Sunday, November 30, 2008

Nursing Student's SOAPIE - Anxiety, separation from baby

S> "magsige gihapon ko ug hunahuna naunsa na akong bata sa nursery (I still keep on thinking
about my baby in the nursery)," as verbalized by the
patient.
O> Patient seen lying on bed, awake, coherent
> Anxious about baby's condition
> Temp 37C, PR 82bpm, RR 24 cpm, BP 100/70 mmHg
> Lochia rubra - scanty
> Uterine fundus 2 fingers' breadth below the umbilicus
A> Mild anxiety related to temporary separation from infant.
P> After 1 hr of nursing intervention, the patient will be able to describe a reduction of the
level of anxiety experienced.
I> Established rapport.
> Observed behavior towards separation from the baby.
> Encouraged to express one's feelings.
> Clarified meaning of her feelings.
> Provided information about the separation of her infant.
> Assisted in going to the NICU.
> Reminded patient the right time for breastfeeding / to go to NICU.
> Provided a calm environment.
> Encouraged diversional activities such as reading the newspaper.
E> "Relax, relax na ko karon (I'm a bit relaxed now)", as verballized by the patient.

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