8 Part B: The Nursing process part 2 Nursing Diagnosis •
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Fear related to surgery as evidenced by anxious and worried appearance and Bp 140/90 mmHg
Imbalance Nutrition less than body requirements related to lifestyles as evidenced by sclera slightly jaundice slightly distended abdomen and weight of 47 Kg with a height of 170 cm
Goal •
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Nursing Intervention
After applying the nursing interventio ns the patient’s anxiety will decrease and gain the patients trust.
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After days of nursing interventio ns the patient will gain 4 lbs to promote fast wound healing.
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Assess level of anxiety Province pre-op teaching to reassure and comfort the patient. When talking to the patient, speak slowly, calmly and use simple and short sentences. Administer Celexa as ordered. Explain the effects of alcohol and smoking to the body Encourage patient to eat foods rich in protein and vitamin C to facilitate wound healing and strengthen the immune system. Explain the importance of eating a balance diet and an active lifestyle. Monitor patients weight to assess the improvement
Evaluation •
Patients anxiety decreased by verbally expressing her thoughts after 3 days.
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Patient understands the importance of nutrition and lifestyle in her situation and consequences of her bad choices. Patient is complaint and gained weight after 3 days.
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