ASSESSMENT

Subjective: Kinakabahan ako sa pwedeng mangyari sa akin as verbalized by the patient. Objective: Minimal eye contact Increased wariness Voice quivering Increased perspiration
preoccupation

DIAGNOSIS
Anxiety related to perceived health threats

PLANNING
After 30 minutes of nursing interventions, the client will be able to appear relaxed and report anxiety is reduce to a manageable level

INTERVENTION
INDEPENDENT Monitor vital signs

RATIONALE

EVALUATION
After 30 minutes of nursing interventions, the client was able to appear relaxed and report anxiety is reduce to a manageable level Goal: Met

To identify physical responses associated with both medical and emotional conditions These factors can cause/exacerbate anxiety and anxiety disorders

Review Familial and physiological factors and active medical conditions Identify the clients perception to threat represented by the situation Observe the clients behaviors Review coping skills used in the past Establish a

To note congruencies or misperceptions of situation

To point the clients level of anxiety To determine those that might be helpful in current circumstances To avoid contagious

therapeutic relationship, conveying empathy and unconditional positive regard Be available for listening and talking and acknowledge the clients anxiety Provide accurate information about the situation Provide comfort measures Review strategies, such as role playing, use of visualizations to practice anticipated events, prayer

effect or transmission of anxiety

To allow the client to express her feelings and lessen tension. To note incongruence with affect Helps client identify what is reality based

To lessen the anxiety level of the client Useful for being prepared for dealing with anxietyprovoking situations

DEPENDENT Administer anxiolytic drugs or sedatives as ordered Instruct use of relaxation or visualization and guided imagery skills as preferred by the physician To pharmacologically control the anxiety levels of the patient if diverting activities are ineffective Provides diversionary means to relieve anxiety