ASSESSMENT Subjective: The patient verbalized: Natanggalan na rin ako ng stent dati, sa right kidney ko pero medyo kinakabahan

n pa rin ako, syempre ooperahan ka pa rin Hinahanda ko na rin yung sarili ko kasi alam ko after ng operation medyo makakaramdam ako ng sakit lalo na pag-iihi. Eto nanunuod na lang ng tv at nagbabasa ng magazine konti para hindi ko masyado isipin

DIAGNOSIS Mild Anxiety related to upcoming surgery as evidenced by expressed concerns

RATIONALE Preoperational anxiety is a universal reaction experienced by patients who are admitted to the hospital for surgery. Just the initial idea of having surgical procedures can bring about f anxiety in patients. Preoperational anxiety can be described as an unpleasant state of tension or uneasiness that results from a patient's doubts or before an operation.

OBJECTIVES After 4-5 hours of nursing intervention before the settled operation, the patient will be able to: 1. Appear relaxed. 2. Verbalize readiness for the upcoming surgery.

INTERVENTIONS 1. Assess level of fear. Note signs of denial, depression or narrowed focus of attention. 2. Explain procedures and care as delivered. Repeat explanations frequently as needed.

RATIONALE EVALUATION 1. Helps determine After the nursing the kind of interventions, the interventions patient was able to: required. 1. To appear relax. 2. Fear is lessened by information and knowledge. Anxiety may reduce comprehension requiring repetition of important information. 3. Knowing feelings are normal can allay anxiety that client is losing control. 2. Report readiness to undergo surgery.

3. Report anxiety is gone or reduced to manageable level

3. Acknowledge feelings of normalcy feelings in this situation.

3. Verbalize anxiety is gone or reduce to a more manageable level.

4. Encourage patient to share thoughts and feelings.

4. Provides opportunity to examine realistic fears and misconceptions

Objective: VS taken 30 mins before the surgery: -BP: 110/70 -RR: 20 -PR: 87 -Temp: 36.5 Seen watching TV and reading magazine

about the surgery. 5. Provide open environment in which patient feels safe to discuss feelings. 5. Helps patient feel accepted in present condition and promotes sense of dignity and control.

6. Promote calm, quiet environment.

6. Facilitates rest, conserves energy, and may enhance coping abilities. 7. Helps to promote relaxation.

7. Encourage to do deep breathing exercises as needed.

8. Encourage and foster patient interaction with support systems

8. Allows for better interpersonal interaction and reduction of anxiety and fear.

9. Advised to do diversional activities like watching TV or activities that can occupy patients time.

9. Diverting patients attention to the upcoming surgery may lessen her anxiety and tension. 10. To avoid transmission of anxiety.

10. Convey unconditional positive regard about the surgery.