ASSESSMENT NURSING DIAGNOSIS SCIENTIFIC EXPLANATION OBJECTIVES NURSING INTERVENTIONS RATIONALE EXPECTED OUTCOME

SUBJECTIVE : SHORT TERM: >Explain to the patient > To reduce fear and SHORT TERM:
honestly and simply what will anxiety of the
“Natatakot at kinakabahan Anxiety related to post A vague uneasy feeling of After 30mins - 1 hour of happen on their operation. unknown. After 30mins - 1 hour of
ako ulit hindi na nga ako operative complications discomfort or dread nursing interventions, nursing interventions,
makatulog eh. Naiexplain na that may develop. accompanied by an automatic patient will be able to: patient has able to:
sa akin ang mga gagawin sa response; the source often >Give the patient and family > Adequate
operasyon pero natatakot nonspecific or unknown to - Indicate an the positive and negative side explanations help the - Indicate an
pa din ako kasi baka hindi na the individual; a feeling of understanding of of the surgery that will be family to understand understanding of
ako magising o mas lumala apprehension caused by procedures. perform. and help them decide procedures.
pa yung sakit ko. Sabi kasi anticipation of danger. on what to do for the
nila baka hindi daw lahat - Experience their patient. - Experience their
matangal ng bukol sa - Wayne, G. (2016). Anxiety. feelings about the feelings about the
pancreas ko. ” Nurses Labs. complication that >Converse using a simple > To enable the client complication that
https://nurseslabs.com/anxie may occur. language and brief statements. to understand anything may occur.
OBJECTIVE: ty/ more than simple,
clear, and brief
(+) Nausea LONG TERM: instruction. LONG TERM:
(+) Uneasiness >Keep a calm attitude and
(+) Emotionally Disturbed After 1 - 2 days of nursing ensure complete information > Showing lack of After 1 - 2 days of nursing
(+) Insomnia intervention, the client will in explaining the surgery that knowledge and intervention, the client has
(+) Facial Flushing be able to: will be perform. improficiency about able to:
(+) Uneasy feelings the procedures will
- Indicate that they induce lack of trust on - Indicate that they
understand the the client. understand the
problem and the >Remain with the patient or problem and the
rationale of possibly hold her hand and > Being supportive and rationale of
procedures and speak on low and calm voice. approachable procedures and
complications that promotes complications that
may develop. communication. may develop.
>Assist client to use anxiety for
coping with the situation if > Anxiety heightens
helpful. awareness and permits
the client to focus in
dealing with the
 situation.
>Provide for non-threatening
environment and minimize > To lessen the effect
stimuli. of transmission of
feelings.

>Encourage client to
acknowledge what had > To enhance coping
happened and to express mechanism.
feelings.