Assessment 

Planning  Intervention  Rationale  Evaluation

Objective: Long Term  Reposition the patient in  To promote Long Term

 Fatigue Goal:  his/her optimal patient Evaluation: 
 Diarrhea comfortable/preferred comfort and
 Constipation After 8 hours of position. Encourage reduce anxiety/ After 8 hours of
 Blood in the stool or comprehensive pursed lip breathing and restlessness. nursing 
urine nursing deep breathing exercises. intervention, the
 Bloating or nausea intervention.  To provide pain outcome goals
 Infertility Identify  Administer analgesics/ relief to the for the patient
supportive pain medications as patient. have been met
Subjective: individual prescribed. and the patient
“I feel a lot of pain in my Educate and condition
lower back and in my patients about  To create a improved.
pelvic.” the disease.  Assess the patient’s vital baseline set of
signs. Ask the patient to observations for
Nursing Diagnosis rate the pain from 0 to 10, the patient. The
Chronic pain related to and describe the pain 10-point pain scale
endometriosis as evidence he/she is experiencing. is a globally
by Pain during or after recognized pain
sexual intercourse Pain with rating tool that is
urination or bowel both accurate and
movements during the effective.
menstrual period Occasional
heavy menstrual periods

Assessment  Planning  Intervention  Rationale  Evaluation

 Objective:  Long Term
 Decreased
attention span
 Restlessness
 Poor impulse control
 Weak in apperance
Subjective:
"There is a painless vaginal
bleeding and it has a bright
red color.”
Nursing Diagnosis  small room or
Anxiety related to
Lack of knowledge
regarding symptoms,
progression of the
condition, and treatment
regimen as evidenced by
Decreased attention span,
Restlessness
Poor impulse control,
Feelings of discomfort,
apprehension, or
helplessness.
 Monitor the Long Term
Goal:  client’s vital  Obtain baseline vital signs to Evaluation: 
signs. determine whether there is
After of Nursing abnormality After 8 hours of
Intervention, the nursing 
client will discuss  Anxious behavior escalates by intervention, the
feelings of dread, outcome goals for
external stimuli. A smaller or
anxiety, and so the patient have
secluded area enhances a sense
forth been met and the
 Move the client of security as compared to a
to a quiet area patient condition
large area which can make the
with minimal improved.
client feel lost and panicked.
stimuli such as a
seclusion area.
 Helps relieve anxiety.
 Provide
reassurance and  Panic attacks are caused by a
comfort neuropsychiatric disorder
measures. that responds to Selective
serotonin reuptake inhibitors
(SSRIs) antidepressants.
 Administer
SSRIs as ordered.