ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

S-The Patient States > Anxiety Related to >After 8 hours of >Assess level of Anxiety >To Identify what level >After 8 hours of
that “I am so Afraid, it Fear Nursing Intervention of Anxiety the patient Nursing Intervention
is too early for my the Patient will Appear has had. the Patient is relaxed
Relaxed and the Level >Monitor Vital Signs and report anxiety is
Baby and My
of Anxiety is Reduced. >To Established reduced to a
Boyfriend is non
baseline data. manageable level.
here” as verbalized >Established Rapport
by the patient. >Establishing Rapport
can develop Patients
Trust.
O- >Provide Comfort
>Bp:180/116 Measures (e.g Back >To Demonstrate
>Facial Tension Rub, quiet Support.
>Has Facial Edema environment).
>edema of Hands
>Instructed Deep >To Promote Patient
Breathing Exercise Relaxation.

>Be Available to Client >To established

for Listening and EMPATHY to the client.
Talking.
>To Help the Client to
>Provide Accurate Identify what is reality
information about the based.
situation.