Stress Overload

Medical Diagnosis: Appendicitis

NURSING DIAGNOSIS
 

Stress Overload RT work and family responsibilities (multiple co-existing stressors) AEB pt statements “I am supposed to be in Chile on Monday”, work load over 50 hrs/week, reported travel

PLAN

OUTCOME CRITERIA

Patient will review the amounts and types of stressors in daily living and identify two interventions that can be completed in daily life to reduce stress by 12pm.

 

ASSESSMENT DATA

Subjective

Pt states” I am stuck in here and I am supposed to be in Chile on Monday”, pt reported abdominal pain, pt states he feels nauseous

 

Objective

BUN 24, Glucose 112, Creatinine 1.37, WBC 12, appendectomy completed yesterday

 

INTERVENTIONS
RN will listen actively to pt as he describes life stresses.

 

RN will instruct the pt on stress reduction activities (deep breathing, guided imagery, yoga).

 

RN will assess stress level with vital signs assessment.

 

Encourage pt to discuss stresses with spouse and children.

RATIONALE for INTERVENTIONS
 

Actively listening to pt will aid them in feeling like they are able to discuss their stress openly. Openly discussing stress can help in reduction.

 

Stress reduction techniques can aid in coping with life stress and aid the pt in improving coping skills.

 

Continually monitoring stress levels can aid the pt and nursing staff in identifying possible root causes of stress and better implement interventions.

 

Discussing stress with loved ones can help the patient and family understand the feelings and emotions the pt is experiencing and aid him in knowing that he can turn to when stressed.

 

 

 

References: Varcarolis, E., Halter, M. (2010). Foundations of psychiatric mental  health nursing: A clinical approach 6th. Saunders, St Louis.

EVALUATION
Pt was able to identify stress in his life and admitted that current symptoms may have been exacerbated by stress in his life.  He stated that he will begin to journal his thoughts and feelings and stated this helped him in identifying stress in his life.
 

 

References: Varcarolis, E., Halter, M. (2010). Foundations of psychiatric mental  health nursing: A clinical approach 6th. Saunders, St Louis.