Nursing Care Plane For Anxiety

To decide what kind of nursing intervention or nursing management for the anxiety's patient, the Nurses should make an assessment in two point ; Actual or Potential before they make their nursing care plan (NCP) note. Then the nurses collect some information, why the patient become anxiety.

May be related to :

• Anesthesia intervention


• Anticipated or actual pain


• Him or Her condition (Disease)


• Invasive/noninvasive procedure during treatment


• Loss of significant other


• Threat to self-concept


• Other may appear on Him/Her self

To help and support the assessment's data, look and check on :

• Physiological; Elevated Blood Pressure , Pulls and Respiration. Insomnia, Restlessnes, Dry mouth, Dilated pupils, Frequent urination, Diarrhea.


• Emotional; Patient complains of apprehension, nervousness, tension


• Cognitive; Inability to concentrate. Orientation to past. Blocking of thoughts, hyper-attentiveness

Plan and Outcome data :
The patient will :

• Demonstrate a decrease in anxiety A.E.B.:
  
  • A reduction in presenting physiological, emotional, and/or cognitive manifestations of anxiety.
  
  
  • Verbalization of relief of anxiety.
  
  


• Discuss/demonstrate effective coping mechanisms for dealing with anxiety.


• Other:...

Nursing Interventions :

1. Assist patient to reduce present level of anxiety by:
   
   • Provide reassurance and comfort.
   
   
   • Stay with person.
   
   
   • Don't make demands or request any decisions.
   
   
   • Speak slowly and calmly.
   
   


2. Attend to physical symptoms. Describe symptoms: Give clear, concise explanations regarding impending procedures.


3. Focus on present situation.


4. Identify and reinforce coping strategies patient has used in the past.


5. Discuss advantages and disadvantages of existing coping methods.


6. Discuss alternate strategies for handling anxiety. (Eg.: exercise, relaxation techniques and exercises, stress management classes, directed conversation (by nurse), assertiveness training)


7. Set limits on manipulation or irrational demands.


8. Help establish short term goals that can be attained.


9. Reinforce positive responses.


10. Initiate health teaching and referrals as indicated:

Posted in: NCP