Professional Documents
Culture Documents
f. Stress importance of continued follow-up with transplant team and primary car
e provider.
Evaluation:
Pt. remain free of infection, as evidenced by normal WBC count, temp < 100 F, an
d absence of purulent drainage from incisions.
Nursing Diagnosis:
Anxiety related to surgical procedure as evidenced by verbalization from the pat
ient and patient is noncompliance
Nursing Intervention:
Assess pt. for signs and symptoms of fear and anxiety
Implement measures to reduce anxiety:
a. provide care in a calm, supportive, confident manner
b. orient pt.'s to environment, equipment, and routines;
c. Assure pt. that staff members are nearby; respond to call signal as soon as
possible .
d. Encourage verbalization of fear and anxiety; provide feedback .
e. explain all diagnostic tests .
f. Reinforce physician's explanations and clarify.
g. Initiate preoperative teaching if
h. provide a calm, restful environment
i. Instruct client in relaxation techniques and encourage participation in diver
sional activities
j. Provide information based on current needs of client at a level he/she can un
derstand; encourage questions and clarification of information provided
k. Allow pt. to discuss concerns about future lifestyle and roles
l. provide emotional support and reassurance during the procedure.
Evaluation:
The pt .experienced a reduction in fear and anxiety as evidenced by:
1. verbalization of feeling less anxious
2. usual sleep pattern
3. relaxed facial expression and body movements
4. stable vital signs