Anxiety
Published on Monday October 12th , 2009
Anxiety
(_)Actual (_)
Potential
Related
To:
[Check
those that apply]
(_)
Anesthesia
(_) Anticipated/actual pain
(_) Disease
(_) Invasive/noninvasive procedure:_________
_____________________________________
(_) Loss of significant other
(_) Threat to self-concept
(_) Other:_____________________________
____________________________________
____________________________________ |
As
evidenced by:
[Check
those that apply]
Major:
(Must be
present) |
[Physiological]
(_) Elevated BP, P, R (_) 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, hyperattentiveness
|
Date &
Sign. |
Plan and Outcome [Check
those that apply] |
Target
Date: |
Nursing Interventions [Check
those that apply] |
Date
Achieved: |
|
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:
|
|
(_)
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.
- Attend to
physical symptoms. Describe symptoms:
- Give clear,
concise explanations regarding impending
procedures.
- Focus on present
situation.
- Identify and
reinforce coping strategies patient has used in
the past.
- Discuss
advantages and disadvantages of existing coping
methods.
- Discuss alternate
strategies for handling anxiety. (Eg.: exercise,
relaxation techniques and exercises, stress
management classes, directed conversation (by
nurse), assertiveness training)
- Set limits on
manipulation or irrational demands.
- Help establish
short term goals that can be attained.
- Reinforce
positive responses.
- Initiate health
teaching and referrals as indicated:
(_)
Other:________________
________________________
________________________
________________________
|
|
__________________________
Patient/Significant other signature
__________________________
RN signature
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