Scribd Logo
Upload

Welcome to Scribd!

    • 341 views

    Santos, Ivan Jamil S. NCM 112-Or Rle Fear (Pre-Op) Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective

    Uploaded by

    Ivan Santos
    The patient expressed fear about undergoing cholecystectomy surgery, saying "Pwede naman sigurong gamutin nalang ano? Kahit wala nang surgery". The nurse assessed increased signs of fear including tension, avoidance, and increased vital signs. The short term nursing goal was for the patient to acknowledge and discuss fears in a healthy way, and display lessened fear after interventions including education, relaxation techniques, and encouraging contact with someone who had a similar experience. After 8 hours the patient met all goals by discussing fears appropriately and having normal vital signs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Santos, Ivan Jamil S. NCM 112-Or Rle Fear (Pre-Op) Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective

    Uploaded by

    Ivan Santos
    341 views1 page
    The patient expressed fear about undergoing cholecystectomy surgery, saying "Pwede naman sigurong gamutin nalang ano? Kahit wala nang surgery". The nurse assessed increased signs of fear including tension, avoidance, and increased vital signs. The short term nursing goal was for the patient to acknowledge and discuss fears in a healthy way, and display lessened fear after interventions including education, relaxation techniques, and encouraging contact with someone who had a similar experience. After 8 hours the patient met all goals by discussing fears appropriately and having normal vital signs.

    Original Title

    Fear NCP- Pre Op

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The patient expressed fear about undergoing cholecystectomy surgery, saying "Pwede naman sigurong gamutin nalang ano? Kahit wala nang surgery". The nurse assessed increased signs of fear including tension, avoidance, and increased vital signs. The short term nursing goal was for the patient to acknowledge and discuss fears in a healthy way, and display lessened fear after interventions including education, relaxation techniques, and encouraging contact with someone who had a similar experience. After 8 hours the patient met all goals by discussing fears appropriately and having normal vital signs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    341 views1 page

    Santos, Ivan Jamil S. NCM 112-Or Rle Fear (Pre-Op) Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective

    Uploaded by

    Ivan Santos
    The patient expressed fear about undergoing cholecystectomy surgery, saying "Pwede naman sigurong gamutin nalang ano? Kahit wala nang surgery". The nurse assessed increased signs of fear including tension, avoidance, and increased vital signs. The short term nursing goal was for the patient to acknowledge and discuss fears in a healthy way, and display lessened fear after interventions including education, relaxation techniques, and encouraging contact with someone who had a similar experience. After 8 hours the patient met all goals by discussing fears appropriately and having normal vital signs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    SANTOS, IVAN JAMIL S.

    NCM 112- OR RLE


    Fear (Pre-Op)

    Assessment Diagnosis Planning Intervention Rationale Evaluation


    Subjective:  Fear evidenced by Short Term Goal: Independent Short Term Goal:
     “Pwede naman decrease in self- After 8 hours of >> Compare verbal to >> The client may be After 8 hours of nursing
    sigurong gamutin assurance and nursing interventions, nonverbal responses to able to verbalize what interventions, patient has
    nalang ano? Kahit increase in tension the client will: note congruencies or he or she is afraid of, if visualized:
    wala nang secondary to  Acknowledge and misperceptions of the asked, providing  Acknowledged and
    surgery” as Cholecystectomy discuss fears, situation. opportunity to address discussed fears,
    verbalized by the surgery recognizing fears. recognizing healthy
    patient healthy versus versus unhealthy fears.
    >> Assess family >> Actions and
    unhealthy fears. Goal was Met
    dynamics. responses of family
     Verbalize accurate
    Objective: members may
    knowledge of and  Verbalized accurate
     Fidgeting exacerbate or soothe
    sense of safety knowledge of and
     Muscle tension fears of the client.
    related to current sense of safety related
     Increase in
    situation. >> Provide information >> This facilitates to current situation.
    alertness
     Display lessened in verbal and written understanding and Goal was Met
     Avoidance
    fear as evidenced forms. Speak in simple retention of information.
    behaviors
    by appropriate sentences and concrete  Displayed lessened fear
     Focus narrowed
    range of feelings terms. as evidenced by
    to the source of
    and relief of appropriate range of
    fear >> Modify procedures if >> To limit the degree
    signs/symptoms. feelings and relief of
     Increase in possible. of stress and avoid
    signs/symptoms.
    perspiration overwhelming a fearful
    Goal was Met
     Vital Signs individual.
    T: 36.2ºC
    >> Encourage contact >> This provides a role  Vital Signs
    HR: 120 bpm
    with a peer who has model, and the client is T: 36.3 ºC
    RR: 21 bpm
    successfully dealt with a more likely to believe HR: 81 bpm
    BP: 115/80
    similarly fearful situation. others who have had RR: 18 bpm
    mmHg
    similar experiences. BP: 115/80 mmHg
    SpO2: 98%
    SpO2: 98%
    >> Assist client with >> This may enhance
    relaxation, visualization, coping skills, allowing
    and guided imagery skills. the body to reduce fear
    and anxiety.

    You might also like