33. However, when the client uses denial as a coping mechanism too much, it may affect the clients perspective of reality. 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. Support may enable the client to begin exploring and dealing with the situation. Encourage verbalization of feelings related to this inability. The checklist breaks down treatment plans into five sections: Problem Statements, Goals, Objectives . Keep immediate surroundings low in stimuli (dim lighting, few people, simple decor). A., Dela Cruz, A. C., Felix, F. C., Franco, D. S., & Galimba, J. M. D. (2021, July). Perceptions are further narrowed. The key difference is that this syndrome occurs within 4 wk of the traumatic event and only lasts 2 days to 4 wk. Highlight the logical strategies that the client can use when experiencing anxious feelings.Learning to identify a problem and evaluate the alternatives to resolve that problem helps the client cope. Anxiety related to a recent medical diagnosis and fear of the unknown as evidenced by reports of restlessness, fear, and worry. Suicide attempts can be precipitated by adverse life events such as divorce or financial disaster. Anxiety may intensify to a panic level if the client feels threatened and unable to control environmental stimuli. Pass your board exam. 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. 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). Short-term goal: By the end of the shift the patient will score less than 17 on the Hamilton Anxiety Rating Scale Long-term goal: The patient will report a decrease in the frequency and severity of anxious thoughts Nursing interventions with rationales for Generalized Anxiety Disorder - Impaired mood regulation The client will willingly attend therapy activities accompanied by a trusted support person within 1 week. 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. Anxiety related to the stress of hospitalization and medical procedures, as evidenced by reports of fear, nervousness, and panic attacks. Box breathing uses four simple steps. The nurse may also use standardized screening tools, such as the Generalized Anxiety Disorder-7 (GAD-7), to help identify the severity of the patients symptoms. 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. The nurse should remain with the client until the panic recedes because panic-level anxiety can only last from 5 to 30 minutes (Videbeck, 2018). Below is a nursing care plan with diagnosis and nursing interventions/goals for patients with anxiety. 26. However, it is important to note that not all patients will respond to nursing care plans in the same way. 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. Assist the patient in judging the situation realistically. Whether you are a nurse working in a hospital, clinic, or community setting, understanding the best practices for caring for patients with anxiety is essential. STAI is the gold standard for measuring preoperative anxiety. Support clients efforts to explore the meaning and purpose of the behavior. Acknowledgment of the clients feelings validates the feelings and communicates acceptance of those feelings. Maladaptive behaviors, such as withdrawal and suspiciousness, are manifested during times of increased anxiety. This approach may help empower the client by making them contribute to their care. 13. This conveys your belief in the client as a worthwhile human being. -The patient will relate an increase in psychological and physiologic comfort. 1. Homicidal ideation is uncommon. -The nurse will provide the patient with a psychiatrist refer per md request. Treatment is indicated when a client shows marked distress or suffers from complications resulting from the disorder. 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. Explore clients perception of threat to physical integrity or threat to self-concept. Most Popular Lessons. Clients are more satisfied when they feel they have agency or control over treatment decisions (Stubbe, 2017). Instruct the client to limit the use of central nervous system stimulants.Stimulants (e.g., caffeine, nicotine, theophylline, terbutaline sulfate, amphetamines, and cocaine) can increase physical symptoms of anxiety. Anxiety is generally categorized into four levels: mild, moderate, severe, and panic. -The nurse will assess the patients psychological and physiologic comfort. 5. Validate observations by asking the client, Are you feeling anxious now?Anxiety is a highly individualized, normal physical and psychological response to internal or external life events. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance. The EKG Graph. How do you develop a nursing care plan? Vital signs may be normal or slightly elevated. 32. Fear and anxiety will diminish as the client begins to accept and deal positively with reality. Symptoms often provide the healthcare provider with information regarding the degree of anxiety being experienced. here we have formulated a scenario-based sample nursing care plan for Acute Pancreatitis. https://nursestudy.net/psychosocial-nursing-diagnosis/, Constipation Nursing Diagnosis and Care Plan, Drowsiness, dizziness, confusion, and addiction, Nausea, insomnia, sexual dysfunction, and weight gain, Physical symptoms such as sweating, trembling, or rapid heartbeat. Patients dealing with chronic, life-altering, or . Recognition of precipitating factor(s) is the first step in teaching the client to interrupt the escalation of the anxiety. Anxiety disorders are affecting 40 million adults in the United States age 18 and older, or 18% of the population, according to the National Institute of Mental Health. Honesty and dependability promote a trusting relationship. Clients often ask nurses for advice about what they should do about particular problems or specific situations. 14. The obstetric nurse should be aware that this anxiety exists and of the measures which reduce the tensions anxiety causes during labor and delivery. prioritize interventions for both short and long term goals of care as part of the nursing process the care plan is created after the nurse has identified a nursing diagnosis a nursing diagnosis supports the care plan and outlines appropriate interventions nursing care plan examples free care plans list nurseslabs - Oct 04 2022 web nursing care . 6. Convey an accepting attitude by making brief, frequent contacts. She states these anxiety attacks are controlling her life. Nursing interventions for anxiety may include providing a calm and supportive environment, using relaxation techniques such as deep breathing or guided imagery, administering medications as prescribed, providing education on coping strategies and stress reduction techniques, and referring the patient to a mental health professional as appropriate. Suspected Deep tissue injury: - Skin is intact; appears purple or maroon. Uncertainty and lack of predictability contribute to anxiety. Start Trial . 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. 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). Instruct the client to describe what is experienced and the events leading up to and surrounding the event. If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Reassure the client of his or her safety and security. The most important part of the care plan is the content, as that is the foundation on which you will base your care. Anxiety. 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. Each type of anxiety disorder has its own set of symptoms and treatment options. Confrontation with Coworkers? The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Long term goal: After 2 weeks of nursing care, the client will be able to demonstrate behaviors that protect self from injury and will have reality orientation necessary in learning/ retaining essential aspects in daily living. Providing frequent and understandable explanations may reduce the clients fear and anxiety, clarifies misconceptions, and promotes cooperation. In addition, her mother has been diagnosed with stage 4 breast cancer. Explain all activities, procedures, and issues that involve the client; use non medical terms and calm, slow speech. Indirect or inconsistent communication, conflicts, and unreliable people in the environment can also be very stressful to manage (Lindberg, 2023). Join NURSING.com to watch the full lesson now. It has been argued that differences in the content of fears across cultures are influenced by cultural differences in the child-rearing practices of parents and exposure to specific fear-provoking stimuli (Koydemir & Essau, 2018). The team will strive for goals and outcomes such as the following; Here are some anxiety nursing diagnostic label examples: Here are some related nursing care plans for anxiety: As a nurse, conducting assessments for anxiety nursing diagnosis is an essential part of your role. Clients can and do overcome anxiety if they stick with cognitive strategies and practically apply them to their lives. It can be caused by a variety of factors, including physical, psychological, or environmental stressors. In the severe and panic stages of anxiety, the nurse needs to intervene to promote patient safety. It is characterized by feelings of fear, worry, and apprehension that can be overwhelming and interfere with daily activities. Assistance is required to perceive the benefits and consequences of available alternatives accurately. 8. The lighting, temperature, sounds, smells, and color palette of an environment are very important to how comfortable, relaxed, and safe the client feels. 2. This plan should include strategies for assessing and monitoring the patients symptoms, providing emotional support and counseling, promoting relaxation and stress reduction, and educating the patient on coping mechanisms and healthy lifestyle habits. Social phobiarelates to profound fear of social or performance situations inwhich embarrassment could occur. In addition, effective nursing care plans can help prevent the development of more serious mental health conditions. Anxiety appears to be caused by an interaction of biopsychosocial factors. Establish short-term goals with the patient. -The nurse will help the patient develop 3 coping mechanisms to help with the patient anxiety attacks. 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 says it is not helping. 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. Stressors and everyday demands such as work schedules, school deadlines, family needs, and more can compound on top of more serious stressors such as divorce or the loss of a loved one. 2. 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). By using nonverbal cues such as nodding and saying I see, the nurse can encourage the client to continue talking. Anxiety related to medication side effects, such as dizziness or nausea, as evidenced by reports of worry and fear of taking medication. There is no cure for asthma, but the symptoms can be managed and controlled effectively. Lu, G., Jia, R., Liang, D., Yu, J., Wu, Z., & Chen, C. (2021, October). Administer tranquilizing medication, as ordered by the physician. 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. The client will verbalize accurate knowledge of the situation. Informed and empowered clients participate with the healthcare team in exploring options for overcoming disease and establishing the conditions for maximizing health consistent with their own socio cultural frame of reference (Stubbe, 2017). Removing these triggers may lead to a reduction in the clients anxiety and panic attacks (Bhatt & Bienenfeld, 2019). Short term goal: Within the whole duration of nursing care, the client will be free from injury. Help client to understand how facing these feelings, rather than suppressing them. Provide information regarding psychotherapy.Cognitive and behavioral psychotherapy can be used alone or in addition to pharmacotherapy. Additionally, the nurse may guide the client through these techniques to refocus their perception of their situation (Cacayan et al., 2021). Some of the common physical symptoms of anxiety include: People with anxiety may also experience a range of emotional symptoms, such as: It is important to note that anxiety can manifest in different ways, and not everyone will experience the same symptoms. The signs and symptoms of anxiety can vary from person to person, but there are some common indicators to look out for. Visualization of tranquil settings assists clients in managing stress via distraction from intrusive thoughts, therefore, if intrusive thoughts can be managed, the emotional consequences are more manageable. Within the client-centered armamentarium is awareness of and openness to understanding each individual and his or her uniqueness within the context of that persons life experience and attention to the influence of biopsychosocial and developmental risk and resilience factors. Defense mechanisms are used by people to preserve the ego and manage anxiety. A nursing care plan for depression is a set of goals designed to help your patient reach optimum health and wellness. Remaining calm and in control is essential if the nurse is going to work effectively with the client (Videbeck, 2018). 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). The effectiveness of nursing care plans for anxiety can be assessed through regular evaluations of the patients symptoms and overall well-being. In some cases, the patient may require hospitalization or other advanced interventions, which will require close collaboration with the healthcare team. The following are nursing interventions for chronic anxiety: Panic disorder is a type of anxiety disorder characterized by recurrent and unexpected panic attacks. There are two types, specific and social. Guided imagery is a relaxation exercise intended to assist clients with visualizing a calming environment. 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. Anxiety can be a debilitating condition that affects many patients, but with the right nursing diagnosis and care plan, it can be managed effectively. A person in panic anxiety may perceive touch as a threatening gesture. - Blood filled tissue due to underlying tissue damage. By the time of discharge from treatment, the client will demonstrate an ability to cope effectively without resorting to obsessive-compulsive behaviors or increased dependency. Fear is an automatic neurophysiological state of alarm characterized by a fight or flight response to a cognitive appraisal of present or imminent danger. If you or someone you know is struggling with anxiety, its important to seek professional help from a mental health provider. Short-term goal: By the end of the shift the patient will receive IV fluids and the heart rate and blood pressure will return to normal limits. You are letting yourself have a specific aim or target by setting clear goals for yourself. 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. Family members should receive information about the effect of anxiety disorders on mood, behavior, and relationships. Provide a structured schedule of activities for the client, including adequate time for completion of rituals. 5 short-term goals for nurses. ADHD. You note that her blood pressure and heart rate elevates by 35-50 points while she is talking to you about her situation. lack of knowledge regarding cause and treatment, unconscious conflict about essential values and goal of life, Being in a place or situation from which escape might be difficult, Causing embarrassment to self in front of others, Refuses to expose self to (specify phobic object or situation, Symptoms of apprehension or sympathetic stimulation in presence of phobic object or situation, Verbal expressions of having no control (e.g., over self-care, situation, outcome), Nonparticipation in care or decision-making. 31. 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. An accepting attitude increases feelings of self-worth and facilitates trust. 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. In anxiety disorders secondary to a general medical condition, specialty consultation may be indicated (Bhatt & Bienenfeld, 2019). The client may be unaware of the relationship between emotional concerns and anxiety. Mild anxiety can enhance a persons perception of the environment and readiness to respond. 2. Provide the client with a means to listen to the music of their choice.Music is a simple, inexpensive, aesthetically pleasing means of alleviating anxiety. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). 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. Because anxiety manifests with a number of physical symptoms, any client who presents with a new complaint of physical symptoms suggesting an anxiety disorder should have a physical examination and basic laboratory workup to rule out medical conditions that might present with anxiety-like symptoms (Bhatt & Bienenfeld, 2019). -The nurse will encourage the patient to verbalize her own anxiety and coping patterns. 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. Progressive muscle relaxation is a relaxation technique targeting the symptom of tension associated with anxiety. Nursing care plans: Diagnoses, interventions, & outcomes. The client will voluntarily spend time with other clients and staff members in group activities by the time of discharge from treatment. 3. Be cautious with touch. Agoraphobia is characterized by feelings of intense fear of being alone in open or public places where escape might be difficult. Assess medication for effectiveness and for adverse side effects. Family members may also assist by providing a collaborative resource for monitoring the severity of the clients anxiety symptoms and response to treatment interventions (Bhatt & Bienenfeld, 2019). Interview techniques may be utilized to build rapport. The following are the steps involved in the nursing process for anxiety: By following the nursing process, nurses can effectively manage anxiety in their patients and improve their overall quality of life. Nursing Diagnosis. Buy on Amazon, Gulanick, M., & Myers, J. L. (2022). 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. COPD is an extremely dangerous disease. 12. Anxiety is a common mental health condition that affects millions of people worldwide. Initials: LCSW Progress will be monitored and documented. Provide information about the benefits of mindfulness meditation.Mindfulness meditation is successful in mediating anxiety. 16. Please follow your facilities guidelines and policies and procedures. 7. 4 Ways How Nurses Can Handle Them, Palpitations, pounding heart, or accelerated heart rate, Shortness of breath or feelings of choking, Depersonalization (feeling of being detached from oneself), Expressed concerns regarding perceived changes. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Prefixes & Suffixes . Anxiety can be triggered by a variety of factors, including stress, trauma, genetics, and environmental factors. She has worked in Medical-Surgical, Telemetry, ICU and the ER. Join the nursing revolution. Compare. 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. Other recommended site resources for this nursing care plan: Here are some references and sources you can use to further your research about anxiety nursing diagnosis: document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Gil Wayne ignites the minds of future nurses through his work as a part-time nurse instructor, writer, and contributor for Nurseslabs, striving to inspire the next generation to reach their full potential and elevate the nursing profession. 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. strategies that can help decrease anxiety to the point where anxiety will occurs less than once per day. Cognitive therapy helps the client understand how automatic thoughts and false beliefs/distortions lead to exaggerated emotional responses, such as anxiety, and can lead to secondary behavioral consequences. What are nursing care plans? The client will appear relaxed and report anxiety is reduced to a manageable level. 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. All Rights Reserved. With an assessment of your patient's level of impairment, stressors, and present coping abilities, you can apply individualized outcomes and appropriate interventions in your nursing profession. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Anxiety is divided into different levels and each level has unique effects: Mild Characterized by an individual's awareness that something is different and his attention is warranted by it. Allowing the client choices provides a measure of control and serves to increase feelings of self-worth. Longer-term therapy currently consists of SSRIs, often with additional psychotherapeutic techniques. The client will be able to function in presence of a phobic object or situation without experiencing panic anxiety by the time of discharge from treatment. The client will participate in decision-making regarding his own care within 5 days. Short-term goal: The patient will remain free of destructive behavior and will report a decrease in stress. Because of the shock of the initial trauma, many people may not recall the information provided during that time. Do this in advance of procedures when possible, and validate the clients understanding.With preadmission client education, clients experience less anxiety and emotional distress and have increased coping skills because they know what to expect. The following are nursing interventions for acute anxiety: Encourage deep breathing exercises to promote relaxation Teach relaxation techniques such as progressive muscle relaxation Provide a calm and quiet environment Administer medications as ordered by the physician Diagnosis 2: Chronic Anxiety 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. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Help the client work through feelings of guilt related to the traumatic event. Meditation analyses indicated that mindfulness fully mediated changes in acute anxiety symptoms and partially mediated changes in worry and trait anxiety.