Nursing Diagnosis : Fear r/t invasive procedure, hospitalization, unfriendly experience.
Fear Definition
Response to perceived threat that is consciously recognized as a danger
Defining characteristics:
- Panic
- Terror
- Avoidance or attack behavior
- Impulsive
- Pulse, respiration, systolic BP increases
- Anorexia
- Nauseous vomit
- Pale
- Stimulus as a threat
- Tired
- Tense muscles
- Sweat increases
- Uproar
- Tension increases
- Express fear
- Cry
- Protest
- Escape
Fear Control
The client :
- Don't attack or avoid scary sources.
- Use relaxation techniques to reduce fear.
- Able to control the response.
- Does not run away.
- Duration of fear decreases.
- Cooperative when done care and treatment.
Anxiety Control
The client :
- Adequate sleep.
- There is no physical manifestations.
- There is no behavioral manifestations.
- Want to interact socially.
Interventions :
Coping Enhancement
- Assess the patient's fearful response: objective and subjective data.
- Explain to the client / family about the disease process.
- Explain to the client / family about all examinations and treatment.
- Convey an attitude of empathy (silence, giving love, allowing crying, speaking etc.).
- Encourage parents to always accompany children.
- Give realistic choices about aspects of care.
- Encourage clients to carry out social and community activities.
- Encourage the use of spiritual resources.
- Describe all procedures including feelings that may be experienced during the procedure.
- Give objects that provide security.
- Speak slowly and calmly.
- Fostering trusting relationships.
- Listen to clients attentively.
- Encourage the client to express feelings, perceptions and verbal fear.
- Give entertaining activities / equipment to reduce tension.
- Encourage the client to use relaxation techniques.
- Encourage parents to bring favorite toys from home.
- Involve parents in care and treatment.
- Give a calm environment.
- Limit visitors.