Care Plan Complete List OB 1
Original Care plans are in black text.
Changes made appear in blue directly below the lines or parts that were changed. Minor changes/additions appear in blue within black text.
Multiple interventions within the same nursing diagnosis have been indicated “Same reference as above” to save space.
Nursing Diagnosis Form 1 (no changes made)
NURSING DIAGNOSIS: Anxiety related to lack of knowledge about diagnostic procedures and uncertain condition of fetus as evidenced by (S) patient states she has fears about what will happen to the baby, and (O) patient speaks with a trembling voice and exhibits restlessness.
LONG TERM GOAL/OUTCOME: Patient will demonstrate ability to reassure self and have increased external focus AEB relaxed tone of voice and affect by time of discharge.
SHORT TERM GOAL/OUTCOME: Patient will verbalize knowledge of test procedure before test initiated; couple will verbalize concerns and seek knowledge about fetus by end of shift.
PLANNED INTERVENTIONS
RATIONALE (sources cited)
IMPLEMENTATION & EFFECTIVENESS OF INTERVENTIONS
Use therapeutic touch and healing touch techniques.
Anxiety was significantly reduced in a therapeutic touch placebo condition. Healing touch may be one of the most useful nursing interventions available to reduce anxiety.
Ackley, B., Ladwig, G. (2008) Nursing diagnosis handbook an evidenced based guide to planning care. (pp. 140-142, 354-357) 8th ed. St. Louis, Mosby Elsevier.
Ascertain client preferences about the desire to be distracted before and during noxious medical procedures.
Clients have individual preferences for the use of distraction during anxiety-provoking procedures.
Same reference as above.
Explain all activities, procedures, and issues that involve the client/fetus: use nonmedical terms and calm, slow speech. Do this in advance of procedures when possible, and validate the client’s understanding.
Triad communication or talking to another staff or family member in front of the client is a way to provide
Changes made appear in blue directly below the lines or parts that were changed. Minor changes/additions appear in blue within black text.
Multiple interventions within the same nursing diagnosis have been indicated “Same reference as above” to save space.
Nursing Diagnosis Form 1 (no changes made)
NURSING DIAGNOSIS: Anxiety related to lack of knowledge about diagnostic procedures and uncertain condition of fetus as evidenced by (S) patient states she has fears about what will happen to the baby, and (O) patient speaks with a trembling voice and exhibits restlessness.
LONG TERM GOAL/OUTCOME: Patient will demonstrate ability to reassure self and have increased external focus AEB relaxed tone of voice and affect by time of discharge.
SHORT TERM GOAL/OUTCOME: Patient will verbalize knowledge of test procedure before test initiated; couple will verbalize concerns and seek knowledge about fetus by end of shift.
PLANNED INTERVENTIONS
RATIONALE (sources cited)
IMPLEMENTATION & EFFECTIVENESS OF INTERVENTIONS
Use therapeutic touch and healing touch techniques.
Anxiety was significantly reduced in a therapeutic touch placebo condition. Healing touch may be one of the most useful nursing interventions available to reduce anxiety.
Ackley, B., Ladwig, G. (2008) Nursing diagnosis handbook an evidenced based guide to planning care. (pp. 140-142, 354-357) 8th ed. St. Louis, Mosby Elsevier.
Ascertain client preferences about the desire to be distracted before and during noxious medical procedures.
Clients have individual preferences for the use of distraction during anxiety-provoking procedures.
Same reference as above.
Explain all activities, procedures, and issues that involve the client/fetus: use nonmedical terms and calm, slow speech. Do this in advance of procedures when possible, and validate the client’s understanding.
Triad communication or talking to another staff or family member in front of the client is a way to provide