Tuesday, December 28, 2010

Anxiety | Nursing Care Plan for Glaucoma

Nursing diagnosis: anxiety physiological factors, change in health status, presence of pain, possibility or reality of loss of vision; unmet needs; negative self-talk

Possibly evidenced by
Apprehension, uncertainty
Expressed concern regarding changes in life events

Desired Outcomes/Evaluation Criteria—Client Will
Anxiety Self-Control
Appear relaxed and report anxiety is reduced to a manageable level.
Demonstrate positive problem-solving skills.
Use resources effectively.

Nursing intervention with rationale:
1. Assess anxiety level, degree of pain experienced, suddenness of onset of symptoms, and current knowledge of condition.
Rationale: These factors affect client’s perception of threat to self, potentiate the cycle of anxiety, and may interfere with medical attempts to control IOP.

2. Provide accurate, honest information. Discuss probability that careful monitoring and treatment can prevent additional loss of vision.
Rationale: Reduces anxiety related to unknown or future expectations and provides factual basis for making informed choices about treatment.

3. Encourage client to acknowledge concerns and express feelings.
Rationale: Provides opportunity for client to deal with reality of situation, clarify misconceptions, and problem-solve concerns.

4. Identify helpful resources.
Rationale: Provides reassurance that client is not alone in dealing with problems.

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