The nursing interventions were aimed at reducing the patient's anxiety related to uncertainty and fear of the unknown by maintaining a calm demeanor, establishing trust, keeping the patient in a quiet low-stimulation environment, educating on treatability of anxiety disorders, initially supporting defenses, monitoring the nurse's own feelings, and staying with the patient during panic attacks with simple directions. However, after 24 hours the goals of being free from injury, discussing feelings, responding to relaxation, reducing anxiety, and being free from attacks were not met.
The nursing interventions were aimed at reducing the patient's anxiety related to uncertainty and fear of the unknown by maintaining a calm demeanor, establishing trust, keeping the patient in a quiet low-stimulation environment, educating on treatability of anxiety disorders, initially supporting defenses, monitoring the nurse's own feelings, and staying with the patient during panic attacks with simple directions. However, after 24 hours the goals of being free from injury, discussing feelings, responding to relaxation, reducing anxiety, and being free from attacks were not met.
The nursing interventions were aimed at reducing the patient's anxiety related to uncertainty and fear of the unknown by maintaining a calm demeanor, establishing trust, keeping the patient in a quiet low-stimulation environment, educating on treatability of anxiety disorders, initially supporting defenses, monitoring the nurse's own feelings, and staying with the patient during panic attacks with simple directions. However, after 24 hours the goals of being free from injury, discussing feelings, responding to relaxation, reducing anxiety, and being free from attacks were not met.
The nursing interventions were aimed at reducing the patient's anxiety related to uncertainty and fear of the unknown by maintaining a calm demeanor, establishing trust, keeping the patient in a quiet low-stimulation environment, educating on treatability of anxiety disorders, initially supporting defenses, monitoring the nurse's own feelings, and staying with the patient during panic attacks with simple directions. However, after 24 hours the goals of being free from injury, discussing feelings, responding to relaxation, reducing anxiety, and being free from attacks were not met.
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
You are on page 1of 8
POTENTIAL
Date/Time Cues Objectives of Care Interventions Evaluation
Nursing Diagnosis Subjective: Anxiety related 1. Be free from 1. Maintain a calm, GOAL UNMET April 11, to uncertainty, injury. non-threatening 2019 “I don’t want to die”. fear of the 2. Discuss manner while After 24 hours of nursing As verbalized by the unknown, and feelings of working with the intervention. The patient patient. disruption of dread, anxiety, client. Rationale: was not able to attain the normal routine. and so forth Anxiety is following: 3. Respond to contagious and may relaxation be transferred from 1. Be free from techniques health care provider injury. with a to client or vice 2. Discuss feelings of decreased versa. Client dread, anxiety, and so anxiety level. develops feeling of forth 4. Reduce own security in presence 3. Respond to anxiety level. of calm staff relaxation techniques with 5. Be free from person. a decreased anxiety level. anxiety attacks. 2. Establish and 4. Reduce own maintain a trusting anxiety level. relationship by 5. Be free from listening to the anxiety attacks. client; displaying warmth, answering questions directly, offering unconditional acceptance; being available and respecting the client’s use of personal space. Rationale: Therapeutic skills need to be directed toward putting the client at ease, because the nurse who is a stranger may pose a threat to the highly anxious client. 3. Remain with the client at all times when levels of anxiety are high (severe or panic); reassure client of his or her safety and security. Rationale: The client’s safety is utmost priority. A highly anxious client should not be left alone as his anxiety will escalate. 4. Move the client to a quiet area with minimal stimuli such as a small room or seclusion area (dim lighting, few people, and so on.) Anxious behavior escalates by external stimuli. Rationale: A smaller or secluded area enhances a sense of security as compared to a large area which can make the client feel lost and panicked. 5. Maintain calmness in your approach to the client. The client will feel more secure if you are calm and inf the client feels you are in control of the situation. Rationale: Provide reassurance and comfort measures.
6. Educate the patient
and/or SO that anxiety disorders are treatable. Rationale: Pharmacological therapy is an effective treatment for anxiety disorders; treatment regimen may include antidepressants and anxiolytics. 7. Support the client’s defenses initially. Rationale: The client uses defenses in an attempt to deal with an unconscious conflict, and giving up these defenses prematurely may cause increased anxiety. 8. Maintain awareness of your own feelings and level of discomfort. Rationale: Anxiety is communicated interpersonally. Being with an anxious client can raise your own anxiety level. Discussion of these feelings can provide a role model for the client and show a different way of dealing with them. 9. Stay with the patient during panic attacks. Use short, simple directions. Rationale: During a panic attack, the patient needs reassurance that he is not dying, and the symptoms will resolve spontaneously. In anxiety, the client’s ability to deal with abstractions or complexity is impaired.