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Nursing Care Plan Nursing Diagnosis Anxiety (Mild)

Nursing Care Plan Nursing Diagnosis Anxiety (Mild)

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Published by: yvenette_kris8718 on Feb 13, 2010
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08/13/2013

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Nursing Care PlanNursingDiagnosisCues andEvidencesScientificAnalysisGoalsObjective NursingInterventionRationaleEvaluationAnxiety(Mild)related toupcomingsurgery asevidencebyexcessivesweatingandshaking of hands.Subjectivecues:
excessivesweating
shaking if handsObjectivecues: “.kuyawanlagi komam” asvervalizedby thepatient.A vagueuneasyfeeling of discomfortor dreadaccompanied by anautomaticresponse;the sourceoftennonspecificor unknownto theindividual;a feeling of apprehension causedbyanticipationof danger.It is analteringsignal thatwarns of impendingdanger andenables theindividualto takemeasuresto deal withthreat.(NANDAp70)Patient willbe able to:
lessen heranxiety
relaxAfter 3-5minutes of nurse-patientinteraction.Patient willbe able to:
lessen heranxiety
relax
introducedself 
established rapport
talk to thepatient andexplainfurther theprocedure
introducing yourself will lessenthe anxiety of thepatient.
establishingrapport andevelop patientstrust
explaining theprocedure candevelop patient’sunderstanding.After 5minutes of nursinginterventions, thepatient wasable to relaxand theanxiety waslessen.
 
NursingDiagnosisCues andEvidencesScientificAnalysisGoalsObjective NursingInterventionRationaleEvaluationRisk forinfectionrelated toon goingsurgery.Is aconditionthat iscaused byuncertainbacteriathat is notgood andunusual tothe body .Will be ableto avoidinfection.After 2 hourof surgerythere will nosign of infectionwill benoted.
apply therules of asepsis.
Rules of asepsisis the mostimportanttechnique a nurseshould know toavoid infec6tionin patient’s part.After thesurgery thepatient hasshown nosign of anyinfection.
 
NursingDiagnosisCues andEvidencesScientificAnalysisGoalsObjective NursingInterventionRationaleEvaluationKnowledgedeficientregardingcondition,prognosis,treatment,self – care,anddischargeneedsrelated tounfamiliarity withinformationresources.OBJECTIVE:
Confusion
Requestforinformation.
FearHipfractures inthe elderlyarecommonspecially towomen.
A hipfracture is a seriousinjury, particularly if you're older, andcomplications canbe life-threatening.Fortunately, surgeryto repair a hipfracture is usuallyvery effective,although recoveryoften requires timeand patience.
After 1 hourof nursinginterventions, thepatient willidentifyrelationshipof signs andsymptomsrelated tosurgicalprocedureand actionsto deal withthem.After 1 hourof nursinginterventions, thepatient willidentifyrelationshipof signs andsymptomsrelated tosurgicalprocedureand actionsto deal withthem.
Revieweffectsof surgicalprocedure andfutureexpectations.
Discussresumption of activity.Encourage lightactivitiesinitially,withfrequentrestperiodsandincreasingactivitiesorexerciseastolerated
Identifyindividualrestriction likeavoidingheavyliftingandstrenuous
Providesknowledgebase fromwhich patientcan makeinformedchoices.
Client canexpect to feeltired when shegoes homeand needs toplan a gradualresumption of activities.
Strenuousactivityintensifiesfatigue andmay delayhealing.
Facilitateshealing ortissueregenerationand helpsanemia if present.
Facilitatecompetentself- care,After 1 hourof nursinginterventions, thepatient wasable toidentifyrelationshipof signs andsymptomsrelated tosurgicalprocedureand actionsto deal withthem.

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