Scribd
Upload
57 views

NCP 1

This nursing care plan is for a patient undergoing an appendectomy. The patient presents with intense fear and anxiety regarding the surgical procedure as evidenced by looking anxious, sad, crying and a temperature of 104°F, BP of 80/60 mmHg, HR of 135 bpm, and RR of 23 bpm. A CT scan and increased pain and rebound tenderness on physical exam confirmed the diagnosis of appendicitis. The plan is to decrease the patient's fear and anxiety within 1 hour and allow them to cope with the surgical interventions within 6 hours through psychological support, education on the procedure and environment, administration of prescribed sedatives, and not leaving the patient alone.

Uploaded by

Eva Willkom
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
57 views

NCP 1

This nursing care plan is for a patient undergoing an appendectomy. The patient presents with intense fear and anxiety regarding the surgical procedure as evidenced by looking anxious, sad, crying and a temperature of 104°F, BP of 80/60 mmHg, HR of 135 bpm, and RR of 23 bpm. A CT scan and increased pain and rebound tenderness on physical exam confirmed the diagnosis of appendicitis. The plan is to decrease the patient's fear and anxiety within 1 hour and allow them to cope with the surgical interventions within 6 hours through psychological support, education on the procedure and environment, administration of prescribed sedatives, and not leaving the patient alone.

Uploaded by

Eva Willkom
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
You are on page 1/ 2

CAPITOL UNIVERSITY

College of Nursing
Cagayan de Oro City

Name: Salaguste, Cherry Phine Date: 10/1/2021

Section/ CN: RLE112 NCP #: 1

NURSING CARE PLAN

SUBJECTIVE OBJECTIVE

Patient verbalized intense fear Looks anxious


regarding the surgical procedure. Sad

Crying
Unfamiliar with surgical procedure
and environment.
Temperature: 104 ℉
BP: 80/60 mm Hg
HR: 135 bpm
RR: 23 bpm
ASSESSMEN
T
Presence of rebound tenderness
Increased Pain score of 10 out of 10 in McBurney’s
point when pressure is released
Presence of inflamed appendix with CT scan

Laboratoy findings:
WBC 14,000

DIAGNOSIS Fear / Anxiety related to surgical intervention, Appendectomy.

(P&E/P.E.S
FORMAT)

SHORT TERM LONG TERM

After 1 hour of nursing intervention, Within 6 hours, the patient is able to cope up with
PLANNING patients report a decrease in fear and the surgical interventions
anxiety with the use of effective coping
(Goals and strategies.
Objective)

Intervention INTERVENTION RATIONALE

MEDICAL-SURGICAL NURSING NCM 112

NURSING CARE PLAN (NCP) FORMAT Professor: Xerczhiel Faye C. Rio, R.N.
Independent:
Assess the level of Anxiety of the To provide intervention according to anxiety level
patient.

Provide psychological support by


explaining the procedure.
Patient gains knowledge and confidence regarding
Do not leave client alone and if the surgical procedure.
possible allow near relative to be with
client.
(With
Rationale) To support patient and relieve fear and anxiety.
Orient the patient regarding the
environment in the operating room.

Administer Diazepam (Sedatives) as To promote confidence and hope.


prescribed.

To relieve fear and induce sleep.

After 1 hour of nursing intervention, the client's anxiety was decreased and the goal was met.

After 6 hours of nursing intervention, the patient was able to cope up with the surgical
EVALUATION interventions and the goal was met.

MEDICAL-SURGICAL NURSING NCM 112

NURSING CARE PLAN (NCP) FORMAT Professor: Xerczhiel Faye C. Rio, R.N.

You might also like