Question

C. WRITING GOALS AND INTERVENTIONS 2 Read the following case and write a goal and at least three interventions for the given diagnoses. THE CLIENT WITH LUNG CANCER. Mr. Saenz is a 54-year-old carpenter. He is admitted with pain over his left scapula and radiating to his left arm. He describes having dyspnea and admits that he does have a productive cough. He denies any recent weight loss but does acknowledge experiencing extreme fatigue for the last 2 months. Mr. Saer has been a chronic smoker for 20 years. A chest x-ray reveals an area of densit in the left lung. A needle biopsy confirms small-cell lung cancer. A computerized tomography (CT) scan confirms extrathoracic involvement. His physician refereed Mr. Saenz to an oncologist for palliative chemotherapy. Mr. Saenz is to receive his first treatment of cisplatin (Platinol). Mr. Saenz states that he is not sure about the treatment given that it will not cure him and he does not know how he will keep breathing. He has never been hospitalized before. Nursing diagnosis 1: Anxiety related to unfamiliar surrounding and uncertainty regarding change in health status as evidenced by Mr. Saenz's statement that he does not know how he will keep breathing and the fact that he has never been hospitalized before. PLANNING / GOAL INTERVENTIONS

Answer 1

ANSWER.

PLANNING/GOAL	INTERVENTIONS
Reduce the anxiety level of the patient.	1) Maintain effective therapeutic communication with the patient to reduce the anxiety level. 2) Educate the patient about his present health condition and measures required to improve his health status. 3) Administer anxiolytics as per physicians order. 4) Provide a peaceful or quiet environment. 5) Allow participation of family members in patient care to reduce the anxiety level of patient.