Pain Nursing Care Plan For Anxiety


Pain Nursing Care Plan For Anxiety

What should be in a care plan for anxiety?

Nursing Interventions and Rationales – As a nurse, one of the key components of caring for patients with anxiety is implementing nursing interventions. These interventions are designed to address the patient’s symptoms and promote relaxation, coping, and overall well-being.1.

  1. Recognize awareness of the client’s anxiety.
  2. Since a cause of anxiety cannot always be identified, the client may feel as though the feelings being experienced are counterfeit.
  3. Acknowledgment of the client’s feelings validates the feelings and communicates acceptance of those feelings.
  4. Fear and anxiety will diminish as the client begins to accept and deal positively with reality.

This is an indicator of the client’s readiness to accept responsibility for participation in recovery and to “resume life”.2. 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,
  • Interaction time with the nurse is essential for clients with anxiety to feel that they are not alone, with no reasons for them to experience that condition, and help them deal with anxiety.
  • Interview techniques may be utilized to build rapport.

The use of therapeutic communication techniques makes it easier for the client to express feelings, understand their needs, incorporate interventions to meet those needs, and guide the client toward identifying a plan of action that can lead to a satisfying and socially appropriate resolution (Cacayan et al., 2021).3.

  • Familiarize the client with the environment and new experiences or people as needed.
  • Awareness of the environment promotes comfort and may decrease the anxiety experienced by the client.
  • Anxiety may intensify to a panic level if the client feels threatened and unable to control environmental stimuli.
  • The lighting, temperature, sounds, smells, and color palette of an environment are very important to how comfortable, relaxed, and safe the client feels.

Indirect or inconsistent communication, conflicts, and unreliable people in the environment can also be very stressful to manage (Lindberg, 2023).4. Interact with the client in a peaceful manner. The nurse or health care provider can transmit his or her own anxiety to the hypersensitive client.

The client’s feeling of stability increases in a calm and non-threatening environment. Based on data analysis, nurses’ attitudes or behaviors matter when interacting with a client with anxiety. 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).5.

Accept the client’s defenses; do not dare, argue, or debate. If defenses are not threatened, the client may feel secure and protected enough to look at behavior. Sometimes it is necessary to acknowledge what the client says and affirm that they have been heard.

  1. 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.
  2. Clients who feel their nurses are listening to them and taking them seriously are more likely to be receptive to care (Rivier University, 2023).6.
  3. Converse using simple language and brief statements.

When experiencing moderate to severe anxiety, clients may be unable to understand anything more than simple, clear, and brief instructions. Because of the shock of the initial trauma, many people may not recall the information provided during that time.

  1. Providing frequent and understandable explanations may reduce the client’s fear and anxiety, clarifies misconceptions, and promotes cooperation.7.
  2. Reinforce the client’s 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. By using nonverbal cues such as nodding and saying “I see”, the nurse can encourage the client to continue talking. 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).8.

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. increasing anxiety may become frightening to the client and others. 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.

Cluttered spaces can also overwhelm the client and create feelings of anxiety (Lindberg, 2023).9. 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.

  • Clients often ask nurses for advice about what they should do about particular problems or specific situations.
  • The nurse can ask the client what they think they should do, which encourages the client to be accountable for their own actions and helps them come up with solutions themselves (Rivier University, 2023).10.
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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. Be empathetic and nonjudgemental in dealing with the client and family.

  1. Family relationships are disrupted; financial, lifestyle, and role changes make this a difficult time for those involved with the client, and they may react in many different ways.11.
  2. Recommend client to keep a log of episodes of anxiety.
  3. Instruct the client to describe what is experienced and the events leading up to and surrounding the event.

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. The client may be unaware of the relationship between emotional concerns and anxiety.

  1. If the client is comfortable with the idea, the log may be shared with the healthcare provider, who may help the client develop more effective coping strategies.
  2. Symptoms often provide the healthcare provider with information regarding the degree of anxiety being experienced.12.
  3. Encourage the client to consider positive self-talk like “Anxiety won’t harm me,” “I can take this step by step,” “I need to breathe and stretch right now,” and “I don’t have to be perfect” can be helpful in calming the patient and reducing their anxiety.

Cognitive therapies focus on changing behaviors and feelings by changing thoughts. Replacing negative self-statements with positive self-statements aids to reduce anxiety. Within the client-centered armamentarium is awareness of and openness to understanding each individual and his or her uniqueness within the context of that person’s life experience and attention to the influence of biopsychosocial and developmental risk and resilience factors.

  1. Clients are more satisfied when they feel they have agency or control over treatment decisions (Stubbe, 2017).13.
  2. Consider the client’s use of coping strategies that the client has found effective in the past.
  3. This enhances the client’s sense of personal mastery and confidence.
  4. This also focuses attention on the client’s own capabilities, increasing their sense of control.

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).14. Avoid unnecessary reassurance; this may increase undue worry.

Reassurance is not helpful for the anxious individual. Reassurance attempts to dispel the anxiety of the client by implying that there is no sufficient reason for it to devalue the client’s judgment and communicates the nurse’s lack of empathy and understanding.15. Assist the client in developing new anxiety-reducing skills (e.g., relaxation, deep breathing, positive visualization, and reassuring self-statements).

Discovering new coping methods provides the client with various ways to manage anxiety. Relaxation techniques provided by nurses help the clients divert their attention to other things that will make them feel at ease, change their mindset into a positive one, control thinking, and manage their emotions, especially fear, sadness, and overthinking about their condition.

Additionally, the nurse may guide the client through these techniques to refocus their perception of their situation (Cacayan et al., 2021).16. Intervene when possible to eliminate sources of anxiety. Anxiety is a normal response to actual or perceived danger; if the threat is eliminated, the response will stop.

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. Removing these triggers may lead to a reduction in the client’s anxiety and panic attacks (Bhatt & Bienenfeld, 2019).17.

  1. Assist the client in strengthening problem-solving abilities.
  2. Highlight the logical strategies that the client can use when experiencing anxious feelings.
  3. Learning to identify a problem and evaluate the alternatives to resolve that problem helps the client cope.
  4. 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).18.
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Explain all activities, procedures, and issues that involve the client; use non medical terms and calm, slow speech. Do this in advance of procedures when possible, and validate the client’s understanding. With preadmission client education, clients experience less anxiety and emotional distress and have increased coping skills because they know what to expect.

What is a nursing diagnosis of a patient with anxiety?

Anxiety is a NANDA-I nursing diagnosis and described as ‘ vague, uneasy feeling of discomfort or dread accompanied by an autonomic response; a feeling of apprehension caused by anticipation of danger.

What is the most common intervention for anxiety?

Psychotherapy – Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. It can be an effective treatment for anxiety. Cognitive behavioral therapy (CBT) is the most effective form of psychotherapy for anxiety disorders.

What are nurses diagnosis examples?

What Are the Differences Between a Nursing Diagnosis and Other Types of Diagnosis? – Nursing diagnosis is not the only diagnosis one might come across in the process of care. That’s why it’s important to know the difference between different types of diagnosis.

  1. The three main ones to consider are nursing diagnosis, medical diagnosis, and collaborative diagnosis.
  2. A nursing diagnosis refers to the process and, subsequently, the label nurses use to assign meaning to patient data collected in the Assessment phase.
  3. The data is labeled with NANDA-I approved nursing diagnosis.

For instance, while assessing a patient, the nurse may notice that the patient coughs prior to swallowing any food, displays inadequate laryngeal elevation, and repeatedly reports “something stuck” in their throat. The nurse can conclude a nursing diagnosis based on these symptoms: impaired swallowing,

  1. Examples of nursing diagnosis : risk for impaired liver function; urinary retention; disturbed sleep pattern; decreased cardiac output.
  2. On the other hand, a medical diagnosis is made by a doctor or advanced health care practitioner.
  3. This type of diagnosis focuses on the patient’s disease, medical condition, or pathologic state – determining which falls into the expertise of advanced medical practitioners.

While the nursing diagnosis can be subject to change, the medical diagnosis generally doesn’t change. It remains imprinted on the patient’s medical history forever. Examples of medical diagnosis : atrial fibrillation; hepatitis; chronic kidney disease; hypertension.

What are some diagnosis for anxiety?

Anxiety Disorders Occasional anxiety is a normal part of life. Many people worry about things such as health, money, or family problems. But anxiety disorders involve more than temporary worry or fear. For people with an anxiety disorder, the anxiety does not go away and can get worse over time.

  • The symptoms can interfere with daily activities such as job performance, schoolwork, and relationships.
  • There are several types of anxiety disorders, including generalized anxiety disorder, panic disorder, social anxiety disorder, and various phobia-related disorders.
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What is the clinical diagnosis of anxiety?

Symptoms – Common anxiety signs and symptoms include:

Feeling nervous, restless or tense Having a sense of impending danger, panic or doom Having an increased heart rate Breathing rapidly (hyperventilation) Sweating Trembling Feeling weak or tired Trouble concentrating or thinking about anything other than the present worry Having trouble sleeping Experiencing gastrointestinal (GI) problems Having difficulty controlling worry Having the urge to avoid things that trigger anxiety

Several types of anxiety disorders exist:

Agoraphobia (ag-uh-ruh-FOE-be-uh) is a type of anxiety disorder in which you fear and often avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed. Anxiety disorder due to a medical condition includes symptoms of intense anxiety or panic that are directly caused by a physical health problem. Generalized anxiety disorder includes persistent and excessive anxiety and worry about activities or events — even ordinary, routine issues. The worry is out of proportion to the actual circumstance, is difficult to control and affects how you feel physically. It often occurs along with other anxiety disorders or depression. Panic disorder involves repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks). You may have feelings of impending doom, shortness of breath, chest pain, or a rapid, fluttering or pounding heart (heart palpitations). These panic attacks may lead to worrying about them happening again or avoiding situations in which they’ve occurred. Selective mutism is a consistent failure of children to speak in certain situations, such as school, even when they can speak in other situations, such as at home with close family members. This can interfere with school, work and social functioning. Separation anxiety disorder is a childhood disorder characterized by anxiety that’s excessive for the child’s developmental level and related to separation from parents or others who have parental roles. Social anxiety disorder (social phobia) involves high levels of anxiety, fear and avoidance of social situations due to feelings of embarrassment, self-consciousness and concern about being judged or viewed negatively by others. Specific phobias are characterized by major anxiety when you’re exposed to a specific object or situation and a desire to avoid it. Phobias provoke panic attacks in some people. Substance-induced anxiety disorder is characterized by symptoms of intense anxiety or panic that are a direct result of misusing drugs, taking medications, being exposed to a toxic substance or withdrawal from drugs. Other specified anxiety disorder and unspecified anxiety disorder are terms for anxiety or phobias that don’t meet the exact criteria for any other anxiety disorders but are significant enough to be distressing and disruptive.

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What are the 4 P’s of nursing?

Many healthcare facilities are using the method of rounding addressing the 4P’s ( possessions, position, pain, and potty ). Despite using the 4 P’s rounding, there has been an increase in patient falls and miscommunication among staff and patients.

What is the best example of a nursing intervention?

Types of nursing interventions – Just as there are different patients with different medical needs and health conditions, there are different types of nursing interventions to meet their needs. Luckily, nurses aren’t on their own for choosing the best intervention for their patients—or even for remembering what all the options are! The Nursing Interventions Classification system defines more than 550 nursing intervention labels that nurses can use to provide the proper care to their patients.

Behavioral nursing interventions include actions that help a patient change their behavior, such as offering support to quit smoking. Community nursing interventions are those that focus on public health initiatives, such as implementing a diabetes education program. Family nursing interventions are those that impact a patient’s entire family, such as offering a nursing woman support in breastfeeding her new baby, or reducing the threat of illness spreading when one family member is diagnosed with a communicable disease. Health system nursing interventions are actions nurses take as part of a healthcare team to provide a safe medical facility for all patients, such as following procedures to reduce the risk of infection for patients during hospital stays. Physiological nursing interventions are related to a patient’s physical health. These nursing interventions come in two categories: basic and complex. An example of a physiological nursing intervention would be providing IV fluids to a patient who is dehydrated. Safety nursing interventions include actions that maintain a patient’s safety and prevent injuries. These include educating a patient about how to call for assistance if they are not able to safely move around on their own.

As you can see, nursing interventions go beyond simply “fixing” a patient. Nursing interventions are a vital service for patients as nurses care for them in every aspect, including physically, mentally, emotionally and socially. The men and women who perform nursing interventions every day can make a lasting, positive impact on their patients.

What are the interventions for anxiety patients?

Managing and treating anxiety

Anxiety disorders can affect a person’s ability to work, study and participate in other activities.Recovery is possible with the appropriate treatment.Some ways to manage anxiety disorders include learning about anxiety, mindfulness, relaxation techniques, correct breathing techniques, dietary adjustments, exercise, learning to be assertive, building self-esteem, cognitive therapy, exposure therapy, structured problem solving, medication and support groups.

What is the most common intervention for anxiety?

Psychotherapy – Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. It can be an effective treatment for anxiety. Cognitive behavioral therapy (CBT) is the most effective form of psychotherapy for anxiety disorders.