Each type of anxiety disorder has its own set of symptoms and treatment options. Nursing Therapyin Dealing with Anxiety of COVID-19 PatientsBased on the Model of Interspersonal Relations of Hildegard Peplau. Informed and empowered clients participate with the healthcare team in exploring options for overcoming disease and establishing the conditions for maximizing health consistent with their own socio cultural frame of reference (Stubbe, 2017). If you or someone you know is experiencing any of these symptoms, it is important to seek help from a healthcare professional. Anxiety related to cessation of alcohol as evidenced by anxiety and restlessness. Arrange referrals or consultations with a psychiatrist, psychologist, and other medical professionals.Consultation with a psychiatrist is helpful to initiate longer-term therapy and to provide follow-up planning. Saunders comprehensive review for the NCLEX-RN examination. Some of the most common causes of anxiety include: It is important to identify the underlying cause of a patients anxiety in order to develop an effective nursing diagnosis and care plan. Confrontation with Coworkers? Coping strategies may include reading, journaling, or physical activity such as taking a walk. The presence of the nurse may lend support to the anxious patient and provide strategies for effectively coping with anxious moments or panic attacks. In contrast, music therapy uses various components of music, such as melody, timbre, rhythm, harmony, and pitch, to support and enhance physical, psychological, and social well-being by building a therapeutic relationship between the participant and the therapist (Lu et al., 2021). Prioritized nursing diagnosis includes acute pain, deficient fluid volume, and ineffective health maintenance. Allow the client to talk about anxious feelings and examine anxiety-provoking situations if they are identifiable.Talking about anxiety-producing situations and anxious feelings can help the client perceive the situation realistically and recognize the factors leading to anxious feelings. 6. Sometimes it is necessary to acknowledge what the client says and affirm that they have been heard. Providing frequent and understandable explanations may reduce the clients fear and anxiety, clarifies misconceptions, and promotes cooperation. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. 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 most important part of the care plan is the content, as that is the foundation on which you will base your care. Acknowledge the feelings the patient is experiencing. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. Accept the clients defenses; do not dare, argue, or debate.If defenses are not threatened, the client may feel secure and protected enough to look at behavior. The client must accept the reality of the situation (aspects that cannot change) before the work of reducing the fear can progress. The reality is that many people struggle with anxiety. And worst, it can even lead to related psychological conditions, like substance abuse and personality difficulties. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Patients with anxiety will present with symptoms physiologically, emotionally, or cognitively. 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. Anxiety appears to be caused by an interaction of biopsychosocial factors. Nursing Care Plans Nursing Diagnosis & Intervention (10th Edition)Includes over two hundred care plans that reflect the most recent evidence-based guidelines. Nurses play a critical role in the care of patients with anxiety, and their nursing care plan should be individualized to the patients unique needs and circumstances. She states they started two weeks ago and she has tried to manage them with a prescription of Xanax 0.25 mg PO that he doctor gave her a month ago but saysit isnot helping. -The patient verbalize interest in talking with a psychiatrist. Progressive muscle relaxation is a relaxation technique targeting the symptom of tension associated with anxiety. This nursing care plan is for patients with anxiety. 8. Maladaptive behaviors, such as withdrawal and suspiciousness, are manifested during times of increased anxiety. The client will willingly attend therapy activities accompanied by a trusted support person within 1 week. Anxiety is minimized when the client is able to replace ritualistic behaviors with more adaptive ones. If the client elects to work on the elimination of the fear, techniques of desensitization may be employed. Genetics: A family history of anxiety or other mental health disorders can increase the risk of developing anxiety. RN, BSN, PHN Asthma is sometimes referred to as reactive airway disease or bronchial asthma. 1. The state scale can be used to determine the actual levels of anxiety intensity induced by stressful procedures (Karger, 2017). Phobias: Characterized by a persistent and severe fear of a clearly identifiable object or situation despite awareness thatthe fear is unreasonable. Medical-surgical nursing: Concepts for interprofessional collaborative care. Initials: LCSW Progress will be monitored and documented. The nurse should also perform a physical assessment to rule out any underlying medical conditions that may be contributing to the patients anxiety. There are two types, specific and social. There are various treatment options for anxiety, and the choice of treatment depends on the severity of the symptoms and the patients preferences. 18. Clients often ask nurses for advice about what they should do about particular problems or specific situations. Below is a nursing care plan with diagnosis and nursing interventions/goals for patients with anxiety. During stressful life events, it is important to pay attention to the increasing levels of health anxiety and to the kind of coping mechanisms that are potential factors to mitigate the effects of high anxiety (Garboczy et al., 2021). The client may report feeling tense. This plan should include strategies for assessing and monitoring the patients symptoms, providing emotional support and counseling, promoting relaxation and stress reduction, and educating the patient on coping mechanisms and healthy lifestyle habits. 28. 2. 12. 10. It is important to understand the clients perception of the phobic object or situation in order to assist with the desensitization process. The nursing process is a systematic approach to patient care that involves assessing, diagnosing, planning, implementing, and evaluating the patients healthcare needs. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. The person may be unable to make decisions. In conclusion, anxiety is a complex condition that requires a thoughtful and individualized approach to care. The client reports feeling completely out of control and may display extremes of behavior from combativeness to withdrawal. Encourage recognition of situations that provoke obsessive thoughts or ritualistic behaviors. The client will be able to function in presence of a phobic object or situation without experiencing panic anxiety by the time of discharge from treatment. It has been argued that differences in the content of fears across cultures are influenced by cultural differences in the child-rearing practices of parents and exposure to specific fear-provoking stimuli (Koydemir & Essau, 2018). The client will verbalize accurate knowledge of the situation. Harsh lighting and loud noises can lead to anxiety or agitation, while dark and cold spaces can lead to feeling unmotivated, especially in the winter. Going to a small, quiet, and non-stimulating environment may help reduce anxiety. Evaluate for suicidal and homicidal risk.Suicidal ideation should be assessed by asking about passive thoughts of death, desires to be dead, thoughts of harming self, or plans or acts to harm self. Indirect or inconsistent communication, conflicts, and unreliable people in the environment can also be very stressful to manage (Lindberg, 2023). The client will appear relaxed and report anxiety is reduced to a manageable level. Within the client-centered armamentarium is awareness of and openness to understanding each individual and his or her uniqueness within the context of that persons life experience and attention to the influence of biopsychosocial and developmental risk and resilience factors. If you or someone you know is struggling with anxiety, its important to seek professional help from a mental health provider. The client will participate in decision-making regarding his own care within 5 days. 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. Assess physical reactions to anxiety.Anxiety also plays a role in somatoform disorders, which are characterized by physical symptoms such as pain, nausea, weakness, or dizziness that have no apparent physical cause. Using tools such as observation, patient interviews, and standardized assessment scales, nurses gather information on the patients symptoms and potential triggers. Within 1 week, the client will decrease participation in ritualistic behavior by half. Anxiety is a complex mental health condition that can be caused by a variety of factors. 30. COPD is an extremely dangerous disease. Consider the clients use of coping strategies that the client has found effective in the past.This enhances the clients sense of personal mastery and confidence. STAI is the gold standard for measuring preoperative anxiety. Anxiety disorders are a group of mental health conditions that are characterized by excessive and persistent worry, fear, or anxiety. Reduce or eliminate problematic coping mechanisms.Denial can be an effective defense mechanism when the situation is too stressful to cope with. -The patient will explores possible stressors and lifestyle changes she can change in order to help with the anxiety in her life. Buy on Amazon, Gulanick, M., & Myers, J. L. (2022). In this article, we will explore five common nursing diagnoses and care plans for patients with anxiety, providing insights and strategies for effective care. According to Nanda, the definition of powerlessness is a state in which an individual or group perceives a lack of personal control over certain events or situations, which affects outlook, goals, and lifestyles. Reassurance attempts to dispel the anxiety of the client by implying that there is no sufficient reason for it to devalue the clients judgment and communicates the nurses lack of empathy and understanding. Nursing Interventions for Anxiety 1. Do this in advance of procedures when possible, and validate the clients understanding.With preadmission client education, clients experience less anxiety and emotional distress and have increased coping skills because they know what to expect. Some hospitals may have the information displayed in digital format, or use pre-made templates. Nursing Interventions and Rationales 1. Anxiety is contagious and may be transferred from staff to client or vice versa. Active listening involves showing interest in what the client has to say, acknowledging that you are listening and understanding, and engaging with them throughout the conversation (Rivier University, 2023). Stage 2. This approach may help empower the client by making them contribute to their care. Encourage independence and give positive reinforcement for independent behaviors. The nurse should develop an atmosphere of empathic understanding while focusing on the present situation by giving feedback about current reality. Cluttered spaces can also overwhelm the client and create feelings of anxiety (Lindberg, 2023). Nurses should encourage open and honest communication to ensure that the care plan is meeting the patients needs. Patients dealing with chronic, life-altering, or . Interview techniques may be utilized to build rapport. Planning, Intervention and Evaluation in the nursing process. The flow of air blocks in the lungs. By taking a comprehensive approach, nurses can help patients achieve optimal outcomes and improve their overall well-being. 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. Homicidal ideation is uncommon. Interprofessional patient problems focus familiarizes you with how to speak to patients. How to Create a Treatment Plan. - Skin is intact but red and non-blanchable. This website provides entertainment value only, not medical advice or nursing protocols. The person in a panic stage of anxiety has distorted perceptions of the situation. Assess for the influence of cultural beliefs, norms, and values on the clients perspective of a stressful situation.What the client considers stressful may be based on cultural perceptions. 6. With the right treatment, patients with anxiety can lead fulfilling lives and achieve their goals. In some cases, the patient may require hospitalization or other advanced interventions, which will require close collaboration with the healthcare team. Recognition of precipitating factors is the first step in teaching the client to interrupt the escalating anxiety. If the situational response is rational, use empathy to encourage the client to interpret the anxiety symptoms as normal.Anxiety is a normal response to actual or perceived danger. Visualization of tranquil settings assists clients in managing stress via distraction from intrusive thoughts, therefore, if intrusive thoughts can be managed, the emotional consequences are more manageable. Fear and anxiety will diminish as the client begins to accept and deal positively with reality. The following are some of the common treatment options: Its important to note that anxiety is a treatable condition, and seeking help from a healthcare provider is the first step towards managing the symptoms. She reports to having uncontrollable anxiety attacks while at work, sleeping, and driving. Include the client in making decisions related to the selection of alternative coping strategies. Short-term goal: The patient will report an improvement in anxiety by the end of the shift. Risk For Self-Directed Violence Risk For Self-Directed Violence Ms. Smith, 34-year-old, primigravida, on her 35 th week of pregnancy, presented to the obstetric department with complaints of SOB, mild headache, nausea, +2 pitting edema of both lower limbs, and facial puffiness. Use the Supports You Have Reach out for encouragement from others while you're working toward your goals. Anxiety disorders are abnormal states in which the most striking features are mental and physical symptoms of anxiety, occurring in the absence of organic brain disease or another psychiatric disorder. The nurse should remain with the client until the panic recedes because panic-level anxiety can only last from 5 to 30 minutes (Videbeck, 2018). In addition, her mother has been diagnosed with stage 4 breast cancer. . 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. The exercise involves tensing and releasing muscles, progressing throughout the body, with the focus on the release of the muscle as the relaxation phase. It can affect our ability to function normally, and even convince us that were losing our minds. She states these anxiety attacks are controlling her life. These defense mechanisms include displacement, repression, denial, projection, and self-image splitting. Thought content is particularly important to specifically assess in order to ensure the client has no suicidal or homicidal thoughts. Long-term goal: The patient's anxiety will return to a manageable level and they will experience a sense of having control over . As a nurse, one of the key components of caring for patients with anxiety is implementing nursing interventions. Each individuals experience with anxiety is different. 2023 Nurseslabs | Ut in Omnibus Glorificetur Deus! It is a huge factor in establishing rapport with the client in gaining cooperation during treatment, and care, providing interventions, and helping clients deal with their anxiety (Cacayan et al., 2021). 4. Unrealistic goals set the client up for failure and reinforce feelings of powerlessness. Short-term goal: By the end of the shift the patient will receive IV fluids and the heart rate and blood pressure will return to normal limits. 8. In addition, effective nursing care plans can help prevent the development of more serious mental health conditions. Lessen sensory stimuli by keeping a quiet and peaceful environment; keep threatening equipment out of sight.Anxiety may intensify to a panic state with excessive conversations, noise, and equipment around the client. 3. Teach the use of appropriate community resources in emergency situations (e.g., suicidal thoughts), such as hotlines, emergency rooms, law enforcement, and judicial systems.The method of suicide prevention found to be most effective is a systematic, direct-screening procedure that has a high potential for institutionalization. Problem-focused coping strategies help an individual to be able to endure and/or minimize the threat, targeting the causes of stress in practical ways (Garboczy et al., 2021). Lets dive into the five anxiety nursing diagnoses and care plans that can make a significant difference in patient outcomes. Family members should receive information about the effect of anxiety disorders on mood, behavior, and relationships. -The nurse will help the patient develop 3 coping mechanisms to help with the patient anxiety attacks. 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. Acceptance is not necessarily the same thing as agreement; it can be enough to simply make eye contact and let the client know that they are understood. The following are nursing interventions for acute anxiety: Chronic anxiety is a long-term condition that may be caused by a variety of factors, including genetics, environment, and life experiences. Clients emotional condition interferes with his or her ability to solve problems. Nursing Interventions -The nurse will assess the patient's psychological and physiologic comfort. A nursing care plan for depression is a set of goals designed to help your patient reach optimum health and wellness. Be empathetic and nonjudgemental in dealing with the client and family. (2020). There are many resources out there on how to create a mental health treatment plan - there's even a WikiHow page on the subject!. Mild anxiety can enhance a persons perception of the environment and readiness to respond. Use presence, touch (with permission), verbalization, and demeanor to remind clients that they are not alone and to encourage expression or clarification of needs, concerns, unknowns, and questions.Being supportive and approachable promotes therapeutic communication. Encourage support system presence and participation. The checklist breaks down treatment plans into five sections: Problem Statements, Goals, Objectives . In the panic level of anxiety, the autonomic nervous system increases the level of sympathetic neurotransmitter release. Clients are more satisfied when they feel they have agency or control over treatment decisions (Stubbe, 2017). Provide information regarding psychotherapy.Cognitive and behavioral psychotherapy can be used alone or in addition to pharmacotherapy. For example a patient with anxiety may have increased heart rate, elevated blood pressure, and diaphoresis (which is physiologically), report feelings of helplessness, losing control (which is emotionally, and inability to concentrate, preoccupation, and confusion (which is cognitively). The following medications may be prescribed: Non-pharmacological interventions can also be effective in reducing anxiety. This includes addressing both physical and emotional symptoms, as well as considering the patients social and environmental factors. Treatment is indicated when a client shows marked distress or suffers from complications resulting from the disorder. 16. The following are nursing interventions for GAD: Pharmacological interventions are commonly used to treat anxiety. Teach signs and symptoms of escalating anxiety, and ways to interrupt its progression (e.g., relaxation techniques, deep breathing exercises, physical exercises, brisk walks, jogging. Nursing care plans: Diagnoses, interventions, & outcomes. Assess clients level of anxiety. 4. She states they started two weeks ago and she has tried to manage them with a prescription of Xanax 0.25 mg PO that he doctor gave her a month ago but says it is not helping. The effects of acute stress in producing suicidal behavior are increased in those with underlying mood, anxiety, and substance abuse problems (Bhatt & Bienenfeld, 2019). The person with severe anxiety disorders begins to manifest excessive autonomic nervous system signs of the fight-or-flight stress response. Signs and Symptoms of Asthma Shortness of breath Short-term goal: The patient will remain free of destructive behavior and will report a decrease in stress. 1. What nursing care plan book do you recommend helping you develop a nursing care plan? Administer tranquilizing medications as ordered by the physician. The lighting, temperature, sounds, smells, and color palette of an environment are very important to how comfortable, relaxed, and safe the client feels. 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). 13. Anxiety related to medication side effects, such as dizziness or nausea, as evidenced by reports of worry and fear of taking medication. We may earn a small commission from your purchase. Social phobiarelates to profound fear of social or performance situations inwhich embarrassment could occur. 33. Anxiety and Anxiety Disorders in Young People: A Cross-Cultural Perspective. Nursing Care Plan 1 Nursing Diagnosis: Acute pain related to orthopedic surgical procedure of the left lower extremity as evidenced by heart rate 112 bpm, guarding of the left lower extremity, and reports of pain from the patient, rating pain a 8 on a scale of 1/10. Encourage verbalization of feelings related to this inability. Convey an accepting attitude by making brief, frequent contacts. The client may then breathe out for a count of 4 and lastly, hold breath for a count of four (Norelli et al., 2022). Lu, G., Jia, R., Liang, D., Yu, J., Wu, Z., & Chen, C. (2021, October). Anxiety is a common mental health condition that affects millions of people worldwide. Allow client to take as much responsibility as possible for own self-care practices. Ackley and Ladwigs Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning CareWe love this book because of its evidence-based approach to nursing interventions. Fear is an automatic neurophysiological state of alarm characterized by a fight or flight response to a cognitive appraisal of present or imminent danger. The client will appear calm but may report feelings of nervousness such as butterflies in the stomach. The client with moderate anxiety may appear energized, with more animated facial expressions and tone of voice. Focusing on small goals that are attainable in a short period keeps the patient motivated to improve daily. Ensure the clients safety during panic-level anxiety.During panic-level anxiety, the clients safety is the primary concern. Diagnosed with stage 4 breast cancer agency or control over treatment decisions ( Stubbe, 2017 ) health maintenance a... 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