Nursing Problem: Fear r/t threat to well-being Goal: To reduce clients anxiety, and enhance clients coping ability

and security Objective: After 8hrs of independent and collaborative intervention, the client and significant others will: a. Identify, verbalize and demonstrate those coping behaviours that reduce own fear b. Report and demonstrate reduced fear Intervention/Rationale Expected Outcome Encourage the client to explore Client/significant others verbalize underlying feeling that may be cause of fear contributing to the fear Exploring underlying feelings may help the client to confront unresolved conflicts and develop coping abilities Provide backrubs and massage for clients to decrease anxiety. Use of TT and HT techniques. Massage is effective in reducing distress and pain Teach significant others to use cognitive-behavioural strategies such as positive coping statements such as I am a brave girl/boy and rewards of bravery tokens for appropriate behaviour Cognitive-behavioural strategies appear to be effective interventions Client demonstrates reduced fear

Client shows increased self-esteem