NURSING CARE PLAN

Assessment Nursing Analysis Goals and Nursing Rationale Evaluation

Diagnosis Objectives Interventions

SUBJECTIVE : Vague GOAL: After GOAL: After

Anxiety uneasy 2 hours of 2 hours of
 “Di ba nga r/t pain feeling of nursing nursing
ooperahan for discomfort intervention, intervention,
ako, kaya surgery or dread the client will the client will
ibig sabihin as accompanie be able to be able to
may mali sa manifeste d by an appear relax appear relax
akin”, he d by autonomic and report and report
said. “Medyo response anxiety is anxiety is
 “Medyo kinakaba (the source reduced to a reduced to a
kinakabahan han nga often non- manageable manageable
nga ako kasi ako kasi specific or level. level.
hindi ko hindi ko unknown to
alam kung alam the
papano yung kung individual); OBJECTIVES: OBJECTIVES:
mga papano a feeling of The client  Provide To know his own The client
gagawin yung mga apprehensi will be able accurate perception about was able to:
sakin”, the gagawin on caused to: information the upcoming a.) The
client added. sakin”, as by a.) After about the surgery client’s
 “First time verbalize anticipation 10 min of situation of condition
ko kasi d by the of danger. nsg. the client was able to
ooperahan client. It is an interventio and reasons assess
eh, kaya altering n, the for surgery. after 10
wala ako signal that client’s min of nsg.
masyado warns of condition  Identify It can point to the interventio
alam”, the impending will be able client’s client’s level of n.
client danger and to assess. perception anxiety.(Nurse’s
verbalized. enables the about the pocket guide by:
 When the individual upcoming Doenges pg. 90)
client was to take surgery
asked when measures Helps client to
he feels any to deal with  Observe identify what is
fear with threat. client’s reality-based.
regards to behavior. (Nurse’s pocket
the guide by: Doenges
operation, pg. 91)
the client
replied,  Review
“kinakabaha coping skills To determine
n din ako the client those that might
kasi di ko b.) After 1 used in past. be helpful in b.) After 1
alam kung hour of current hour of
papaano nsg. circumstances. nsg.
mangyayari interventio (Nurse’s pocket interventio
BSN 114- GROUP 54 BATCH 2010-2011

FAR EASTERN UNIVERSITY, MANILA

INSTITUTE OF NURSING