POBLETE, JESSAMINE B. ACMH-OR/DR; MS.

ANGCO
GROUP 86/ 4B-BSN JULY 26, 2011

ANXIETY
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Assess patient’s level of anxiety. Different levels of anxiety will affect
SUBJECTIVE: Anxiety related Long term goal: the coping mechanism of the client. Goal met.
“Natatakot ako, to actual/
unang perceived threat After series of -Monitor vital signs. -To identify physical responses After 4 hours of
pagbubuntis ko to health as effective nursing associated with both medical and nursing
kasi to” as evidenced by intervention the emotional conditions. intervention,
verbalized by the increased client’s anxiety will the patient was
patient. tension. be eliminated. Acknowledge awareness of Acknowledgment of the patient’s relax and
patient’s anxiety. feelings validates the feelings and anxiety reduced
OBJECTIVE: Short term goal: communicates acceptance of those as evidenced by:
Restlessness feelings. (-)Hand tremors
Narrowed focus After 10-30 mins of (-)Voice
Voice quivering nursing intervention -Instruct to do deep breathing -this may help the client to relax. quivering
Hand tremors the client will be exercise. (-)sweating
Facial flushing able to know some
Sweating techniques on how -Provide accurate information -Helps the client to identify what is And verbalized “
to lessen the anxiety about the situation. reality based. hindi na ako
such as deep natatakot,
breathing exercise -Establish a therapeutic -To avoid a contagious effect/ naintindihan ko
and verbalization of relationship, conveying empathy transmission of anxiety. na kung ano ang
“ hindi na ako and unconditional positive reward. The health care provider can transmit gagawin sa akin
natatakot Maintain a calm manner while his or her own anxiety to the sa loob ng OR”
magpaopera” interacting with patient. hypersensitive patient.

Establish a working relationship

with the patient through
continuity of care.
Use simple language and brief
statements when instructing
patient about self-care measures
or about diagnostic and surgical
procedures.
An ongoing relationship establishes a
basis for comfort in communicating
anxious feelings.
When experiencing moderate to
severe anxiety, patients may be
unable to comprehend anything more
than simple, clear, and brief
instructions.
Assist the patient in developing
anxiety-reducing skills.
Instruct patient in the proper use
of medications and educate him
or her to recognize adverse
reactions.
Using anxiety-reduction strategies
enhances patient’s sense of personal
mastery and confidence.
Medication may be used if patient’s
anxiety continues to escalate and the
anxiety becomes disabling.