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    Assessment Nursing Diagnosis Planning Interventions Evaluations

    Uploaded by

    Ajay Supan
    The patient is experiencing anxiety related to their hyperthyroidism. The nursing diagnosis is anxiety related to physiological factors such as increased thyroid hormones. The plan is to provide interventions over 5 hours to help the patient relax and identify healthy ways to manage feelings of anxiety. Interventions include observing for signs of anxiety, staying calm with the patient, explaining procedures, and reducing external stimuli. The goal is for the patient to feel less anxious and have their anxiety reduced to a manageable level. Evaluations will be done after 5 hours to assess if the patient appears relaxed with reduced anxiety.

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    Assessment Nursing Diagnosis Planning Interventions Evaluations

    Uploaded by

    Ajay Supan
    305 views4 pages
    The patient is experiencing anxiety related to their hyperthyroidism. The nursing diagnosis is anxiety related to physiological factors such as increased thyroid hormones. The plan is to provide interventions over 5 hours to help the patient relax and identify healthy ways to manage feelings of anxiety. Interventions include observing for signs of anxiety, staying calm with the patient, explaining procedures, and reducing external stimuli. The goal is for the patient to feel less anxious and have their anxiety reduced to a manageable level. Evaluations will be done after 5 hours to assess if the patient appears relaxed with reduced anxiety.

    Original Title

    NCP 1 HYPERTHYROID

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    The patient is experiencing anxiety related to their hyperthyroidism. The nursing diagnosis is anxiety related to physiological factors such as increased thyroid hormones. The plan is to provide interventions over 5 hours to help the patient relax and identify healthy ways to manage feelings of anxiety. Interventions include observing for signs of anxiety, staying calm with the patient, explaining procedures, and reducing external stimuli. The goal is for the patient to feel less anxious and have their anxiety reduced to a manageable level. Evaluations will be done after 5 hours to assess if the patient appears relaxed with reduced anxiety.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    305 views4 pages

    Assessment Nursing Diagnosis Planning Interventions Evaluations

    Uploaded by

    Ajay Supan
    The patient is experiencing anxiety related to their hyperthyroidism. The nursing diagnosis is anxiety related to physiological factors such as increased thyroid hormones. The plan is to provide interventions over 5 hours to help the patient relax and identify healthy ways to manage feelings of anxiety. Interventions include observing for signs of anxiety, staying calm with the patient, explaining procedures, and reducing external stimuli. The goal is for the patient to feel less anxious and have their anxiety reduced to a manageable level. Evaluations will be done after 5 hours to assess if the patient appears relaxed with reduced anxiety.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Assessment Nursing Diagnosis Planning Interventions Evaluations

    SUBJECTIVE: Observe behavior After 5 hours of nursing


    Anxiety related to After 5 hours of nursing indicative of the level of intervention patient appear
    “Nagaalala ako, masama physiological factor: intervention patient will anxiety. relaxed, reported reduced
    ang pakiramdan ko, hindi pseudo catecholamine appear relax, will report - Mild anxiety may be anxiety to a manageable
    ko alam ang gagawin” as effect of thyroid hormones reduced anxiety to a displayed by irritability and level and identified healthy
    verbalized by the patient as evidenced by extraneous manageable level and will insomnia. Severe anxiety ways to deal with feelings.
    movement, restlessness and identify healthy ways to progressing to the panic
    tremors. deal with feelings. state may produce feelings
    OBJECTIVE: of impending doom, terror,
    inability to speak or move,
     Palpitation shouting or swearing.
     Restlessness
     Irritability Monitor physical
     Enlargement of the responses, noting
    thyroid gland palpitations, repetitive
     Tremors movements,
     Weight loss hyperventilation, insomnia.
     Rapid heartbeat - Increased number of
     Frequent bowel [beta]-adrenergic receptor
    movements sites, coupled with effects
     Hyperactivity of excess thyroid
     Difficulty sleeping hormones, produce clinical
    manifestations of
     Intolerance to heat
    catecholamine excess even
    when normal levels of
    norepinephrine
    or epinephrine exist.
    Vital Sign:
    TEMP: 38.33C Stay with the patient,
    PR: 110 bspm maintaining a calm
    RR: 21 cpm manner.
    BP: 132/84 mmHg Acknowledge fear and
    allow the patient’s
    behavior to belong to the
    patient.
    - Affirms to patient or SO
    that although patient feels
    out of control, environment
    is safe. Avoiding personal
    responses to inappropriate
    remarks or actions prevents
    conflicts or overreaction to
    a stressful situation.

    Describe and explain


    procedures, surrounding
    environment, or sounds
    that may be heard by the
    patient.
    - Provides accurate
    information, which reduces
    distortions
    and confusion that can
    contribute to anxiety and/or
    fear reactions.

    Speak in brief statements.


    Use simple words.
    - Attention span may be
    shortened, concentration
    reduced, limiting the
    ability to assimilate
    information.

    Reduce external stimuli:


    Place in a quiet room;
    provide soft, soothing
    music; reduce bright lights;
    reduce the number of
    persons having contact
    with the patient.
    - Creates a therapeutic
    environment; shows
    recognition that unit
    activity or personnel may
    increase patient’s anxiety.

    Discuss with patient and/or


    someone reasons for
    emotional lability and/or
    psychotic reaction.
    - Understanding that
    behavior is physically
    based enhances acceptance
    of the situation and
    encourages different
    responses and approaches.

    Reinforce the expectation


    that emotional control
    should return as drug
    therapy progresses.
    - Provides information and
    reassures patient that the
    situation is temporary and
    will improve with
    treatment.

    Administer antianxiety
    agents or sedatives and
    monitor effects.
    - May be used in
    conjunction with a medical
    regimen to reduce effects
    of hyperthyroid secretion.

    Refer to support systems as


    needed: counseling, social
    services, pastoral care.
    - Ongoing therapy support
    may be desired or required
    by patient/SO if crisis
    precipitates lifestyle
    alterations

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