Concept map (makeup) Anxiety PDF

Preview

Summary

concept map...

Description

Signs and Symptoms

Medical Dx/ Reason for Admission/history/Age Objective Age

68

eczema rash on neck (4cm long and 2cm wide) Sp02: 91, HR:86,

Outcomes hort Term Goal patient learns different ways to decrease anxiety within 72s on the unit.

Past Medical History Subjective

Eczema

Reason for Admission

The patient shared that she has fatigue and can barely make it to the bathroom without feeling tired.

Long Term Goal Patient doesnt harm self the entire hospital stay. Evaluation

Acute bronchitis Was short-term goal met? Nursing Diagnosis Anxiety R/T recent hospital stay as evidenced by feelings of discomfort.

yes, patient learns and uses guided imaginary and deep breathing. Was long-term goal met? yes, pt. isn't injuried at the time of discharged

Nursing Interventions/ Rationales Nursing Interventions Assess *Assess own feelings at the door. *Assess client safety

Rationales for Nursing Interventions Assess *Being with an anxious client can raise your own anxiety level. *Reassure client of his or her safety and security; this can be conveyed by physical presence of the nurse

Do Do *Anxious behavior escalates by external stimuli. A smaller or secluded area *Move the client to a quiet area with minimal stimuli enhances a sense of security. *Maintain a calm, non threatening manner while working with the *Client develops feeling of security in presence of calm staff person. client. *Remain with the client at all times when levels of anxiety are high, *The client’s safety is a priority. A highly anxious client should not be left alone as anxiety escalate. reassure client of his or her safety and security. Teach Teach *Pharmacological therapy can be effective for anxiety. treatment regimen *Educate the patient that anxiety disorders are treatable. may include antidepressants and anxiolytics *Relaxation exercises are effective nonpharmalogic ways to reduce *Encourage the client’s to participate in relaxation exercises such as deep anxiety. Ref: breathing, progressive muscle relaxation, guided imagery. *Teach signs and symptoms of escalating anxiety, and ways to *So the client can start using relaxation techniques; gives the client interrupt its progression confidence in having control over his anxiety....