ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Mild fear related to After 30 minutes of Independent Goal met

Madik maiwasan upcoming surgery nursing intervention  Assessed client’s  The client’s level of
madanagan uray may before the settled level of fear. fear is minimal or no After 30 minutes of
kadwa ko atoyen” As as evidence by operation, the patient physiological nursing intervention
verbalized by the cold hands, will appear relaxed symptoms of fear. the patient appeared
patient nervous, sweating, and report fear is The client’s vital relaxed, and stated
reduced to a signs is normal about fear is reduced
and hand tremors
Objective: manageable level as to a manageable level
 Cold hands manifested by  Ascertained client’s  To determine the as manifested by
 Nervous decreased tension. SO perception of fear defensive decreased tension
 Sweating what is occurring mechanism for and she stated that
 Observed: and how this affects protecting oneself she is ready for
- Hand tremors life. surgery after 30
minutes of nursing
 Provided intervention.
information by  Facilitates
verbal and written understanding and
forms. retention of
information.

 Managed the  To avoid exacerbate

environmental stress.
factors.

 Explained the  To prevent the

procedures with confusion or
level of clients overload to the client.
ability to understand
and handle.