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NCP Template

This nursing care plan addresses a patient experiencing anxiety as evidenced by a fear of not being able to breathe. The diagnosis is risk for anxiety. Short term goals are for the patient to return blood pressure to normal range and show improved coping within 4 hours. Interventions include comfort measures, staying with the patient, and providing a calm environment. Long term goals are for reduced anxiety and improved coping after a month. Interventions include relaxation techniques and acknowledging normalcy of feelings. The goals were met.

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55 views3 pages

NCP Template

This nursing care plan addresses a patient experiencing anxiety as evidenced by a fear of not being able to breathe. The diagnosis is risk for anxiety. Short term goals are for the patient to return blood pressure to normal range and show improved coping within 4 hours. Interventions include comfort measures, staying with the patient, and providing a calm environment. Long term goals are for reduced anxiety and improved coping after a month. Interventions include relaxation techniques and acknowledging normalcy of feelings. The goals were met.

Uploaded by

Yves
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PHINMA UNIVERSITY OF PANGASINAN

COLLEGE OF ALLIED HEALTH SCIENCES - DEPARTMENT OF NURSING

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


Subjective: Risks for anxiety as - Anxiety is a Short-Term Goals: - Provide comfort - Aids in meeting Short-Term Goals:
evidenced by fear. vague, uneasy After 4 hours of measures (e.g., basic human need, After 4 hours of
- “I fear that one feeling of nursing intervention, calm or quiet decreasing sense of nursing
day when I wake discomfort or dread the patient will be environment, soft isolation, and intervention, the
up, I wouldn’t be accompanied by an able to return blood music, warm bath, assisting client to patient will be able
able to breathe.” as autonomic response; pressure within back rub, feel less anxious. to return blood
stated by the a feeling of normal range and Therapeutic Touch). - To lessen the pressure within
patient. apprehension show signs of - Stay with the effect of normal range and
caused by improved coping client, maintaining transmission of show signs of
anticipation of ability as evidenced a calm, confident feelings. improved coping
danger. It is an by: manner. ability as evidenced
alerting sign that - Provide a non- -This is indicative by:
warns of impeding - Recognizing threatening, of extent of anxiety
danger and enables ineffective coping consistent or fear related to - Recognizing
Objective: the individual to strategies environment/atmos what is happening ineffective coping
take measures to - Verbalization of phere. Minimize and need for strategies
deal with that threat. ability to cope and stimuli. Monitor specific - Verbalization of
- T: 36.4°C asks for help when visitors and interventions to ability to cope and
needed interactions. reduce asks for help when
- PR: 110 bpm - Fear is the physiological needed
response to Long-Term Goals: reactions.
- RR: 31 bpm perceived threat that After a month of - Note ability to - This promotes an GOAL MET
is consciously nursing intervention, concentrate, level of attitude of caring
- BP: 130/90 mmHg recognized as a the patient will be attention, degree of and opens the door Long-Term Goals:
danger. able to show signs incapacitation. for discussion about After a month of
of improved coping - Acknowledge feelings and / or nursing
ability as evidenced normalcy of fear, addressing reality of intervention, the
by: pain, and despair, situation. patient will be able
and give -This promotes the to show signs of
SUBMITTED BY: SUBMITTED TO:
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- Anxiety is reduced "permission" to release of improved coping
to a manageable express feelings endorphins and aids ability as evidenced
level appropriately and in developing an by:
freely. internal locus
- Assist client to control, reducing - Anxiety is reduced
learn relaxation, fear and anxiety. to a manageable
visualization, and This may enhance level
guided imagery coping skills,
skills. allowing the body to GOAL MET
go about its work of
healing.

SUBMITTED BY: SUBMITTED TO:


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ASSESSMENT DIAGNOSIS INFERENCE PLANNING RATIONALE INTERVENTION EVALUATION

SUBMITTED BY: SUBMITTED TO:


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