The nursing diagnosis was anxiety related to actual or perceived threat to mother/fetus possibly evidenced by increased tension. The goals were for the client to verbalize decreased anxiety and appear relaxed and comfortable after 8 hours of nursing interventions. Objectives included assessing the client's anxiety level, assisting them to know coping strategies, helping them achieve a comfortable environment, and teaching them to understand medical procedures. Interventions included monitoring vitals, using touch/verbalization to encourage expression, establishing a therapeutic relationship, relaxation techniques, providing accurate information, and reviewing past coping skills. The rationale included identifying physical and emotional responses, being supportive, assisting with feelings, enabling rest periods, and determining helpful skills. The evaluation found the client able to verbalize feelings
The nursing diagnosis was anxiety related to actual or perceived threat to mother/fetus possibly evidenced by increased tension. The goals were for the client to verbalize decreased anxiety and appear relaxed and comfortable after 8 hours of nursing interventions. Objectives included assessing the client's anxiety level, assisting them to know coping strategies, helping them achieve a comfortable environment, and teaching them to understand medical procedures. Interventions included monitoring vitals, using touch/verbalization to encourage expression, establishing a therapeutic relationship, relaxation techniques, providing accurate information, and reviewing past coping skills. The rationale included identifying physical and emotional responses, being supportive, assisting with feelings, enabling rest periods, and determining helpful skills. The evaluation found the client able to verbalize feelings
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The nursing diagnosis was anxiety related to actual or perceived threat to mother/fetus possibly evidenced by increased tension. The goals were for the client to verbalize decreased anxiety and appear relaxed and comfortable after 8 hours of nursing interventions. Objectives included assessing the client's anxiety level, assisting them to know coping strategies, helping them achieve a comfortable environment, and teaching them to understand medical procedures. Interventions included monitoring vitals, using touch/verbalization to encourage expression, establishing a therapeutic relationship, relaxation techniques, providing accurate information, and reviewing past coping skills. The rationale included identifying physical and emotional responses, being supportive, assisting with feelings, enabling rest periods, and determining helpful skills. The evaluation found the client able to verbalize feelings
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online from Scribd
CUES NURSING ANALYSIS GOALS AND NURSING RATIONALE EVALUATION
DIAGNOSIS OBJECTIVES INTERVENTION
Anxiety Anxiety is an GOAL: -Monitor OBJECTIVE: related to emotional maternal/fetal - To identify Client was able actual/ state After 8hours vital signs. physical to verbalize Fear may be perceived characterized of nursing responses and express seen in some threat to by associated with her feelings interventions, facial mother/ fetus apprehension, both medical and throughout the the client will expression. possibly discomfort, emotional entire shift verbalize evidenced by restlessness or conditions. which helped Shakiness increased worry. decrease in her relieve her tension. - Brunner and anxiety to a -Use presence, touch - Being supportive anxiety. Increased Suddarth’s manageable or and approachable tension Textbook of level, appear verbalization to encourages The caregiver Medical- relaxed and encourage communication. was able to Surgical comfortable. expressions or assess client’s Nursing Vol.1 clarifications of level of pg112 needs, anxiety. OBJECTIVES: concerns, unknowns, - To assist client to In clinical and identify feelings The caregiver settings, fear After a day of questions. and begin to deal was able to of interventions, with problems. assist the unknown, the caregiver -Establish a client know unexpected will be able to: therapeutic the coping news about relationship, - It can help reduce strategies to one’s health, conveying empathy anxiety and respond to his and any a. Assess and unconditional stimulate anxiety. impairment of client’s level positive regard. identification of bodily of anxiety. coping behaviors. The caregiver functions -Encourage was able to engender b. Assist client verbalization of fears - It enables to help the client anxiety. know the and concerns. obtain maximum is able to Anxiety that coping benefit from rest achieve a escalates to a strategies to periods; prevents comfortable near panic respond to muscle fatigue environment. state can be his anxiety. -Encourage use of and improves incapacitating. relaxation techniques uterine blood The caregiver Different c. Help the such as deep flow. was able to patients client is able breathing exercises teach the manifest to achieve a and music therapy. - To know his own client to be physiologic, comfortable perception about able to emotional, and environmen the upcoming understand behavioral t. -Provide accurate surgery. the procedures signs and information about he is going to symptoms of d. Teach the the situation of the expect inside anxiety in client to be client and reasons - It can point to the the OR. different ways. able to for surgery. client’s level of - Brunner and understand anxiety. Suddarth’s the -Identify client’s Textbook of procedures perception about the - To determine Medical- he is going upcoming surgery. those that might Surgical to expect be helpful in Nursing Vol.1 inside the -Review coping skills current pg116 OR. the client used in circumstances. past. - It can lessen or minimize the fear that client is - Encourage experiencing. client to acknowledge and to express feelings through sharing or other means of coping.