Subjective Diagnosis Planning Intervention Rationale Evaluation

Independent:
Pt verbalizes >Establish a >to assist patient in
“Ana galb taban. Ana After 1 hour of therapeutic dealing with the Goal Met:
kof”. Anxiety related o effective Nursing relationship, reality of the
unknown outcome intervention pt will: conveying empathy situation After 2-3 hour of
of altered health and unconditional effective nursing
Objective: state >verbalize reduced positive regard and intervention patient
anxiety by speaking slowly verbalized a
 With oxygen > appear relaxed and and calmly; avoid decrease in level of
via nasal calm confrontation anxiety.
cannula
administered >Document pre
at 4-5LPM treatment vital signs, >to serve as baseline
 Alterations in level of data
HR (154bpm) consciousness and
and BP peripheral pulses.
(120/90mmhg)
 Cold and >administer/ >to facilitate
clammy skin Continue oxygen optimum breathing
with presence supplement via nasal
of diaphoresis cannula at 4-5 LPM
 Decreased eye as tolerated.
contact and
restlessness > encourage >may serve to
noted verbalization of fears reduce level of
 Facial tension and concerns. anxiety by relieving
and hand tension
shakiness >provide rest periods
noted and comfort >To conserve energy
measures such as and enhances coping
calm and quiet
environment and
decrease harsh
lighting
Collaborative:

>explain the
rationale of >helps patient
procedures to be identify what is
performed and other reality based
plans for reducing
patient’s heart rate
to alleviate anxiety.
>provide accurate
information about
the situation.

>Administer
medication (anti >to help relieve
anxiety or sedatives) anxiety
as ordered.