Tuano, Salma M.

BSN4-1 FEAR/ANXIETY
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
(Short-Term) (Long-Term)
Subjective: Fear/Anxiety After 8 hours After 72 hours of INDEPENDENT:
“Minsan naiisip ko rin related of nursing nursing -Establish rapport -To gain the significant GOAL MET
na darating ang araw situational crisis intervention intervention the to the patient and others and patient’s trust
na mamamatay ako, as evidenced by the patient patient will significant others. & cooperation during the
nakakapangamba kahit expressed will appear demonstrate use   Nursing care &
papaano,nakakatakot, concerns more relaxed of effective procedures.
paano na ang pamilya regarding and report coping
ko? Saana ko changes in life anxiety is mechanisms and
pupunta?” events reduced active -Review patient’s -Clarifies patient’s
participation in experience with perceptions; assists in
Objective: treatment cancer. Determine identification of fears
regimen what the doctor has and misconceptions base
 Restlessness told patient and d on diagnosis and
 Increased what conclusion experience with cancer.
Tension patient has
 Feelings of reached.
helplessness
V/S of -Encourage patient -Provides opportunity to
 T- 37.0 to share thoughts examine realistic fears
 PR- 110 and feelings. and misconceptions about
 RR- 23 diagnosis.
 BP- 100/80
-Provide open -Helps patient feel
environment in accepted in present
which patient feels condition without feeling
safe to discuss judged, and promotes
feelings or to sense of dignity and
refrain from talking. control.

-Maintain frequent -Provides assurance that

Tuano, Salma M. BSN4-1 FEAR/ANXIETY
contact with patient is not alone or
patient. Talk with rejected; conveys respect
and touch patient for and acceptance of the
as appropriate. person, fostering trust.

-Assist patient in -Coping skills are often

recognizing and stressed after diagnosis
clarifying fears to and during different
begin developing phases of treatment.
coping strategies Support and counseling
for dealing with are often necessary to
these fears. enable individual to
recognize and deal with
fear and to realize that
control and coping
strategies are available.

-Provide accurate, -Can reduce anxiety and

consistent enable patient to make
information decisions and choices
regarding based on realities.
diagnosis and
prognosis. Avoid
arguing about
patient’s
perceptions of
situation.

-Promote calm, -Facilitates rest,

quiet environment. conserves energy, and
may enhance coping
abilities.

-Explain -Accurate information

Tuano, Salma M. BSN4-1 FEAR/ANXIETY
procedures, allows patient to deal
providing more effectively with
opportunity for reality of situation, thereby
questions and reducing anxiety and fear
honest answers. of the unknown.
Stay with patient
during anxiety-
producing
procedures and
consultations.

-Explain the -The goal of cancer

recommended treatment is to destroy
treatment, its malignant cells while
purpose, and minimizing damage to
potential side normal ones. Treatment
effects. Help may include surgery
patient prepare for (curative, preventive,
treatments. palliative), as well as
chemotherapy, radiation
(internal, external), or
organ-specific treatments
such as whole-
body hyperthermia or
biotherapy. Bone marrow
or peripheral progenitor
cell (stem cell) transplant
may be recommended for
some types of cancer.