ASSESSMENT S Awan ti nasakit ti bagik,mabutengak laeng ta agpachemo manen Patient verbalized that he is on his 6 cycle of chemotheraphy due to gastric

ric cancer.

GOAL LONG TERM GOAL: After 4 hours of effective nursing intervention the client will be able to report a reduction in the anxiety experienced to manageable level. SHORT TERM GOAL:

INTERVENTION Assess patients level of anxiety

RATIONALE -different levels of anxiety will affect coping mechanism of client. -to identify physical responses associated with both medical and emotional conditions. -acknowledgement of the patients feeling s validates the feeling and communicates acceptance of those feelings. -this may help the client to relax. -helps the client to identify what is reality based.

EVALUATION GOAL MET IF : -The client will be able to report anxiety reduced as evidenced by reduction in the level of anxiety experienced to a manageable level. -the client will be able to identify health ways to deal with and express anxiety.

monitor vital signs

O Conscious Afebrile Pale skin Restlessness Vital signs of BP=100/70 mmHg PR=112 bpm RR=32 cpm TEMP.=36.9c Level of anxiety is mild to moderate irritable

After 2 hours of intervention, the client will be able to identify health ways to deal with and express anxiety.

Acknowledge awareness of patients anxiety

Instruct to do deep breathing exercise. Provide accurate information about the situation. Establish a therapeutic relationship, conveying empathy and unconditional positive reward. Maintain on a calm manner while interacting with patient. Establish a working relationship with the patient through

NURSING DIAGNOSIS: Anxiety related to ongoing chemotherapy secondary to gastric cancer.

-to avoid a contagious effect / transmission of anxiety. The health care provider can transmit her own anxiety to the hypersensitive patient. Or the other way around.

-an ongoing relationship establishes a basis for comfort in communicating

continuity of care. Use simple language and brief statements when instructing patient about self-care measures or about diagnostics procedures and therapy. Instruct the patient in the proper use of medications and educate him to recognize adverse reactions.

anxious feelings. -when experiencing moderate to severe anxiety patients may be unable to comprehend anything more than simple, clear, and brief instructions. -medication may be used if patients anxiety becomes disabling.

SAINT LOUIS UNIVERSITY

SCHOOL OF NURSING

NURSING CARE PLAN

(PATIENT: ESTANISLAO AWISAN)

SUBMMITED TO: SIR GILBERT MARZAN R.N

CLINICAL INSTRUCTOR

SUBMITTED BY: CHRISTINE MAGSINGIT

BSN III- E GROUP 3