Assessment Explanation of the Objectives Interventions Rationale Evaluation

Problem

S: Nakaka-kaba Unexpected hospitalization STG: Dx Criteria

kasi hindi ko due to vehicular accident is Within 8 hours of 1. Assessed degree 1. To evaluate degree of
ineexpect na challenging and traumatic nursing of anxiety anxiety Fully met if:
mangyayari toat to the patient as well as her intervention >Verbalize feelings and
mahohospital family leading to anxiety. patient will be 2. Assessed coping 2. To determine ability to concerns
able to: mechanisms cope with the current >Able to do ADLs
O: This events disrupts the health status leading independently
>Observed to be wholeness of the person >Verbalize to decrease in anxiety >Absence of anxiety
silent most of the and the functioning of feelings and
time family members. concerns such as 3. Assessed verbal 3. Degree of anxiety will Partially met if:
the progress of and non-verbal reflect on verbal and >Verbalize feelings and
>Noticed to be Anxiety is define as uneasy the treatment cues of anxiety non-verbal cues, concerns
biting her nails in feeling of discomfort or and hence will lead to >Moderately able to do
her hand dread accompanied by an management of impairment her ADLs independently
outcome response to her case functioning as a >With anxiety
>Observed to be sources known or unknown person.
looking at a to the individual. > Do diversional Tx
distance activities such
listening to 1. Established Not met if:
>Requires music. rapport 1. To gain knowledge >Unable to verbalize
moderate about patients feelings and concerns
assistance when LTG: concerns about >Unable to do ADLs
doing ADLs References: Within 72 hours hospitalization and independently
of nursing provide information >With anxiety
Doenges, M., Moorhouse, M. intervention, regarding progress of
Nursing & Murr, A. (2009) Nurses patient will be her treatment.
diagnosis: pocket guide. FA Davis able to:
2. Stayed with the 2. To express oneself Partially met
Anxiety related company. Philadelphia. 12th
patient when that I will be there >Verbalize feelings and
changes in edition. pp. 98-99 >Absence of
needed when she needs concerns
health status anxiety as
someone to talk to >Moderately able to do
secondary to characterized by
leading to decrease in ADLs independently
motor vehicular taking part in
anxiety >With anxiety
accident daily routine
care and 3. Listened to
3. To allow the patient to
planning and no verbalization of
express concerns
impairment her concerns and
ADLs feelings. about hospitalization
leading to decrease in
anxiety
4. Endorsed patients
case (anxious) to
the next shift. 4. To collaborate with the
next shift on the
progress of providing
continuous emotional
Edx support to the patient

1. Encouraged to do
diversional
activities such as 1. To divert patients
talking with focus leading to
relatives and decrease in anxiety
listening to music

2. Encouraged to
verbalize feelings 5. To allow the patient to
and concerns express concerns
about hospitalization
leading to decrease in
3. Instructed family anxiety
members to talk
with the patient 2. To allow patient feel
sense of belonging
and family support
4. Provided positive leading to decrease in
feedback on anxiety
patients actions
3. To promote increase in
self-esteem and
reduction in level of
anxiety