Nursing care plan

Patient name: Miss M Age: 36 years Sex: female

Diagnose: urinary stone Date of Admission: not available
Nursing Diagnose Objectives Nursing Intervention Evaluation
( ✓) Actual ( ) Short Term Objectives: Assessment: Objectives are:
Potential Within half hour the 1. Assess anxiety level
Anxiety patient can feel more 2. Assess pain characteristics ( ) archived
Related to pain comfortable and 3. Assess pain level ( ) partially achieved
decrease the pain scale 4. Assess vital signs (✓ ) not achieved
Secondary to and anxiety scale to1 5. Assess for the presence of
Urinary stone culture-bound anxiety states.
As evidenced by:
6. Assess physical reactions to
anxiety
Subjective data: Long Term Objective: Nursing Intervention:
The patient said that she Within one day 1. Recognize awareness of the
has aacute right flank Patient has vital signs patient’s anxiety
pain and she didn't do that reflect baseline or 2. Interact with patient in a
any activity and has decreased sympathetic peaceful manner
very bad mood because stimulation. 3. Reduce the pain
of it Patient has posture, 4. Take analgesic
And she feels facial expressions, 5. rovide massage and backrubs
Irritability gestures, and activity for patient to reduce anxiety
Painful or persistent levels that reflect
increased helplessness decreased distress.
patient demonstrates
 ability to reassure self.
Patient monitors signs
and intensity of
anxiety.
Objective data: Patient identifies Patient Health teaching:
Pain scale (not strategies to reduce Provide patients with a means to
available) anxiety. listen to music of their choice.
Pain characteristics (not Educate patient and family about the
available) symptoms of anxiety.
Anxiety scale (not Teach patient to visualize or
available) fantasize about the absence of
anxiety or pain, successful
experience of the situation,
resolution of conflict, or outcome of
procedure.
Teach use of appropriate community
resources in emergency situations
(e.g., suicidal thoughts), such as
hotlines, emergency rooms, law
enforcement, and judicial systems.

Students name: Rahma ebrahim mohamed