Nursing Care Plan-2

Patient Name: -Azeemat Bibi Age: 35y Sex: Male Marital Status: Married Medical Diagnoses: Cholilithiasis Occupation: Govt: service ASSESSMENT NURSING DIAGNOSIS Subjective Data: Patient told that she was alright two years back, then she developed pain in right side below the ribs but now she is anxious regarding her operation. She asked question about her surgery that what will happen. How many days will I stay here? She also told she is not sleeping properly. Objective Data: A middle aged lady was lying on bed with anxious mood. On physical examination there was pain in the right hypocondrium. Her vitals were Pulse: 88 b/min B.P: 140/90 mmHg Resp/Rate: 22 /min Temp: 99 0F Lab: SGPT alkaline phosphitase were raised. Ward No: 12 Bed. No:28 Address:Umarcot Date: 26-03-2008 PLANNING Short term goal: At the end of my duty patient will verbalize reduction in anxiety. Long term goal: At the end of hospitalization pt: will free from the problem.

Anxiety related to for the coming surgery

INTERVENTION 1. Assess level of anxiety. 2. Express feeling. 3. verbalization

SCIENTIFIC RATIONALE 1. To deal accordingly. of 2. To establish relationship

EVALUATION Short term goal:



6. 7.

therapeutic Patient verbalized reduction in anxiety level hence I have achieved my short term goal. Provide accurate, concrete, 3. involving patient in plan of information about what is care that provide the sense of being done in surgery i.e. control and help to decrease time of operation, duration of anxiety. stay and other related information Help patient to initiate 4. Reduce anxiety and facilitates positive coping behavior used rest. Long term goal: in the past. Still not achieved. Provide calm, restful 5. removing patient from environment. outside stressors, provide relaxation, help to reduce anxiety Administer medication as per 6. to reduce anxiety physician’s order like diazepam. if appropriate, provide 7. to divert attention from activity that can reduce anxiety producing feeling. tension.

Reference: Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company. Doenges, M. E., Moorhouse, M. F. & Geissler (1993). Nursing care plans (3rd Ed.) Canada: F. A. Davis. Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)