Anxiety At the end of 1-2 Provide preoperative Can provide At the end of 1-
hours of nursing education. Discuss reassurance and 2 hours of
Subjective:
intervention, the anticipated things alleviate patients nursing
none patient will able that may concern anxiety, as well as intervention,
to: patient: OR lights, provide information the patient was
bovie pad, feel of for formulating able to:
Acknowledge
oxygen cannula. intraoperative care.
Objectives: feelings and Acknowledge
Acknowledges that
identify feelings and
Facial tension foreign environment
healthy ways identify
may be frightening,
Restlessness to deal with healthy ways
alleviates associated
them. to deal with
Focus on self fears.
Appear relaxed them.
or able to rest Appear relaxed
appropriately. or able to rest
Report appropriately.
Validate source of
decreased fear Identification of Report
fear. Provide
and anxiety specific fear helps decreased
accurate factual
reduced to patient deal fear and
information.
manageable realistically with it. anxiety
level. Patient may have reduced to
misinterpreted manageable
preoperative level.
information or have
misinformation
regarding surgery.
Fears regarding
previous
experiences of self
Note expressions of or family may be
distress and resolved.
feelings, of
helplessness, Patient may already be
preoccupation, with grieving for the loss
anticipated change represented by the
or loss, choked anticipated surgical
feelings. procedure,
diagnosis or
Tell patient prognosis of illness.
anticipating local or
spinal anesthesia This reduces concerns
that drowsiness and that patient may
sleep occurs, that see the procedure.
more sedation may
be requested and
will be given if
needed, and that
surgical drapes will
block view of the
operative field.
Prevent
unnecessary body
Patients are
exposure during
concerned about
transfer and in OR. loss of dignity and
inability to exercise
control.
Give simple, concise
directions and
Impairment of thought
explanations to process makes it
sedated patient. difficult for patient
to understand
lengthy
Control external instructions.
stimuli.
Extraneous noises
and commotion
may accelerate
anxiety.
NURSING CARE PLAN
At the end of 1- Note preoperative Used as baseline for At the end of 1-2
2 hours of temperature. monitoring hours of nursing
Subjective: Risk for
nursing intraoperative intervention, the
Altered Body
none intervention, temperature. patient will able
Temperature
the patient will Preoperative temp. to:
able to: elevations are
Maintain body
indicative of
Objectives: Maintain body temperature
disease process:
temperature within normal
Decreased/ele appendicitis,
within range.
vated body abscess, or
normal
temperature systemic disease
(< 36.5C or range. requiring
>37.5C) treatment.
Malignant
Note rapid hyperthermia must
temperature be recognized and
elevation or treated promptly to
persistent high fever avoid serious
and treat promptly complications
per protocol. and/or death.