NURSING CARE PLAN
Problem: Anxiety
Nursing Diagnosis: Anxiety related to threat to/or change in health status
Taxonomy: Self-perception self concept- Pattern
Cause Analysis: Anxiety often accompanies pain. Threat to the unknown and inability to control the pain or the events surrounding it often augment
the pain perception. Fatigue also reduces ability to cope thereby increasing pain perception. (Funda. Of Nursing by kozier pp 468)
CUES OBJECTIVES
Subjectives: STO:
After 3 hours of initiating
nursing intervention, the
patient will be able to
verbalize absence of or
decrease in subjective
distress.
Objectives:
• restless LTO:
• has difficulty in Within 3 days of initiating
sleeping nursing interventions, the
• increase pain patient will be able to
• fatigue demonstrate improve
concentration and accuracy
of thoughts
INTERVENTIONS RATIONALE EVALUATION
Independent: 1. Anxiety is highly
1. Assesses client’s level individualize, normal,
of anxiety. Validate physical, and
observation by saying psychological
to client. “Are you response to internal After 3 hours of initiating
feeling anxious now/” and external life nursing interventions, the
2. Used presence, touch, events. patient was able to
verbalization or 2. Being supportive and verbalize decrease in
demeanor to remind approachable subjective distress
client and to encourage encourages
expressions or communication
clarification of needs, 3. If defenses are not
concerns, unknowns, threatened, the client
and questions. may feel safe
3. Accepted client’s enough to look at
defenses, do not behavior After 3 days of
confront, argue and 4. Talking or otherwise implementing nursing
debate. expressing feeling interventions, the patient
4. Allowed and reinforced sometimes reduces was able to demonstrate
clients personal anxiety. improve concentration and
reactions to/or pain, 5. Gaining insight accuracy of thoughts.
discomfort or threats to enables the client to
well being reevaluate the threat
5. Helped client identified and or identify new
precipitants to anxiety. ways to deal with the
threat.