LORMA COLLEGES CON TEMPLATE

Nursing Care Plan

RELATED LEARNING EXPERIENCE

STUDENT NAME: BALLON, Karlo C. ROTATION:  5th Rotation AREA: OB WARD

May 22, 27, 28, 29, June CLINICAL
 BSN 2-BETTY NEUMAN DATES: 3, 4,5. INSTRUCTOR: Marites Gallardo

PROBLEM: Anxiety
DIAGNOSIS: Anxiety (Mild) related to threat of change in health status and situational crisis as manifested by expressed concerns due to change in
life events, fearful and increased wariness.

PRIORITIZATION: Low

NURSING IMPLEMENTATIO
ASSESSMENT DIAGNOSIS PLANNING N   RATIONALE EVALUATION

Subjective: Anxiety (Mild) Short term: Independent: Allows for a more Goal met.
related to - After 1 hour of objective measure of
threat of intervention, the client Have patient rate anxiety on anxiety level. After 1 hours of
Patient verbalized :
change in will be able to identify numerical scale. intervention, the
“What is happening, I’m
health status healthy ways to deal Verbalizing concerns can client was able to
scared.”
and with and express Encourage the patient to help patient deal with identify healthy
situational anxiety. verbalize concern about health issues, avoid negative ways to deal with
 
crisis as status. feelings, and allow the and express
Objective: manifested Long term: health care provider to anxiety.
- Expressed concerns by expressed introduce alternative
due to the changes in concerns due -After 4 hours of activities and methods of
the life events. to change in nursing intervention, doing After 4 hours of
life events, the client will be able nursing
- Fearful and increased fearful and to report a reduction Stay with the client by providing a To help in maintaining intervention, the
wariness increased of anxiety experienced calm, empathic and supportive emotional control in client was able to
wariness. to a manageable level. attitude. response to the changing report a reduction
- Restlessness physiological status. Helps in the of anxiety
in lessening interpersonal experienced to a
-Narrowed focus transmission of feelings. manageable level.

-Voice quivering Provide information about the Giving accurate

treatment regimen and information can lessen the
-Hand tremors effectiveness of the interventions. anxiety and to identify
what is reality based.

Assist in developing skills To eliminate negative

(e.g.,awareness of negative thoughts and to promote
thoughts, saying “Stop” and wellness.
replacing it with a positive
thought).

Evaluate physiological response Changes in the vital signs

to postpartum hemorrhage (e.g. may be due to physiologic
  restlessness, irritability, responses, but they can
tachypnea, tachycardia, be aggravated by