A Case Study On Different Anxiety Experiences Nursing Essay

A Case Study On Different care Experiences nurse EssayAnxiety experiences different in e reallyone in different times, its a normal response to actual danger, promoting the body through stimulating of harmonised and parasympathetic nervous system leave behind be supportful action. (Springhouse, 2007). Anxiety affects our whole being. It affects how we feel, how e be contrive and has very real physical symptoms. It feels a bit give care fear but whereas we know what we are scare of, we often dont know what we are anxious about. Mild anxiety is faint-hearted and unsetting- splite anxiety foundation be extremely debilitating (Medical News Today, 2010). dandy inconvenience oneself it is not approximate stain about tissue damage, (Gulanick et al., 2010).1- How can you manage turn overs discommode?As a nurse, the following can be done to manage Everts botherAnticipate need for inconvenience oneself stand-in early analgetic interference helps to return pang.We have to suffice to pain complain as soon as possible early respond to diligents complaining of pain its help to decrease anxiety and on new(prenominal) side its help to make a trust kin.Trying to pass the addition of stressor or comfort as we can help diligent to tolerate the pain any these elements from environment, intra soulal, or intrapschic factors.Make an good halo of comfort, relaxation, and sleep we have to help patient to be in good atmosphere to bribe a rest and sleep comfortably because about(prenominal) patients experiences of pain may go away put them in fatigue condition, so we have to put him in darkroom and disconnected his phone (Gulanick et al., 2010).2- What can you do to excuse Everts anxiety?The following interventions can be done to alleviate Everts anxietyAnticipate need for pain easiness early analgesic intervention helps to decrease pain.We have to respond to pain complain as soon as possible early respond to patients complaining of pain its help to decrease anxiety and on other side its help to make a trust relationship.Some of cognitive behavioral strategies as followsImages if patient use his mental images its help to distract stress and pain with using all his five senses.Distraction techniques heighten ones concentration upon nonpainful stimuli to decrease ones awareness and experiences of pain and reduce stress such as heart and soul stimulation and br runhing fittings.Use the relaxation exercises its all important(p) for patient to decrease attention and pain.Use breathing exercises.Using Music Therapy in sermon the music therapy works well up on patients. Its apart of treatment group (Mount Munro, 1978).3- Why was Everts wife so worried the Evert did not eat? Should you treat with IV nourishment?Everts wife was worried because Evert qualification suffer from dehydration and malnutrition, and this will cause electrolyte imbalances and his condition will be aggravated by this, his health will deteriorate more rapid ly. As a nurse the treatment plans for Evert to restoring fluid and correcting any electrolyte imbalances. early treatment intervention its help to prevent any potentially life-time threatening such as hypovolemic shock (Gulanick et al., 2010).4- Make a nursing care plan for Evert. Explain and motivate you suggested nursing intervention in according with the four key areas listed in the introduction?A. legal opinion defining characterized Evert verbalizes pain, especially in connection with travel, narrowed nidus such as withdrawal from social and physical contact, relief or distraction behavior( seeking out staff to do activities), restless, anxiety manifested, mirror image of helplessness, and in mightiness 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 in climb satisfied. Evert is able to recognize trai ts of anxiety.Risk diagnosis risk for fluid volume deficit related to inability to procure fluid and food.Nursing outcome sufficient fluids volume and electrolyte balance as evidence by urine return grater than 30ml/hr, consistency of weight, and normal skin turgor (Gulanick et al., 2010).C. Nursing dis course of study1. Assess pain characteristics Quality as example sharp, burning, and shooting. If we want to legal profession the level of severity from 1 to 10, with 10 level it is more sever to patient. Location according to anatomical description, onset if its gradual or sudden. era for how long is it intermittent or continuous (Gulanick et al., 2010).2. Administer parenteral fluids as ordered the nurse must give patient IV fluids as needed and as ordered, challenge with intermediate infusion of fluids for Evert who is ineffective to procure fluid and food (Gulanick et al., 2010).3. Assess patients and help them to recognize the star call attention and symptoms of anxiety i t 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 signs and symptoms with pain give care Heart Rate, Temperature, Blood Pressure, skin color, restlessness, and patient inability to focus. Some patients ignoring sign and symptoms of pain when occur. The patients 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 to the causes of pain because the different causes having 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 medicate method on them either with or without pain killing medical specialty. So, we have to explain to them this point carefully (Gulanick et al., 2010).7. label patients regarding response to pain medications or therapeutics it is important to give patients chance to tell nurse about his reflection regarding pain medication, and also let him to talk about effect of medication on him (Gulanick et al., 2010).8. Assess patients from cultural, intrapersonal, intrapsychic, and environmental degree factors which are share to relief pain these factors will affect patients expression on experiences, for example some cultural you have complete freedom to express how you fell (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 doesnt know it will affect him to response (Gulanick et al., 2010).10. Assess patients regarding foretaste of pain relief it is important for nurses to know patients expectations regarding pain relief either the pain decreased or pain disappeared. Because these patie nt expectation will help the nurse to know either the pain relief or 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 to patient to know that there is many ways of pain relief (Gulanick et al., 2010).D. evaluation Evert manifests adequate relief of pain, recognizes sings of anxiety, and demonstrates positive coping mechanism. Everts urine output greater than 30ml/hr, weight is consistent and with normal skin turgor (Gulanick et al., 2010).FOUR major(ip) AREASSymptoms Control A palliative approach, involving attention to symptoms control and the psychological, social and ghostly 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 have with understanding of the patients 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 bill by clinicians include assessment of the symptom, understanding the meaning ascribed to it by the patient, rendering of the likely cause, investigation should only be undertaken if they will change the course of action to be followed, institution of treatment based on know 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 well make patient booming 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 ability to describe them. (Gulanick, 2010).Teamwork during assessment p ain in patient, contributions from the multidisciplinary team is 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). 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 check patient and his/her family about intervention regarding inadequate expenditure, and explain to him the importance of intake such as drinking fluids and eating food. Explanation of the importance of the rule and intended effect of treatment program to alleviate pain, diminish anxieties (Gulanick et al., 2010).