- Actual
Related To: [Check those that apply]
- Threat or perceived threat to physical and emotional integrity
- Changes in role function
- Intrusive diagnostic and surgical tests and procedures
- Changes in environment and routines
- Threat or perceived threat to self-concept
- Threat to (or change in) socioeconomic status
- Situational and maturational crises
- Interpersonal conflicts
As evidenced by: [Check those that apply]
Physiological
- Increase in blood pressure, pulse, and respirations
- Dizziness, light-headedness
- Perspiration
- Frequent urination
- Flushing
- Dyspnoea
Behavioural
- Expressions of helplessness
- Feelings of inadequacy
- Crying
- Difficulty concentrating
- Rumination
- Inability to problem-solve
Patient’s Diagnosis: –
Date:-
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- Be able to recognize signs of anxiety.
- Demonstrates positive coping mechanisms.
- Describe a reduction in the level of anxiety experienced.
- Others
| Nursing Interventions | Scientific Rationale |
|---|---|
| Assess patient's level of anxiety. | To serve as a baseline data to compare subsequent assessment. |
| Determine how patient copes with anxiety. | This assessment helps determine the effectiveness of coping strategies currently used by patient. |
| Acknowledge awareness of patient's anxiety. | Acknowledgment of the patient's feelings validates the feelings and communicates acceptance of those feelings. |
| Reassure patient that he or she is safe. Stay with patient if this appears necessary. | The presence of a trusted person may be helpful during an anxiety attack |
| Maintain a calm manner while interacting with patient. | The health care provider can transmit his or her own anxiety to the hypersensitive patient. The patient's feeling of stability increases in a calm and nonthreatening atmosphere. |
| Establish a working relationship with the patient through continuity of care. | An ongoing relationship establishes a basis for comfort in communicating anxious feelings. |
| Orient patient to the environment and new experiences or people as needed. | Orientation and awareness of the surroundings promotes comfort and may decrease anxiety. |
| Reduce sensory stimuli by maintaining a quiet environment; keep threatening" equipment out of sight." | Anxiety may escalate with excessive conversation, noise, and equipment around the patient. |
| Encourage patient to seek assistance from an understanding significant other or from the health care provider when anxious feelings become difficult. | The presence of significant others reinforces feelings of security for the patient. |
| Assist the patient in developing anxiety-reducing skills (relaxation, deep breathing, positive visualization, reassuring self-statements, and others). | Using anxiety-reduction strategies enhances patient's sense of personal mastery and confidence. |
| Assist patient in developing problem-solving abilities. Emphasize the logical strategies patient can use when experiencing anxious feelings. | Learning to identify a problem and evaluate alternatives to resolve it helps patient to cope. |
| Assist patient in recognizing symptoms of increasing anxiety; explore alternatives to use to prevent the anxiety from immobilizing her or him. | The ability to recognize anxiety symptoms at lower-intensity levels enables the patient to intervene more quickly to manage his or her anxiety. |
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