Problem Nursing Diagnosis and Goals Nursing Intervention Nursing Rationale Evaluation

Rationale
Problem Independent
Anxiety

Subjective Cues: Anxiety related to Short term: 1) Review disease 1) Provide knowledge Short term:
”medyo natatakot change in health After 2 days of process, patients base from which can Goal met. After
at kinakabahan pa status appropriate nursing expectations make informed therapy 2-3 days of nursing
din dahil di ko alam intervention the choices. interventions, the
ano result at epekto Anxiety related to patient will verbalize (Doenges, ©2002) patients appear
sa kalagayan ko situational crises knowledge on the relaxed and report
ngayon pagkatapos situation and will 2) Educate patient and 2) Prompt interventions anxiety is reduced
ng chemotherapy ko” Anxiety related to appear relaxed and family about the signs may prevent more to a manageable
as verbalized by the prescribed will claim that her and symptoms requiring serious complications level and identify
patient chemotherapy, anxiety was gone medical evaluation (Ibid) ways to deal with
insufficient knowledge and express anxiety,
Objective Cues: of chemotherapy and Long term: 3) Discuss self-care 3) Individuals who use
 Restlessness self-care measures  At the end of the measures to reduce risk receive side effects resources/report
Increased tension shift, patient will of toxicities (e.g., management report a system effectively
 Worry Anxiety related to verbalize nutrition, hygiene, rest, higher degree of
Unmet needs and understanding of her managing hair loss, perceived effectivenessLong term:
negative self-talk disease process monitoring infection, than those who did not Goal met. At the
prioritizing activities) receive this information
end of the shift will
(Dadd, 1983) verbalize awareness
of feeling anxiety
and patient will
4) Encourage the patient 4) Talking about anxiety- share feelings
to talk about anxious producing situations and regarding scheduled
feelings and examine anxious feelings can chemotherapy and
anxiety-provoking help the patient patient verbalized
situations if they are perceive the situation understanding of
identifiable realistically and her disease process.
recognize factors
 leading to the anxious
feelings
(Gulanick & Mayers
©2015)

Dependent

5) Interact with patient 5) The nurse or

in a peaceful manner healthcare provider can
transmit his or her own
anxiety to the
hypertensive patient.
The patients feeling of
stability increases in a
calm and non-
threatening
environment
(Nurselabs)