ASSESSMENT DIAGNOSIS RATIONALE OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Subjective: Mild Anxiety Preoperational After 4-5 hours of 1. Assess 1. Helps After the nursing
The patient related to anxiety is a nursing intervention level of fear. determine the interventions, the
verbalized: upcoming universal before the settled Note signs of kind of patient was able to:
interventions
“ Natanggalan na surgery as reaction operation, the patient denial, 1. To
required.
rin ako ng stent evidenced by experienced by will be able to: depression or appear relax.
dati, sa right expressed patients who are narrowed focus
kidney ko pero
concerns admitted to the 1. Appea of attention. 2.
medyo
hospital for r relaxed. Report
kinakabahan pa 2. Fear is
rin ako, syempre surgery. Just the 2. Explain lessened by readiness to
2. Verba
ooperahan ka pa initial idea of procedures and information and undergo
lize readiness
rin” having surgical care as delivered. knowledge. surgery.
for the
procedures can Repeat Anxiety may
upcoming
“Hinahanda ko bring about f explanations reduce
surgery.
na rin yung sarili comprehension 3. Verbal
anxiety in frequently as
ko kasi alam ko requiring
patients. needed. ize anxiety is
after ng operation repetition of
Preoperational 3. Repor gone or
medyo important
t anxiety is reduce to a
makakaramdam anxiety can be information.
gone or
ako ng sakit lalo described as an 3. Acknowl more
reduced to
na pag-iihi.” unpleasant state edge feelings of 3. Knowin manageable
manageable
of tension or level normalcy g feelings are level.
“Eto nanunuod normal can allay
uneasiness that feelings in this
na lang ng tv at anxiety that
nagbabasa ng results from a situation.
client is losing
magazine konti patient's doubts control.
para hindi ko or before an
masyado isipin” operation. 4. Encourag
e patient to share 4. Provides
thoughts and opportunity to
feelings. examine
realistic fears
Objective: and
VS taken 30 mins misconceptions
before the about the
surgery: surgery.
-BP: 110/70
-RR: 20 5. Provide
5. Helps
-PR: 87 open
patient feel
-Temp: 36.5 environment in
accepted in
which patient
present
Seen watching feels safe to
condition and
TV and reading discuss feelings. 
promotes sense
magazine of dignity and
control.

6. Promote
calm, quiet 6. Facilitat
environment. es rest,
conserves
energy, and may
enhance coping
7. Encourag abilities.
e to do deep
7. Helps to
breathing
promote
exercises as relaxation.
needed.

8. Encourag
e and foster 8. Allows
patient for better
interaction with interpersonal
support systems interaction and
reduction of
anxiety and
fear.
9. Advised
to do diversional
activities like 9. Divertin
watching TV or g patient’s
activities that can attention to the
occupy patient’s upcoming
time. surgery may
lessen her
anxiety and
tension.
10. Convey
unconditional 10. To avoid
positive regard transmission of
about the anxiety.
surgery.