ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATIONSubjective:“Natakot akobigla na langakong dinugo” asverbalized by thepatient.

Objective:Restlessness.Increasedtension.Feelings ofhelplessness

Fear related tochange inhealth status.

Dysfunctionaluterine bleeding isabnormal uterinebleeding in theabsence of clinicalorultrasonographicevidence ofstructuralabnormalities,inflammation, orpregnancy.Treatment isusually with oralcontraceptives.Dysfunctionaluterine bleeding(DUB), the mostcommon cause ofabnormal uterinebleeding, occursmost often inwomen > 45 (>50% of cases) andin adolescents(20% of cases).The cause isusually estrogen

After 4 hrs.Of nursinginterventions,the patientwill reportfear andanxiety arereduced to amanageablelevel.

Independent:

Identify patient’sperception ofthreatrepresented bythe situation.

Encouragepatient toacknowledge andexpress fears.

Provideopportunity fordiscussion ofpersonal feelingsor concerns andfutureexpectations.

Defines scopeof individualproblem,separate fromphysiologicalcauses, andinfluenceschoice ofintervention.

Providesopportunity fordealing withconcerns,clarifies realityof fears, andreduces anxietyto manageablelevel.

Familymembers haveindividualresponses towhat ishappening, andtheir anxietymay becommunicatedto patient,intensifying this

After 4 hrs.Of nursinginterventions, thepatient wasable toreport fearand anxietyare reducedto amanageablelevel.

productionunopposed byprogesterone,which can lead toendometrialhyperplasia. Theendometriumsloughs andbleedsincompletely,irregularly, andsometimesprofusely or for along time.Endometrialhyperplasia,particularlyatypicaladenomatoushyperplasia,predisposes toendometrialcancer.

Identify previouscoping strengthsof the patient andcurrent areas ofcontrol or ability

Encourage use ofrelaxationtechnique likedeep breathing,guided imagery

emotion.

Focusesattention onowncapabilities,increasingsense ofcontrol.

Provides activemanagement ofsituation toreduce feelingsof helplessness