NURSING CARE PLAN Patient Name: Patient C.D.M. Age: 8 y.

o Sex: Male Medical Diagnoses: Hematoma Epidural acute right frontal area

Ward: Neuro-surgery Dept. (Pedia) Address : Bagay, Daan-Bantayan

Bed No: 2

NURSING DIAGNOSIS

Scientific Analysis -Vague uneasy feeling of discomfort or dread accompanied by an autonomic response (the source often nonspecific or unknown to the individual); a feeling of apprehension caused by anticipation of danger. It is an alerting signal that warns of impending danger and enables the individual to take measures to deal with the threat.

OBJECTIVES After 8 hours of student nurse client interaction, the patient will:

INTERVENTION

RATIONALE

EVALUATION

Anxiety r/t perceived threat to physical and emotional integrity

1. Acknowledge awareness patients anxiety.

of

1. Demonstrate
positive coping Mechanisms. 2. Show less hostility towards hospital personnel. 3. Manifest lesser signs of anxiety.

1. Acknowledgment of the patients feelings validates the feelings and communicates acceptance of those feelings. 2. An ongoing relationship establishes a basis for comfort during interventions. 3. Orientation and awareness of the surroundings promote comfort and may decrease anxiety. 4. Anxiety may escalate
with excessive conversation, noise, and equipment around the patient. This may be evident in both hospital and home environments

Subjective: Nagsigi nalang ni siya ug panghimantay sa muduol dong, ambot ani nya dili gani hapit magpabiya. as verbalized by the mother. Objective: -Patient shows uneasiness when a medical personnel approaches him. -Patient appears hostile.

2. Establish a working relationship with the patient through continuity of care. 3. Orient patient to the environment and new experiences or people as needed.

*The displeasing feeling of fear and concern caused by anxiety causes restlessness on the part of the patient, and could interrupt with the pace of recovery. Reference: NANDA

4. Reduce sensory stimuli by maintaining a quiet environment;keep "threatening" equipment out of sight.