objective data: patients appear uncomfortable.

pupils appear white and foggy.

Faktor berhubungan: disease related symptoms

Mslah Kep: discomfort

subjective data: patients say feel anxious about the current state of sick.

objective data: the patient appears nervous.

the patient looks worried

Faktor berhubungan: major changes (health status)

Masalah keperawatan: anxiety

list of nursing diagnoses

date appeared : 29 of November 2018

1. discomfort associated with symptoms related to the disease marked by the patient saying the left eye
is blurred and foggy to see, the eyes glare when exposed to bright light, have difficulty seeing at a
distance or close distance. the patient said blurred vision since 2Last week, especially at night. the
patient looks uncomfortable, the pupils appear white and foggy .

2. anxiety associated with major changes (health status) which is characterized by patients saying they
feel anxious and sickness experienced at this time. the patient looks nervous and the patient looks
worried

*nursing care plan*

Patient's name: Mrs. Tutik

age: 63 years

register no: 790570

nursing diagnoses: discomfort associated with symptoms of the disease

NOC: comfort status. code: 2008

physical well-being...... from 3 increased to 5

control of symptoms....... from 3 increased to 5

psychological well-being.. from 3 increased to 5

nursing diagnoses: anxiety associated with major changes (health status)

NOC: anxiety level....... code: 1211

restless feelings....... from 3 increased to 5

tense face........

anxiety expressed orally.......

intervention

environmental management: comfort (6482)

O=

1. monitor the causes of discomfort due to illness.

N=

1. the goals of the patient and family in managing the environment and optimal comfort

2. avoid unnecessary exposure and air flow, too hot (sun) / too cold

3. adjust the lighting to meet the needs of individual activities, avoid direct light on the eyes

4. facilitate cleanliness to maintain comfort.

5. provide a safe and clean environment.

6. assess the location of the area that is uncomfortable

E=

1. provide relevant and useful educational resources about the patient's illness.

C=

Collaborate with family to improve patient comfort .

Rational

O=

1. to find out the cause of patient discomfort.

N=

1. so that comfort can be managed optimally.

2. to protect the eyes from getting worse.

3. sufficient lighting can meet the needs of the patient's activities

4. Hygiene measures can help provide patient comfort.

5. A safe and clean environment can provide patient comfort.

6. to find out the location of an uncomfortable area

E=

1. Relevant education can help patients to know the disease they are experiencing

C=

1. the presence of a family can provide patient comfort