Nursing Care Plan for Anxiety related to Ectopic Pregnancy

Nursing Care Plan for Ectopic Pregnancy

Ectopic pregnancy or also known as pregnancy outside the womb is a condition of pregnancy in which the fertilized egg cell is not able to stick to the mother's womb, but attached to a different place or different that in the place known by the name of the fallopian tubes or oviducts, in the cervix , the abdominal cavity or in the ovaries. Or in other words, an ectopic pregnancy is a condition in which the fertilized egg cells undergo implantation in a place other than where it should be, namely the uterus. If the egg is fertilized egg attaches to the channel, this will cause swelling or rupture of the egg due to the growth of the embryo.

Ectopic pregnancy affects about 1% of all pregnancies and this is an emergency condition where needed help immediately. Because if left unchecked this condition is very dangerous and capable of threatening the lives of mothers, this is caused by bleeding in the abdominal cavity, and not bleeding out. In the case of an ectopic pregnancy, the fetus has a very low probability to survive. But in a small number of conditions, for example in the abdominal pregnancy, pregnancy and the fetus can survive until the time of delivery and if the delivery is done by Caesarean, then there is hope and possibility baby to survive.

By the time the pregnancy reaches the age of 6-10 weeks, normal pregnant women who had an ectopic pregnancy will experience symptoms:

• Pregnant women experience pain in the pelvic area to one side and usually occur suddenly.
• Experiencing vaginal bleeding outside the conditions of menstruation or menstrual schedule unusual.
• Experiencing severe pain in the lower abdominal area.
• Pregnant women experience fainting.

Symptoms of advanced stages of ectopic pregnancy:

• Abdominal pain that appears to be happening more and more frequently.
• Other symptoms are skin look paler.
• Low blood pressure (hypotension).
• The pulse rate increased.

Nursing Diagnosis and Interventions for Anxiety related to Ectopic Pregnancy

Anxiety

Definition:
Vague feelings of anxiety or fear of discomfort accompanied by autonomic response (non-specific sources or unknown to the individual); feelings of concern resulting from the anticipation of danger. This signal is a warning of impending threats and enable individuals to take steps to agree to

Defining characteristics:

• restless
• pain and persistent increase in helplessness
• fear
• worried

NOC:

• Anxiety control.
• Coping.

Goal:
After the provision of nursing care within 2x24 hours the client does not feel anxious about the health condition.

Expected outcomes:

• The client is able to identify and express symptoms of anxiety.
• Identify, express and demonstrate techniques for mengontol anxious.
• Vital signs within normal limits.
• Posture, facial expression cheerful.

NIC:

• Anxiety Reduction (decrease anxiety)
• Use the approach that makes calm and happy.
• State clearly the expectations of the patient.
• Explain all procedures and what is felt during the procedure.
• Accompany the patient to provide security and reduce fear.
• Provide factual information about the diagnosis, prognosis and action measures.
• Encourage the family to accompany the child.
• Perform a back / neck rub.
• Listen attentively.
• Identify the level of anxiety.
• Help patients recognize situations that cause anxiety.
• Encourage the patient to express feelings, fears, perceptions.
• Instruct the patient to use relaxation techniques.
• Give medication to reduce anxiety.