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(Subjective & Objective Cues) Subjective: "di na jud ko makatrabaho ani sa bukid" as verbalized by the patient Anxiety related to threat to/ or Within 8 hours of change in health status patient will appear relaxed and the level of anxiety will reduced to a manageable level Objective: -RR- 20 -restlessness -difficulty in sleeping -fatigue 1. Monitor vital signs(e.g., rapid or R: To identify physical responses
associated with both medical and emotional conditions
EVALUATION
After 8 hours of nursing interventions the patient appeared relaxed and the level of anxiety will reduced to a manageable level
2.
Use
presence,
touch,
verbalization or demeanor to remind client and to encourage expressions or clarification of needs, concerns, unknowns and questions R: Being supportive
and approachable encourages communication
3. Accept client's defenses, do not confront, argue and debate R: If defenses are not threatened, the client
may feel safe enough to look at the behavior
4. Allow and reinforce clients personal reaction towards the threatens to well being R: or otherwise expressing feeling
reduces anxiety
DRUG ORDER (Generic name, brand name, classification, dosage, route, frequency)
MECHANISM OF ACTION
INDICATIONS
CONTRAINDICATIONS