Allow client to take as much responsibility as possible for own self-care practices. She reports to having uncontrollable anxiety attacks while at work, sleeping, and driving. Establish short-term goals with the patient. The formatting isnt always important, and care plan formatting may vary among different nursing schools or medical jobs. All images, articles, text, videos, and other content found on this website are protected by copyright law and are the intellectual property of RegisteredNurseRN.com or their respective owners. Client develops feeling of security in presence of calm staff person. Nursing Care Plans. The combination approach yields superior results for most clients compared to either single modality. (Example: Client may choose. The client becomes pale and hypotensive and experiences poor muscle coordination. You note that her blood pressure and heart rate elevates by 35-50 points while she is talking to you about her situation. Nursing care plan for anxiety related to COPD. In the severe and panic stages of anxiety, the nurse needs to intervene to promote patient safety. Indirect or inconsistent communication, conflicts, and unreliable people in the environment can also be very stressful to manage (Lindberg, 2023). 7. These pathological anxiety disorders include panic attacks, social phobias, specific phobias, obsessive-compulsive disorder, and post-traumatic stress disorder. Acute anxiety, as a form of acute mental anguish, can lead to unsafe or self-injurious behavior (Bhatt & Bienenfeld, 2019). Teach the client to visualize or fantasize about the absence of anxiety or pain, successful experience of the situation, resolution of conflict, or outcome of the procedure.The use of guided imagery has been helpful in reducing anxiety. It is important for nurses to work closely with patients to develop a care plan that is tailored to their specific needs and preferences. In addition, her mother has been diagnosed with stage 4 breast cancer. Cognitive therapy helps the client understand how automatic thoughts and false beliefs/distortions lead to exaggerated emotional responses, such as anxiety, and can lead to secondary behavioral consequences. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively sample clinical applications, prioritized action/interventions with rationales a documentation section, and much more! Anxiety disorders have one of the longest differential diagnosis lists of all psychiatric disorders. The client should note how the anxiety dissipates.Recognition and exploration of factors leading to or reducing anxious feelings are essential steps in developing alternative responses. Anxiety can be triggered by a variety of factors, including stress, trauma, genetics, and environmental factors. Educate about and assist the client with box breathing. 12. 25. shortness of breath skin flushed skin rash sleep disturbance urinary frequency urinary urgency Vital Signs heart rate increased Problem Intervention Promote Anxiety Reduction Maintain a calm and reassuring environment; minimize noise; provide familiar items; cluster care; offer choices. In experimental settings, symptoms can be elicited in people with panic disorders by hyperventilation, inhalation of carbon dioxide, caffeine consumption, or intravenous infusions of hypertonic sodium lactate or hypertonic saline. Physical indicators: Dry mouth, elevated vital signs, diarrhea, increased urination, nausea, diaphoresis, hyperventilation, fatigue, insomnia, sexual dysfunction, irritability, tenseness.Emotional indicators: Fear, sense of impending doom, helplessness, insecurity, low self-confidence, anger, guilt.Cognitive indicators: Mild anxiety produces increased awareness and problem-solving skills. The nurse may also have the client describe events in detail and focus on the specifics of who, what, when, and where to reinforce reality (Carpenito, 2013). Anxiety can have a significant impact on a persons quality of life, and it is important to seek treatment if you are experiencing symptoms. Provide information regarding psychotherapy.Cognitive and behavioral psychotherapy can be used alone or in addition to pharmacotherapy. Being with an anxious client can raise the nurses own anxiety level. 18. The common signs and symptoms of anxiety can vary depending on the severity of the condition, but commonly include feelings of nervousness or restlessness, rapid breathing or shortness of breath, chest pain or tightness, sweating, trembling or shaking, fatigue, and difficulty concentrating. Nursing Diagnosis. Imagery employs all five senses to create a deeper sense of relaxation (Norelli et al., 2022). Reassure client of his or her safety and security. Mild anxiety can enhance a persons perception of the environment and readiness to respond. She reports that she found out three weeks ago her husband of 21 years has been having an affair with her best friend and that he wants a divorce. The obstetric nurse should be aware that this anxiety exists and of the measures which reduce the tensions anxiety causes during labor and delivery. Reinforce the clients personal reaction to or expression of pain, discomfort, or threats to well-being (e.g., talking, crying, walking, and other physical or nonverbal expressions).Talking or otherwise expressing feelings sometimes reduces anxiety. However, when the client uses denial as a coping mechanism too much, it may affect the clients perspective of reality. -The patient will effectively use 3 coping mechanisms to help with anxiety attacks. Encourage the client to explore underlying feelings that may be contributing to irrational fears. Other recommended site resources for this nursing care plan: Here are some references and sources you can use to further your research about anxiety nursing diagnosis: document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Gil Wayne ignites the minds of future nurses through his work as a part-time nurse instructor, writer, and contributor for Nurseslabs, striving to inspire the next generation to reach their full potential and elevate the nursing profession. Short-term goal: By the end of the shift the patient will score less than 17 on the Hamilton Anxiety Rating Scale Long-term goal: The patient will report a decrease in the frequency and severity of anxious thoughts Nursing interventions with rationales for Generalized Anxiety Disorder - Impaired mood regulation Identify ways in which the client can achieve. Explain ways of interrupting these thoughts and patterns of behavior (e.g., thought-stopping techniques, relaxation techniques, physical exercise, or other constructive activity with which the client feels comfortable). Symptoms often provide the healthcare provider with information regarding the degree of anxiety being experienced. This approach may help empower the client by making them contribute to their care. All Rights Reserved. Because the condition is underdiagnosed and associated with high morbidity, it is best managed by an interprofessional healthcare team. Moderate anxiety is associated with a narrowing of the persons perception of the situation.The person with moderate anxiety may be more creative and more effective in solving problems. 22. The following interventions may be used: Nurses should work with patients to develop an individualized plan of care that incorporates both pharmacological and non-pharmacological interventions. The lighting, temperature, sounds, smells, and color palette of an environment are very important to how comfortable, relaxed, and safe the client feels. The clients feeling of stability increases in a calm and non-threatening environment. By using nursing diagnoses and care plans, you can provide individualized care that addresses the unique needs of each patient, helping them to manage their symptoms and improve their overall well-being. Support clients efforts to explore the meaning and purpose of the behavior. Goal/Desired Outcome. 30. Anxiety and Anxiety Disorders in Young People: A Cross-Cultural Perspective. Join NURSING.com to watch the full lesson now. Anxiety related to situational stressors as evidenced by restlessness, increased heart rate, and sweating. She reports to having uncontrollable anxiety attacks while at work, sleeping, and driving. Positive reinforcement enhances self-esteem and encourages repetition of desired behaviors. The nurse should also monitor the patient for signs of worsening anxiety or complications such as suicidal ideation, and intervene promptly if necessary. The following medications may be prescribed: Non-pharmacological interventions can also be effective in reducing anxiety. Nursing diagnoses handbook: An evidence-based guide to planning care. Be aware of own belief systems and accept client's spirituality. Bhatt, N. V., & Bienenfeld, D. (2019, March 27). On examination, her BP was 170/90 mm Hg, oxygen saturation 98% in room air, pulse 118 bpm, RR 24 bpm . Shortness of Breath Nursing Care Plans Diagnosis and Interventions Shortness of Breath NCLEX Review and Nursing Care Plans Often known as dyspnea, shortness of breath is the sensation of not being able to get enough air into the lungs. Behavioral therapy involves sequentially greater exposure of the client to anxiety-provoking stimuli; over time, the client becomes desensitized to the experience (Bhatt & Bienenfeld, 2019). Reassure the client of his or her safety and security. Family members may also assist by providing a collaborative resource for monitoring the severity of the clients anxiety symptoms and response to treatment interventions (Bhatt & Bienenfeld, 2019). The nurse may also use standardized screening tools, such as the Generalized Anxiety Disorder-7 (GAD-7), to help identify the severity of the patients symptoms. The context in which anxiety is experienced, its meaning, and responses to it that are culturally mediated. - Affected area may have felt firm, boggy, mushy, warmer, or cooler to touch. A 42 year old female present to the ER with anxiety attacks. In this lesson we cover everything you need to successfully complete a nursing care plan for a ptsd patient. Anxiety disorders are a group of mental health conditions that are characterized by excessive and persistent worry, fear, or anxiety. Its title is intended to help the client visualize a box with four equal sides as they perform the exercise. His or her thinking skills become limited and irrational. Additionally, the nurse may guide the client through these techniques to refocus their perception of their situation (Cacayan et al., 2021). By using these care plans, nurses can help patients manage their anxiety symptoms and improve their overall quality of life. A step by step approach might be easier for the patient to retain. Nurses should work with patients to identify any triggers or stressors that may be contributing to their anxiety, as well as any co-occurring medical or mental health conditions that may be exacerbating their symptoms. The following factors can be considered when evaluating the effectiveness of nursing care plans: Regular communication with the patient and their family members can also provide valuable insight into the effectiveness of the care plan. 5. Learn how your comment data is processed. 5 short-term goals for nurses. In conclusion, anxiety is a complex condition that requires a thoughtful and individualized approach to care. See Also: 7 Anxiety and Panic Disorders Nursing Care Plans . You note thather blood pressure and heart rate elevates by 35-50 points while she is talking to you about her situation. Positive reinforcement enhances self-esteem and encourages the repetition of desirable behaviors. 17. Pass your board exam. Encourage support system presence and participation. Genetic vulnerability interacts with situations that are stressful or traumatic to produce clinically significant syndromes. It is well-known that compared with Westerners, East Asian people are more collectivist in the sense that their needs and feelings are more closely related to others, and perceive themselves as an extension of significant others. Support may enable the client to begin exploring and dealing with the situation. 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