiety reduce anxiety facing surgery
dan pembedahan symptoms 2. State clearly the 2. Make the patient 2. Patients can control
2. Identify, express expectations of the more comfortable feelings of anxiety
and demonstrate patient offender
techniques for 3. Explain all 3. Make patients
controlling anxiety procedures and aware of the
3. Vital sign within how they felt procedure of action
normal limits during the to be faced
4. Body posture, procedure
facial expressions, 4. Accompany 4. Can reduce anxiety
body language and patients to provide in patients
activity levels security and reduce
indicate reduced fear
anxiety
5. Provide factual 5. Correct
information information can
regarding make you feel
diagnosis, calmer
prognosis
6. Identification of 6. To find out the
anxiety levels level of anxiety of
patients facing
surgery
7. Help the patient 7. Make it easy for
recognize situations patients to avoid
that cause anxiety situations that can
cause anxiety

8. Encourage the 8. Knowing the

patient to express characteristics of
feelings, fears, anxiety felt by
perceptions patients
9. Instruct the patient 9. Relaxation
to use relaxation techniques can
techniques make you feel
more comfortable
Post-Operation
No Nursing Diagnose Desire Outcome Intervention Rasional Evaluation
1 Acute pain related 1. Verbalize pain 1. Perform a 1. Assessment is the 1. Patient verbalize
to surgical wound relief methods comprehensive first step in less pain after
2. Demonstrate une of asessment. Access managing pain. It surgery
appropiate location, helps ensure that 2. Patient able to
diversional characterisitic, the patient recieves control the pain
activities and onset, duration, effective pain relief
relaxation skill frequency, quality
3. Report pain and severiry of
management pain.
methotes relieve 2. Review the 2. To observe the
4. Pain to a patient’s pain scale level of pain
saticfactory level experiencedd by a
patient
3. Observe for 3. Some patient may
nonverbal deny the existence
indicators of pain: of pain. These
moaning, guarding, behavior can help
 crying, facial with proper
grimance. evaluation of pain
4. Accept patient’s 4. Pain is highly
description of pain. subjective
5. Obtain vital sign 5. Vital sign are
usually affected
when pain is
present
6. Use 6. Work by
nonpharmalogical increasing the
pain relief methods release of
( relaxation endorphins,
exercise, breathing boosting the
exercises, music therapeutic effect
therapy ) of pain relief
medication
7. Provide analgesics 7. Efeectiveness of
as ordered, pain medication
evaluating the must be evaluated
effectiveness and individually
inspecting for any because it is
sign and symptoms absorbed and
or adverse effect metabolize
differently by
patient’s.
Analgesic may
cause mild to
severy side effect