PHINMA UNIVERSITY OF PANGASINAN

COLLEGE OF ALLIED HEALTH SCIENCES - DEPARTMENT OF NURSING

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Risks for anxiety as - Anxiety is a Short-Term Goals: - Provide comfort - Aids in meeting Short-Term Goals:
evidenced by fear. vague, uneasy After 4 hours of measures (e.g., basic human need, After 4 hours of
- “I fear that one feeling of nursing intervention, calm or quiet decreasing sense of nursing
day when I wake discomfort or dread the patient will be environment, soft isolation, and intervention, the
up, I wouldn’t be accompanied by an able to return blood music, warm bath, assisting client to patient will be able
able to breathe.” as autonomic response; pressure within back rub, feel less anxious. to return blood
stated by the a feeling of normal range and Therapeutic Touch). - To lessen the pressure within
patient. apprehension show signs of - Stay with the effect of normal range and
caused by improved coping client, maintaining transmission of show signs of
anticipation of ability as evidenced a calm, confident feelings. improved coping
danger. It is an by: manner. ability as evidenced
alerting sign that - Provide a non- -This is indicative by:
warns of impeding - Recognizing threatening, of extent of anxiety
danger and enables ineffective coping consistent or fear related to - Recognizing
Objective: the individual to strategies environment/atmos what is happening ineffective coping
take measures to - Verbalization of phere. Minimize and need for strategies
deal with that threat. ability to cope and stimuli. Monitor specific - Verbalization of
- T: 36.4°C asks for help when visitors and interventions to ability to cope and
needed interactions. reduce asks for help when
- PR: 110 bpm - Fear is the physiological needed
response to Long-Term Goals: reactions.
- RR: 31 bpm perceived threat that After a month of - Note ability to - This promotes an GOAL MET
is consciously nursing intervention, concentrate, level of attitude of caring
- BP: 130/90 mmHg recognized as a the patient will be attention, degree of and opens the door Long-Term Goals:
danger. able to show signs incapacitation. for discussion about After a month of
of improved coping - Acknowledge feelings and / or nursing
ability as evidenced normalcy of fear, addressing reality of intervention, the
by: pain, and despair, situation. patient will be able
and give -This promotes the to show signs of
SUBMITTED BY: SUBMITTED TO:
PAGE 1
 - Anxiety is reduced "permission" to release of improved coping
to a manageable express feelings endorphins and aids ability as evidenced
level appropriately and in developing an by:
freely. internal locus
- Assist client to control, reducing - Anxiety is reduced
learn relaxation, fear and anxiety. to a manageable
visualization, and This may enhance level
guided imagery coping skills,
skills. allowing the body to GOAL MET
go about its work of
healing.

SUBMITTED BY: SUBMITTED TO:

PAGE 2
ASSESSMENT DIAGNOSIS INFERENCE PLANNING RATIONALE INTERVENTION EVALUATION

SUBMITTED BY: SUBMITTED TO:

PAGE 3