CUES Subjective: - The clietn said that the stressful event that comes to her life is that when

she was diagnosed with ovarian cyst. - She verbalized, Sobrang kinabahan ako simula ng nalaman kung may cyst pala ako. - She also said, Bale magpapa Cervical Cancer vaccination lang ako dito and then I was

NURSING ANALYSIS DIAGNOSIS Anxiety (Mild) Patients related to scheduled to change in undergo health status surgery can and situational be anxious, crisis as and they manifested by probably were expressed anxious long concerns due before they to change in come to the life events, outpatient fearful and area. The increased uncertainties wariness of the surgery produces the anxiety. (Twersky and Philip, Handbook of Ambulatory Anesthesia Second Edition, page 153)

GOAL AND INTERVENTIONS OBJECTIVES GOAL: After 4 hours of nursing intervention, the client will be able to report a reduction in the of anxiety experienced to a manageable level. OBJECTIVES: After 2 hours of Have patient rate intervention, the anxiety on client will be numerical scale. able to identify healthy ways to deal with and express anxiety. Encourage the patient to verbalize concern about health status.

RATIONALE

EVALUATION Was the client able to report anxiety as reduced as evidenced by reduction in the level of anxiety experienced to a manageable level? ___ Yes ___ No, why? _________

Allows for a more objective measure of anxiety level. (White and Duncan, Medical-Surgical Nursing An Integrated Approach, page 669) Verbalizing concerns can help patient deal with issues, avoid negative feelings, and allow the health care provider to introduce alternative activities and methods of doing

Was the client able to identify healthy ways to deal with and express anxiety? ___ Yes ___ No, why? _________

advised by doctora na magpa Transvagina l examination daw and then afterwards, nalaman ko may ovarian cyst napala ako. - She also added, I was very shocked talaga, hindi ko alam na may sakit na pala ako. Sabi pa nga ng mga staff nurse sakin, nagtaka sila ako daw may sakit e mukhang healthy naman daw ako. - When asked to rate about

things. (LeMone and Burke, MedicalSurgical Nursing Crtitical Thinking in Client Care 4th Edition, page 1712) Discuss perception of the condition and the surgery. Discussion provides an opportunity to correct misperceptions and introduce alternative activities. (LeMone and Burke, MedicalSurgical Nursing Crtitical Thinking in Client Care 4th Edition, page 1712) The patient needs to understand what to expect from the disease, which will allow him or her to better understand the rationale for needed therapeutic interventions. (LeMone and Burke, Medical-Surgical Nursing Crtitical Thinking in Client Care 4th Edition,

Teach the patient about the disease, therapeutic interventions, prevention of complications, and adaptations in lifestyle that are required.

her health condition, she verbalized, Siguro mga 7, (0 as the lowest, 10 as the highest). - The client said that, since nalaman ko about sa condition ko parang ayun, nagworried ako nakakatakot . Kinakabaha n ako sa operation ko bukas. Dapat pala hindi nalang ako nagpa check-up, nalaman ko pa tuloy. - The client also added,

page 1712) Review ciping skills used in the past. To determine those that might be helpful in current circumstances. (Doenges et al, Nurses Pocket Guide 11th Edition, page 91) To assist client to identify feelings and begin to deal with problem. (Doenges et al, Nurses Pocket Guide 11th Edition, page 91) To assist client to identify feelings and begin to deal with problem. (Doenges et al, Nurses Pocket Guide 11th Edition, page 91) To assist client to identify feelings and begin to deal with problem. (Doenges et al, Nurses Pocket Guide 11th Edition,

Be available to client for listening and talking.

Encourgae client to acknowledge and to express feelings for example crying (sadness) and laughing (fear) Acknowledge anxiety. Do not deny or reassure client that everything will be all right.

nakaka stress pag tinitignan ko yan result (pertaining to her diagnostic results). Objective: - Increased wariness

page 91) Provide comfort measures (calm/quiet environment, soft music or back rub) To assist client to identify feelings and begin to deal with problem. (Doenges et al, Nurses Pocket Guide 11th Edition, page 91) These groups often can provide emotional support and share real experiences on how to adapt to visual changes. (LeMone and Burke, MedicalSurgical Nursing Crtitical Thinking in Client Care 4th Edition, page 1712) Was the client able to identify resources within family or community? ___ Yes ___ No, why? _________ EFFICIENCY: Were the time, materials, and the resources used economically? ___ Yes ___ No, why? __________ ADEQUACY: Were the numbers of

After 30 minutes of interaction, the client will be able to identify resources within family or community.

Provide information to the family and patient regarding available support groups.

intervention sufficient? ___ Yes ___ No, why? __________ ACCEPTABILI TY: Were the interventions suitable to clients situation? ___ Yes ___ No, why? __________ APPROPRIATE NESS: Were the intervention setting and time table realistic to clients situation? ___ Yes ___ No, why? __________