2.
ENDOMETRIOSIS
Nursing Diagnosis: Anxiety related to effect of endometriosis on fertility.
Assessment Findings Scientific basis Expected Outcome Nursing Interventions Rationale Evaluation
Subjective Cues: Infertility patients often Short term Goal: Safe and Quality Care After two weeks
Patient expresses have a high anxiety At the end of 5 hours of of nursing care,
concerns about level. Studies show that nursing intervention Assess patient’s level of To establish patient
upcoming surgery, and anxiety and stress in patient will be able to anxiety. baseline data. was able
fear of the unknown. these patients is equal reduce anxiety and to reduced anxiety and
to that of patients with relax. Place patient in To help the accept
Objective Cues: cancer. Other studies comfortable position. patient have /understand her
-confused show that stress may Long Term Goal: adequate period health status.
-paleness noted negatively affect the After two weeks of Verbalized an
-self focusing conception rate and nursing care, patient Provide non- To relax & improvement in sexual
Vital Signs: that stress reduction will be able to accept pharmacological provide comfort functioning and a
36.5, PR- 89 bpm, RR-20 may improve it. The changes in health status Therapies such as: T.V, to the patient. decrease in
cpm, BP- 120/70 inability to conceive and identify healthy Radio, Books, interpersonal stress.
mmHg, pain score of 8 / while all around ways to deal with and socialization w/ others.
10, 02 Sat- 96%, seemingly everyone express anxiety
Weight- 65 kgs, height else does so Provide diversional Can lessen the
5’3 ft. successfully often leads activities anxiety of the
to frustration, anxiety, patient.
depression, and anger.
Source:
[Link]
/resources
Health Education
Encourage to discuss To provide reassurance
their feelings about the and provides
effect of the disease on knowledge base on
their sex life, lifestyle, which the patient can
and fertility. make informed choice
Collaboration and
Teamwork
Refer to counselor or May need additional
sex therapist as needed. assistance to promote a
satisfactory outcome.
Nursing Diagnosis: Acute pain related to inflammation and distortion of tissues.
Assessment Findings Scientific basis Expected Outcome Nursing Interventions Rationale Evaluation
Subjective Cues: Acute pain provides a Short term: Safe and Quality Care After 8 hours of
N/A protective purpose to After 30 minutes of comprehensive nurse
Objective Cues: make the patient comprehensive nursing Observe and Assist in differentiating patient intervention the
General informed and intervention, the document cause of pain and patient pain relieved
Survey: knowledgeable about patient will be able to location of pain, provides information and controlled as
Facial mask of the presence of an report alleviation of severity (0-10 about disease evidenced by absence
pain injury or illness. The pain with scale), and progression, of facial mask of pain
Guarding unexpected onset of pharmacologic character of pain development of and guarding behaviour
behavior acute pain reminds the intervention complications and states adequate rest
Self focusing patient to seek support, from 8/10 to 5/10 effectiveness of and comfort.
assistance, and relief. It intervention.
has a duration of fewer Long Term Goal:
than 6 months. The After 3 hours of Promote bed rest, Bed rest in low fowler’s
physiological signs that comprehensive nurse and in low position reduces intra
occur with acute patient interaction the fowler’s position. abdominal pressure.
pain emerge from the patient will be able to
body’s response to pain display Encourage use of Promotes rest, redirects
as a stressor. pain relaxation attention, may enhance
relieved/controlled. technique. coping
Source: Nurselabs
Management of
Resources
and Environment
Control Cool surroundings aid in
environmental minimizing dermal
temperature discomfort.
Collaboration and
Teamwork
Administer pain To reduce inflammation
medication as indicated and helps relieve pain.
Communication To feel relief and to
Provide reassurance to lessen their anxiety
the patient such as
using therapeutic touch
Nursing Diagnosis: Deficient knowledge, related to diagnosis and treatment option.
Assessment Findings Scientific basis Expected Outcome Nursing Interventions Rationale Evaluation
Subjective Cues: A lack of cognitive Short Term Goal: Safe and Quality Care
N/A information or After 2 hours of nursing Review disease process, Provides knowledge After 8 hours of nursing
Objective Cues: psychomotor ability interventions the surgical procedure or base on which patient interventions the
Vital Signs: needed for health patient will verbalize prognosis. can make informed patient was able
36.5, PR- 89 bpm, RR-20 restoration, understanding of the choices. verbalized
cpm, BP- 120/70 preservation, or health disease process and understanding of
mmHg, pain score of 8 / promotion is identified therapeutic needs. Demonstrate care of Promotes therapeutic needs.
10, 02 Sat- 96%, as a knowledge deficit. incisions or dressing or independence in care
Weight- 65 kgs, height Knowledge plays an Long Term Goal: drains. and reduces risk of
5’3 ft. influential and After 8 hours of nursing complications.
significant part of a intervention the patient
patient’s life and display Identify signs and Indicators of
recovery. symptoms requiring obstruction of bile flow
notification of provider or altered digestion,
Source: Nurselabs like dark urine, requiring further
jaundiced color of eyes evaluation and
or skin, clay colored intervention
stools.
Health Education
Educate patient the To promote
possible reassurance and
complications and patient trust.
prognosis.
Collaboration and
Teamwork
Administer To delay disease
medication as progression.
indicated
