A Case Study On Different Anxiety Experiences Nursing Essay

A Case Study On Different Anxiety Experiences Nursing Essay

Anxiety experiences different in everyone in different times, it’s a normal response to actual danger, promoting the body through stimulating of sympathetic and parasympathetic nervous system will be helpful action. (Springhouse, 2007).

Anxiety affects our whole being. It affects how we feel, and how we behave and has very real physical symptoms. It feels a bit like fear but whereas we know what we are frightened of, we often don’t know what we are anxious about. Mild anxiety is vague and unsetting-severe anxiety can be extremely debilitating (Medical News Today, 2010). Acute pain it is not good sign about tissue damage, (Gulanick et al., 2010).

1- How can you manage Evert’s pain?

As a nurse, the following can be done to manage Evert’s pain:

  • Anticipate the need for pain relief: early analgesic intervention helps to decrease pain.
  • We have to respond to pain complaints as soon as possible: early response to a patient’s complaints of pain helps to decrease anxiety and on the other side its helps to make a trusting relationship.
  • Trying to eliminate the addition of stressors or comfort as we can: help a patient to tolerate the pain either these elements from the environment, intrapersonal or intrapsychic factors.
  • Make a good atmosphere of comfort, relaxation, and sleep: we have to help patients to be in a good atmosphere to take a rest and sleep comfortably because some patient’s experiences of pain may put them in fatigue condition, so we have to put him in a darkroom and disconnected his phone (Gulanick et al., 2010).

2- What can you do to alleviate Evert’s anxiety?

The following interventions can be done to alleviate Evert’s anxiety:

  • Anticipate the need for pain relief: early analgesic intervention helps to decrease pain.
  • We have to respond to pain complaints as soon as possible: early response to the patient’s complaints of pain helps to decrease anxiety and on the other side it helps to make a trusting relationship.

Some cognitive-behavioral strategies are as follows:

  • Images: if the patient uses his mental images it helps to distract stress and pain by using all his five senses.
  • Distraction techniques: heighten one’s concentration upon nonpainful stimuli to decrease one’s awareness and experiences of pain and reduce stress such as nerve stimulation and breathing modifications.
  • Use the relaxation exercises: it’s important for the patient to decrease attention and pain.

Use breathing exercises.

Using Music Therapy in treatment: music therapy works well on patients. It’s a part of the treatment team (Mount& Munro, 1978).

3- Why was Evert’s wife so worried that Evert did not eat? Should you treat with IV nourishment?

Evert’s wife was worried because Evert might suffer from dehydration and malnutrition, and this will cause electrolyte imbalances and his condition will be aggravated by this, his health will deteriorate more rapidly. As a nurse, the treatment plans for Evert are to restore fluid and correct any electrolyte imbalances. Early treatment intervention its help to prevent any potentially life-threatening such as hypovolemic shock (Gulanick et al., 2010).

4- Make a nursing care plan for Evert. Explain and motivate your suggested nursing intervention in accordance with the four key areas listed in the introduction?

A. Assessment: defining characterized: Evert verbalizes pain, especially in connection with moving, narrowed focus such as withdrawal from social and physical contact, relief or distraction behavior( seeking out staff to do activities), restless, anxiety manifested, expression of helplessness, and inability to procure fluid and food.

B. Nursing Diagnosis: actual diagnosis: acute pain related to severe anxiety.

Nursing outcome: Evert will be enable adequate relief of pain when moving or ability to deal with the pain are not fully satisfied. Evert is able to recognize signs of anxiety.

Risk diagnosis: risk for fluid volume deficit related to an inability to procure fluid and food.

Nursing outcome: sufficient fluids volume and electrolyte balance as evidenced by urine output greater than 30ml/hr, consistency of weight, and normal skin turgor (Gulanick et al., 2010).

C. Nursing Intervention:

1. Assess pain characteristics: Quality as example sharp, burning, and shooting. If we want to measure the level of severity from 1 to 10, with 10 levels it is more severe for the patient. Location according to anatomical description, onset if it’s gradual or sudden. Duration for how long is it intermittent or continuous (Gulanick et al., 2010).

2. Administer parenteral fluids as ordered: the nurse must give the patient IV fluids as needed and as ordered, challenge with an intermediate infusion of fluids for Evert who is unable to procure fluid and food (Gulanick et al., 2010).

3. Assess patients and help them to recognize the sign and symptoms of anxiety: it is important for patients to be able to know and recognize the sign and symptoms of anxiety, which will help Evert to be able to solve his sign and symptoms when anxiety level is low (Gulanick et al., 2010).

4. Relieving factors. Monitor the patient’s signs and symptoms with pain: Such as Heart Rate, Temperature, Blood Pressure, skin color, restlessness, and patient inability to focus. Some patients ignore signs and symptoms of pain when occur. The patient’s must inform the nurse about these sign and symptoms because it well helps the nurses in evaluation (Gulanick et al., 2010).

5. Assessing the main causes of pain: it is important for doctors and nurses to look at the causes of pain because the different causes have different treatments (Gulanick et al., 2010).

6. Assess the patient knowledge regarding pain relief strategies: a lot of patients may not realize how effective non-drug methods are for them either with or without pain-killing medication. So, we have to explain to them this point carefully (Gulanick et al., 2010).

7. Evaluate the patient’s response to pain medications or therapeutics: it is important to give the patient’s chance to tell the nurse about his expression regarding pain medication, and also let him talk about the effect of the medication on him (Gulanick et al., 2010).

8. Assess patients from cultural, intrapersonal, intrapsychic, and environmental degree factors which are shared to relieve pain: these factors will affect the patient’s expression of experiences, for example, in some cultures you have complete freedom to express how you feel (Gulanick et al., 2010).

9. Evaluate what is the meaning of pain to individuals: it is important to all patients’ to know the meaning of pain because if he doesn’t know it will affect him to response (Gulanick et al., 2010).

10. Assess patient’s expectation of pain relief: it is important for nurses to know patients’ expectations regarding pain relief whether the pain decreased or the pain disappeared. Because this patient expectation will help the nurse to know either the pain relief or the need to participate in another treatment (Gulanick et al., 2010).

11. Assess patients if they would like to explore some other techniques to control pain: it is important for patients to know that there are many ways of pain relief (Gulanick et al., 2010).

D. Evaluation: Evert manifests adequate relief of pain, recognizes signs of anxiety, and demonstrates positive coping mechanisms. Evert’s urine output is greater than 30ml/hr, weight is consistent and with normal skin turgor (Gulanick et al., 2010).

FOUR MAJOR AREAS:

Symptoms Control: A palliative approach, involving attention to symptoms control and the psychological, social, and spiritual wellbeing of the patient and their family is relevant at all stages of the disease, and it has been argued that attention to these aspects combined with an understanding of the patient’s feelings and concerns all contribute to improving quality of life of the person with acute pain (Montazeri et al., 1998).

The principles of symptom control, which are used as a standard by clinicians include: assessment of the symptom, understanding of the meaning ascribed to it by the patient, explanation of the likely cause, and investigation should only be undertaken if they will change the course of action to be followed, the institution of treatment based on known or likely etiology, available options for treatment, and wishes of the patient, monitoring of the response to treatment and modification as necessary ( Steinhauser et al., 2000).

Communication: make a good relationship between nurse and patient which will make the patient comfortable in communication. Trying to orient the patient to the environment and help him to take experiences from people as needed, and also when the patient is aware and oriented very well it will help him to be comfort and may will decrease anxiety. Help the patient to express anxious felling if the patient has the ability to describe them. (Gulanick, 2010).

Teamwork: during the assessment of pain in a patient, contributions from the multidisciplinary team are very important to evaluate the following: a detailed history of each pain, full examination, and psychosocial assessment, a history of analgesics already used, and the response to them, investigations to confirm the diagnosis, depending on the stage of disease and the treatment options (Ripamonte et al., 1997).

 Anxiety Experiences
A Case Study On Different Anxiety Experiences Nursing Essay

Perception of pain will be influenced by the meaning of pain for the patient. Open discussion among team members, family and patient, allowing fears to be discussed, providing explanation of the symptoms and reassurance of continued support is important (Twycross, R. G, 1993).

Family: the nurse must teach the patient and his/her family about intervention regarding inadequate intake, and explain to him the importance of intake such as drinking fluids and eating food. Explanation of the importance of the rationale and intended effect of treatment program to alleviate pain, and diminish anxieties (Gulanick et al., 2010).

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