Nursing Care Plan


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Medical Diagnoses: Anxiety, economic status, environment, health status 

Assessment

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale

Subjective

   

Patient states that the family just moved from xxxxx to xxxxx.

“We lost our house in a hurricane.”

“I am unemployed and my husband’s income is not reliable.”

“I am pregnant with four other children.”

“We only have one car.”

   

Objective

   

Recent move,

experience of natural disaster, pregnant,  client unemployed, anxious tendencies (fidgeting and increased perspiration)



Problem

   

   

Anxiety

   

   


Long Term:

   

Family will verbalize absence of or decrease in subjective distress by xxxxxx measured by family’s word.  

                                             

·         Guided imagery can be used to decrease anxiety. Rationale:  Anxiety was decreased with the use of guided imagery (Antall & Kresevic, 2004).

·         Provide clients with a means to listen to music of their choice or audiotapes. Provide a quiet place and encourage clients to listen for 20 minutes. Rationale: Music listening reduces anxiety and pain (McCaffrey & Locsin, 2006).

 

R/T

economic status, environment, health status, interaction patterns, role function, role status

   

Short Term:

   

Family will identify and verbalize a minimum of five symptoms of anxiety by 11.01.09 measured by family’s word.

·         If the situational response is rational, use empathy to encourage the client to interpret the anxiety symptoms as normal. Rationale: Enhancing self-esteem and providing information and psychological support promotes stess and anxiety (Alasad & Ahmad, 2005).

·         Assess for the presence of culture-bound anxiety states. Rationale: The way anxiety is shown is effected bb the culture (Emery, 2006; Kuipers, 2004).

·         Identify how anxiety is manifested in the culturally diverse client. Rationale:  Anxiety is manifested differently from culture to culture (Kisely & Simon, 2006).

AEB

Client worried about recent move from xxxx to xxxxxx; pregnancy; variable financial income;

   

   


 
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