DAVAO DOCTORS COLLEGE

Gen. Malvar St. Davao City

NURSING PROGRAM
NURSING CARE PLAN
Name: Pearly Shell Date of Admission: March 1, 2021 Room: 210
Age: 25 years old Sex: Female Civil Status: _________ Attending Physician: Dr, Ngo
Religion: _______________ Chief Complaint: feeling of fatiguability, palpitations, severe
headache, nausea and vomiting, tremors and moist hands.
PROBLEM SCIENTIFIC BASIS GOALS & NURSING RATIONALE EVALUATION
OBJECTIVES INTERVENTIONS
CRITERIA
Subjective: Nursing Diagnosis: Within 1 to 2 hours of Independent: Independent: Within 1 to 2 hours of
“Nahadlok naman ko Anxiety related to nursing intervention the 1. Monitor vital signs. 1. To identify physical nursing intervention the
sa akong gipambati, hypermetabolic state as patient will able to: responses associated patient was able to:
ning-undang ko sakong evidenced by hand a. Have stable BP, with both medical and
work as QHSE and tremors, elevated blood RR, & PR within emotional condition Have stable vital signs
Training Manager, pressure and rapid heart normal range that is within normal
nagdecide ko rate. b. Appear relaxed 2. Observe behavior 2. Mild anxiety may be range, appear relaxed
muuli sa Pilipinas. Pag- c. Identify healthy indicative of the level of displayed by irritability after some brief
uli nako last week, ways to deal with anxiety. and insomnia. Severe discussion about anxiety
ginabati nako mura ko Hyperthyroidism is the feelings of anxiety anxiety progressing to and also, able to identify
makulbaan” as abnormal function of your the panic state may healthy ways to deal
verbalized by the patient. thyroid gland, an organ produce feelings of with feeling of anxiety.
located in the front of your impending doom, terror,
Objective: neck that releases inability to speak or “Goal Met”
 Hand tremors hormones to regulate your move, shouting or
 Fatigue body’s use of energy. In swearing.
 BP 160/100 other words, if your thyroid
 PR 150 bpm gland is overactive and 3. Speak in brief 3. When experiencing
 RR 22 cpm makes more thyroid statements. Use simple moderate to severe
 BMI 17.2 hormones than your body words. anxiety, patients may be
(underweight) needs, it causes unable to understand
FT3 & FT4 results: hyperthyroidism. anything more than
Thyroid disease can affect simple, clear, and brief
 Free T3 –
your mood, primarily 4. Discuss with patient instruction.
23.23pg/ml
 Free T4 - >7.77 causing either anxiety or and/or significant others 4. Understanding that
ng/dl depression. reasons for emotional behavior is physically
Generally, the more lability and/or psychotic based enhances
severe the thyroid disease, reaction. acceptance of the
the more severe the mood situation and
changes. encourages different
If you have an responses and
overactive thyroid  approaches.
(hyperthyroidism), you 5. Encourage the client
may experience: Unusual to develop an 5. Which may serve to
nervousness. exercise/activity reduce the level of
program. anxiety by relieving
tension.
6. Reinforce patient’s
Reference: personal reaction to or 6. Talking or otherwise
Thyroid disease: Can it expression of pain, expressing feelings
affect a person’s mood? discomfort, or threats to sometimes reduces
(2020, December 23). well-being. anxiety.
Mayo Clinic.
7. Stay with the patient,
https://www.mayoclinic.org maintaining a calm 7. Affirms to patient or
/diseases-conditions manner. significant others that
/hyperthyroidism Acknowledge fear and although patient feels
/expert-answers allow the patient’s out of control,
/thyroid-disease behavior to belong to the environment is safe.
/faq-20058228#: patient. Avoiding personal
%7E:text=Yes%2C% responses to
20thyroid%20disease inappropriate remarks or
%20can%20affect,Unusual actions prevents
%20nervousness conflicts or overreaction
to a stressful situation.
8. Describe and explain
procedures, surrounding 8. To provide accurate
environment, or sounds information, which
that may be heard by the reduces distortions
patient. and confusion that can
contribute to anxiety
and/or fear reactions.
9. Allow patient to talk
about anxious feelings 9. Talking about anxiety-
and examine anxiety- producing situations and
provoking situations if anxious feeling can help
they are identifiable. the patient perceive the
situation realistically and
recognize factors
leading to the anxious
10. Consider the feelings.
patient’s use of coping
strategies that the 10. This enhances the
patient has found patient’s sense of
effective in the past. personal mastery and
confidence.
11. Avoid unnecessary
reassurance; this may
increase undue worry. 11. Reassurance is not
helpful for the anxious
12. Educate patient and individual.
family about the
symptoms of anxiety. 12. If patient and family
can identify anxious
responses, they can
intervene earlier than
13. Interact with patient otherwise.
in a peaceful manner.
13. The patient’s feeling
of stability increases in a
 calm and non-
14. Help patient threatening environment.
determine precipitants of
anxiety that may indicate 14. Obtaining insight
interventions. allows the patient to re-
evaluate the threat or
identify new ways to
15. Encourage the deal with it.
patient to consider
positive self-talk 15. Replacing negative
self-statements with
positive self-statements
aids to reduce anxiety.