NURSING CARE PLAN

Nursing Goal and

Cues Nursing Diagnosis Scientific Rationale Nursing Interventions Rationale Evaluation
Objectives
Subjective Mild anxiety related The scientific rationale of Goals: Independent: After 30 minutes of
Cues: to fear of unfamiliar mild anxiety related to Short- term: thorough nursing
"Nababaraka situations such as fear of unfamiliar After 15 minutes of 1. Establish rapport with the Establishing rapport is essential to a intervention the
ako kay siyahan hospitalization and situations is rooted in our nursing intervention, patient. therapeutic relationship and support the client was able to be
ko pal aini nga medical procedures body's natural response rapport will be established patient in self- reflection. This will also free from anxiety as
pag pa- ospital, as evidenced by to perceived threats or and appears relaxed. help patient feel more comfortable even evidenced by:
nangagapa pa uneasiness, sweating danger, often referred to in an unfamiliar setting (Berman, A. et al., -verbalization
ako kay diri ak and increased heart as the "fight-or-flight" 2106). indicating awareness
maaram kun rate. response. of feelings of anxiety
ano it -appearing relaxed
After 2 hours of nursing
mahihinabo." When faced with an Patients who is new to undergoing and reports that
intervention, the patient
as verbalized by unfamiliar situation, the 2. Orient the patient regarding inpatient services at the hospital should anxiety is at
the patient. brain perceives it as a will be able to: be given an orientation program to the manageable level
hospital setting, the treatment
potential threat. This 1. Verbalize awareness of care environment (Hidayah, N., 2019). -enhanced coping
plan, possible medical procedures
Objective Cues: perception triggers the feelings of anxiety. skills and facilitate
to be done including the attending
-uneasiness release of stress 2. Enhance coping skills informed decision-
healthcare providers.
-sweating hormones like adrenaline and facilitate informed Assess the patient’s level of anxiety. making
-increased and cortisol. These decision- making. Hildegard E. Peplau described 4 levels of -effective use of
heart rate hormones prepare the anxiety: mild, moderate, severe, and resources and
body to either confront -Use resources or support 3. Assess the patient’s level of panic. Patient with mild anxiety is most support systems.
or flee from the threat, systems effectively. anxiety. likely to have minimal or no physiological
leading to symptoms like symptoms or anxiety (Wayne, G., 2023).
increased heart rate,
rapid breathing, and
heightened alertness. To note any physical signs or symptoms
This is a normal and of anxiety that the patient may not be
healthy response that able to verbalize (Wayne, G., 2023).
helps us react quickly in
potentially dangerous
situations. 4. Conduct head-to-assessment. Patients’ vital signs may be abnormal if
In the context of feeling anxious (i.e. tachycardia or
hospitalization and tachypnea may be present) (Bhatt &
medical procedures, Bienenfeld, 2019).
these situations are often
perceived as threatening The patient’s perception affects how the
due to their unfamiliarity 5. Assess vital signs. patient will handle the situation (Wayne,
and the potential risks G., 2023).
they may involve. This
can trigger anxiety as the
body prepares to deal Culture has a considerable influence on
with the perceived threat. 6. Assess the patient’s perception of the way in which individuals think, feel,
Additionally, the lack of the situation. and behave, in organizing people’s
control or predictability in everyday lives and how they interact
these situations can with others, how emotions are felt and
further exacerbate this expressed in a particular cultural context,
anxiety. 7. Assess for the influence of cultural and how people should feel in a given
beliefs, norms, and values on the situation (Koydemir & Essau, 2018).