Pain and Anxiety - NCP for Uterine Myoma (Fibroid)

Uterine Myoma (Fibroid)

Uterine fibroids are benign smooth muscle tumors of the uterus. The exact cause is unclear. However, fibroids run in families and appear to be partly determined by hormone levels. Symptoms depend on the location and size of the fibroid. Important symptoms include abnormal uterine bleeding, heavy or painful periods, abdominal discomfort or bloating, painful defecation, back ache, urinary frequency or retention, and in some cases, infertility.

Pain (acute / chronic) related to intrauterine tissue damage.

Goal: Pain is reduced.

Expected outcomes:

• 0-1 pain scale,
• The client said the pain was reduced until it disappears,
• Do not feel pain during mobilization,
• Vital signs within normal limits.

Intervention:
1) Review the pain scale.
R /: Identify needs and appropriate interventions.

2) Encourage clients to use relaxation techniques and pain distraction.
R /: To divert the attention of the mother and the pain that is felt.

3) Motivation: for mobilization as indicated.
R /: Accelerating involution and reduce the pain gradually.

4) Encourage clients to rest.
R /: Reduce pain.

5) Collaboration: providing analgesic.
R /: Loosening the peripheral nervous system to decrease pain.


Anxiety related to lack of knowledge.

Goal: The client is not worried.

Expected outcomes:

• No anxiety,
• Knowledge of the client and family to disease increases.

Intervention:
1) Assess the level of knowledge / perceptions of the client and family to the disease.
R /: Ignorance can be the basis of the onset of anxiety.

2) Help clients to identify the causes of anxiety.
R /: Involving the client actively in nursing action is the support that may be useful for clients and increase client self-awareness.

3) Encourage the client to express feelings.
R /: Helps to increase the comfort of the client.

4) Give the physical comfort and security environment on the client.
R /: Giving comfort of the client.

5) Explain the things around curettage to be known by the client and family.
R / Counselling for clients is needed to increase knowledge and build support sisterm families to reduce the anxiety of clients and families.

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Acute Pain and Anxiety NCP for Peritonitis

Acute Pain and Anxiety : Nursing Care Plan for Peritonitis

Nursing Diagnosis for Peritonitis: Acute Pain related to chemical irritation of the peripheral peritoneum.

Goal: reduce / eliminate the pain

Nursing Intervention:
a. Review the report of pain, record the location, duration, intensity (scale 0-10) and characteristics (shallow, sharp, constant).
Rational: the change in location / intensity is not common but may indicate the occurrence of complications.

b. Maintain semi-Fowler position as indicated
Rational: to facilitate drainage of fluids / injured because of gravity and helps minimize the pain due to movement.

c. Provide comfort measures, eg the back massage, deep breathing, relaxation exercises / visualization.
Rational: increase relaxation and may increase the patient's coping abilities by refocusing attention.

d. Give frequent mouth care. Eliminate unpleasant environmental stimuli.
Rational: reduce nausea / vomiting, which can increase the pressure / intra-abdominal pain.


Nursing Diagnosis for Peritonitis: Anxiety or fear related to the threat of death / change in health status.

Goal: to reduce or eliminate anxiety

Nursing Intervention:
a. Evaluation of anxiety levels, record verbal responses and non-verbal patients. Encourage the free expression of emotions.
Rational: fear can occur because of severe pain, increasing pain, it is important to the diagnostic procedures and possible surgery.

b. Provide information about the disease process and the anticipated action
Rational: knowing what is expected to reduce anxiety.

c. Schedule adequate rest and sleep periods stop
Rational: limiting weaknesses, save energy, and can enhance coping abilities.

Deficient Fluid Volume Nursing Care Plan for Peritonitis

Imbalanced Nutrition Less Than Body Requirements Nursing Care Plan for Peritonitis

Risk for Infection Nursing Care Plan for Peritonitis 

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Nursing Management of Anxiety

Nursing Management of Anxiety

A. Nursing Process

1. Patient's condition:

• patients seem to dreamily
• patients often pacing
• patients ask you things that are not important
• patient was suspected

2. Nursing Diagnosis

• Risk for Self-Directed or Other-Directed Violence related to Anxiety

3. Purpose

• Patients are able to know anxiety
• Patients can use adaptive coping mechanisms
• Patients can use relaxation techniques

B. Strategies for the nursing actions

1. Orientation

• Ttherapeutic greeting
  
• Evaluation / Validation : Ask the patient's current feelings, Ask the patient how the current situation.
• Contract : topic, place, time

2. work

• Discuss the problem off.
• Guiding the implementation schedule
• Guiding the use of relaxation techniques

3. Termination
a. Evaluation

• patients were able to express feelings.
• patients are able to recognize the behavior and response.
• patients can use adaptive coping mechanisms.
• patients can use relaxation techniques.

b. Follow-up plan

• Encourage clients to identify and describe feelings.

c. Contract

• topic, 
• place, 
• time

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Anxiety NIC NOC

Anxiety related to lack of knowledge and hospitalization

Definition:
Unexplained anxiety or fear of discomfort accompanied by autonomic responses (non-specific sources or not known by the individual); feelings of concern because of the anticipation of danger. This is a warning signal of a threat that will come and allow individuals to take action to approve the actions.


Anxiety is probably present at some level in every individual’s life, but the degree and the frequency with which it manifests differs broadly. Each individual’s response to anxiety is different. Some people are able to use the emotional edge that anxiety provokes to stimulate creativity or problem-solving abilities; others can become immobilized to a pathological degree. The feeling is generally categorized into four levels for treatment purposes: mild, moderate, severe, and panic. The nurse can encounter the anxious patient anywhere in the hospital or community. The presence of the nurse may lend support to the anxious patient and provide some strategies for traversing anxious moments or panic attacks.

Characterized by:

• restless
• insomnia
• restless
• fear
• sad
• Focus on self
• concerns
• anxious

NOC:

• Anxiety control
• coping

Expected outcomes are:

• Clients are able to identify and express symptoms of anxiety
• Identify, disclose and demonstrate techniques for controlling anxiety
• Vital signs within normal limits
• Posture, facial expressions, body language and activity levels showed reduced anxiety

NIC:

• Anxiety Reduction (decreased anxiety)
• Use a calm approach
• Clearly the hope of the offender patients
• Explain all procedures and what is felt during the procedure
• Accompany the patient to provide security and reduce fear
• Give factual information about the diagnosis, prognosis action
• Encourage the family to accompany the child
• Do a back / neck rub
• Listen attentively
• Identification of the level of anxiety
• Help the patient recognize situations that cause anxiety
• Encourage patients to express their feelings, fears, perceptions
• Instruct the patient to use relaxation techniques
• Give medications to relieve anxiety

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