ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Fear related to • Dysfunctional • After 4 hrs. Independent: • After 4 hrs.

“Natakot ako change in uterine bleeding Of nursing Of nursing
bigla na lang health status. is interventions, • Identify • Defines scope intervention
akong dinugo” abnormal uterine the patient patient’s of individual s, the
as bleeding in the will report perception of problem, patient was
verbalized by the absence of fear and threat separate from able to
patient. clinical anxiety are represented by physiological report fear
or reduced to a the situation. causes, and and anxiety
ultrasonographic manageable influences are reduced
Objective: evidence of level. choice of to a
• Restlessness. structural intervention. manageable
• Increased abnormalities, level.
tension. inflammation, or • Provides
• Feelings of pregnancy. opportunity for
• Encourage
helplessness Treatment is dealing with
patient to
usually with oral concerns,
acknowledge and
contraceptives. clarifies reality
express fears.
Dysfunctional of fears, and
uterine bleeding reduces anxiety
(DUB), the most to manageable
common cause level.
of
abnormal uterine
• Family
bleeding, occurs
members have
most often in • Provide individual
women > 45 (> opportunity for responses to
50% of cases) discussion of what is
and personal feelings happening, and
in adolescents or concerns and their anxiety
(20% of cases). future may be
The cause is expectations. communicated
usually estrogen
to patient,
production intensifying this
unopposed by emotion.
progesterone,
which can lead • Focuses
to • Identify attention on
endometrial previous own
hyperplasia. The coping strengths capabilities,
endometrium of the patient and increasing
sloughs and current areas of sense of
bleeds control or ability control.
incompletely,
irregularly, and • Provides
sometimes active
profusely or for a management of
long time. • Encourage use
of situation to
Endometrial reduce feelings
hyperplasia, relaxation
technique like of helplessness
particularly
atypical deep breathing,
adenomatous guided imagery
hyperplasia,
predisposes to
endometrial
cancer.