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. 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. 18. 14. In some cases, the patient may require hospitalization or other advanced interventions, which will require close collaboration with the healthcare team. 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. Clients often ask nurses for advice about what they should do about particular problems or specific situations. Chand, S. P., & Marwaha, R. (2022, May 8). The combination approach yields superior results for most clients compared to either single modality. 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. 28. The client will willingly attend therapy activities accompanied by a trusted support person within 1 week. How do you develop a nursing care plan? While the patient is explaining this to you she cries many times and has poor eye contact. It is important to note that music therapy is not equal to music medicine. 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. Bhatt, N. V., & Bienenfeld, D. (2019, March 27). Anxiety can be observed as part of a drug withdrawal or drug intoxication effect (Bhatt & Bienenfeld, 2019). The following are nursing interventions for GAD: Pharmacological interventions are commonly used to treat anxiety. Reassure the client of his or her safety and security. The patient also reports to havingconstant diarrhea, forgetfulness, irritability, and angry outbursts at her children. Initially meet clients dependency needs as required. 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. Some patients may require additional interventions, such as medication or therapy, to manage their anxiety symptoms. Be aware of own belief systems and accept client's spirituality. The person with severe anxiety disorders begins to manifest excessive autonomic nervous system signs of the fight-or-flight stress response. Short-term goal: The patient will remain free of destructive behavior and will report a decrease in stress. The client will demonstrate problem-solving skills and effective use of resources. 5. Encourage the client to explore underlying feelings that may be contributing to irrational fears. These defense mechanisms include displacement, repression, denial, projection, and self-image splitting. 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. - Blood filled tissue due to underlying tissue damage. There are various treatment options for anxiety, and the choice of treatment depends on the severity of the symptoms and the patients preferences. Treatment may include therapy, medication, lifestyle changes, and self-care techniques. 27. Anxiety related to the stress of hospitalization and medical procedures, as evidenced by reports of fear, nervousness, and panic attacks. His or her thinking skills become limited and irrational. The formatting isnt always important, and care plan formatting may vary among different nursing schools or medical jobs. (Example: Client may choose. 4. Do not leave client alone at this time. Behavioral therapy involves sequentially greater exposure of the client to anxiety-provoking stimuli; over time, the client becomes desensitized to the experience (Bhatt & Bienenfeld, 2019). 3. Keep immediate surroundings low in stimuli (dim lighting, few people, simple decor). In this article, we have discussed five nursing diagnosis and care plans that can be used to address anxiety in patients. Anxiety and Anxiety Disorders in Young People: A Cross-Cultural Perspective. 7 Anxiety and Panic Disorders Nursing Care Plans , Surgery (Perioperative Client) Nursing Care Plans, Bronchiolitis & Respiratory Syncytial Virus (RSV) Nursing Care Plans, Anxiety and Panic Disorders Nursing Care Plans, Cryptorchidism (Undescended Testes) Nursing Care Plans, Mechanical Ventilation & Endotracheal Intubation Nursing Care Plans, All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing. Within 1 week, the client will decrease participation in ritualistic behavior by half. In addition, her mother has been diagnosed with stage 4 breast cancer. 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. Encourage the client to consider positive self-talk like Anxiety wont harm me, I can take this step by step, I need to breathe and stretch right now, and I dont 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. 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). Imagery employs all five senses to create a deeper sense of relaxation (Norelli et al., 2022). 32. It can be a result of fear, uncertainty, circular and racing thoughts, and the avoidance of certain behaviors. Monitor support systems. Copyright 2023 RegisteredNurseRN.com. By using nursing diagnoses and care plans, you can provide individualized care that addresses the unique needs of each patient, helping them to manage their symptoms and improve their overall well-being. These interventions are designed to address the patients symptoms and promote relaxation, coping, and overall well-being. Encourage participation in these activities, and provide positive reinforcement for participation, as well as for achievement. Being with an anxious client can raise the nurses own anxiety level. Going to a small, quiet, and non-stimulating environment may help reduce anxiety. Consider passing the NCLEX as a short-term goal and an . Overall, the success of nursing care plans for anxiety depends on a variety of factors, including the patients individual needs, the effectiveness of the care plan, and the patients willingness to participate in their own care. Stage 2. It can be caused by a variety of factors, including physical, psychological, or environmental stressors. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively sample clinical applications, prioritized action/interventions with rationales a documentation section, and much more! Anxiety can have a significant impact on a persons quality of life, and it is important to seek treatment if you are experiencing symptoms. Here are nine (9) nursing care plans (NCP) and nursing diagnoses for major depression: Risk For Self-Directed Violence Impaired Social Interaction Spiritual Distress Chronic Low Self-Esteem Disturbed Thought Processes Self-Care Deficit Grieving Hopelessness Deficient Knowledge 1. The following are the causative factors related to anxiety: Anxiety disorders are often underrecognized and undertreated in primary care. 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. Buy on Amazon. Nurses should encourage open and honest communication to ensure that the care plan is meeting the patients needs. Acute anxiety, as a form of acute mental anguish, can lead to unsafe or self-injurious behavior (Bhatt & Bienenfeld, 2019). 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. By using the nursing diagnosis and care plans outlined in this article, nurses can help patients manage their anxiety symptoms and achieve a better quality of life. Free Cheatsheets. Anyone from all walks of life can suffer from anxiety disorders. The client will demonstrate an appropriate range of feelings and lessened fear. Instruct the client on the appropriate use of antianxiety medications.Short-term use of antianxiety medications can enhance client coping and reduce physiological manifestations of anxiety. -The patient will explores possible stressors and lifestyle changes she can change in order to help with the anxiety in her life. Because of the shock of the initial trauma, many people may not recall the information provided during that time. Garboczy, S., Szeman-Nagy, A., Ahmad, M. S., Harsanyi, S., Ocsenas, D., Rekenyi, V., Al-Tammemi, A. Nursing diagnoses handbook: An evidence-based guide to planning care. And worst, it can even lead to related psychological conditions, like substance abuse and personality difficulties. Rule out withdrawal from alcohol, sedatives, or smoking as the cause of anxiety.Withdrawal from these substances is characterized by anxiety. A person in panic anxiety may perceive touch as a threatening gesture. The flow of air blocks in the lungs. 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. Medical-surgical nursing: Concepts for interprofessional collaborative care. Its reliability and validity are well reported. Cluttered spaces can also overwhelm the client and create feelings of anxiety (Lindberg, 2023). Box breathing can be particularly helpful with relaxation. 26. Genetic vulnerability interacts with situations that are stressful or traumatic to produce clinically significant syndromes. Assess the clients level of anxiety. Nursing Care Plan for Schizophrenia 3 Nursing Diagnosis: Defensive coping related to perceived threat to self as evidenced by agitation/ aggression, anxiety, suspiciousness, confusion, irritability, hallucinations/delusions, difficulty establishing relationships, and verbalization of powerlessness There are many resources out there on how to create a mental health treatment plan - there's even a WikiHow page on the subject!. The presence of a trusted individual provides emotional security for the client. 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. Interprofessional patient problems focus familiarizes you with how to speak to patients. 10. The nurse can assess anxiety in a patient by asking open-ended questions about the patients emotional state and evaluating the patients behavior and physical symptoms. 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. It is important for nurses to work closely with patients to develop a care plan that is tailored to their specific needs and preferences. The client will participate in decision-making regarding his own care within 5 days. St. Louis, MO: Elsevier. The exercise involves tensing and releasing muscles, progressing throughout the body, with the focus on the release of the muscle as the relaxation phase. Encourage recognition of situations that provoke obsessive thoughts or ritualistic behaviors. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Dependence on others may result in irritability, resentment, anger, and guilt, Past experiences of difficulty in interactions with others, Need to engage in ritualistic behavior in order to keep anxiety under control, Developmentally [or culturally] inappropriate behaviors, Preoccupation with own thoughts; repetitive, meaningless action, Expression of feelings of rejection or of aloneness imposed by others, Experiences feelings of differences from others. Anxiety disorders are a group of mental health conditions that are characterized by excessive and persistent worry, fear, or anxiety. The client will be able to effectively problem-solve ways to take control of his or her life situation by discharge, thereby decreasing feelings of powerlessness. 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 presence of the nurse may lend support to the anxious patient and provide strategies for effectively coping with anxious moments or panic attacks. History, physicalexamination, and laboratory findings support a specific diagnosis, for example, hypoglycemia, pheochromocytoma, orthyroid disease. Short-term goal: The patient will report an improvement in anxiety by the end of the shift. Join NURSING.com to watch the full lesson now. Positive outcomes of nursing care plans for anxiety can include improved quality of life, increased ability to cope with stressors, and a reduction in anxiety symptoms. Use the State-Trait Anxiety Inventory (STAI) to differentiate between the clients anxiety level as a temporary response state and a long-standing personality trait.The State-Trait Anxiety Inventory, developed by Spielberger, is considered a definitive tool for measuring anxiety in adults. To develop a care plan handbook uses an easy, three-step system to you... 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