Anxiety Nursing Care Plan
Anxiety Nursing Care Plan
Prepared by: [YOUR NAME]
[YOUR EMAIL]
Patient Information
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Name: Jeremy Marvin
-
Age: 36
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Gender: Male
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Date of Admission: January 15, 2050
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Primary Diagnosis: Generalized Anxiety Disorder (GAD)
Assessment
|
Assessment Data |
Symptoms/ Findings |
Patient Reported |
Objective Findings |
Additional Notes |
|---|---|---|---|---|
|
Emotional state |
Excessive worry |
"I can't stop worrying about everything." |
Fidgeting, tense posture, difficulty concentrating |
Complaints of restlessness and insomnia |
|
Physiological state |
Increased heart rate, dry mouth |
"I feel like my heart is racing." |
Elevated BP: 150/95, pulse: 110 bpm |
Signs of physical tension observed |
|
Coping mechanisms |
Ineffective coping |
"I don't know how to deal with this anxiety." |
N/A |
Difficulty using relaxation strategies |
Nursing Diagnosis
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Anxiety related to situational stressors, as evidenced by excessive worry, restlessness, and increased physiological symptoms.
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Ineffective coping related to lack of coping strategies for stress management, as evidenced by verbalization of distress and failure to implement relaxation techniques.
Goals & Expected Outcomes
|
Goal |
Expected Outcome |
Timeframe |
Evaluation |
|---|---|---|---|
|
Goal 1: Reduce anxiety symptoms to a manageable level. |
Patient will report a decrease in anxiety level from 8/10 to 4/10. |
By January 20, 2050 |
Anxiety scale will be reassessed. |
|
Goal 2: Enhance coping mechanisms. |
Patient will demonstrate the use of at least two relaxation techniques. |
By January 22, 2050 |
Patient will practice coping strategies daily. |
|
Goal 3: Improve physiological stability. |
Vital signs will return to baseline: BP < 130/80, pulse < 80 bpm. |
By January 20, 2050 |
Vital signs will be reassessed daily. |
Nursing Interventions
|
Intervention |
Rationale |
Timeframe |
Evaluation |
|---|---|---|---|
|
Educate patient on relaxation techniques, such as deep breathing and progressive muscle relaxation. |
These techniques can help manage anxiety and physical symptoms. |
Immediately upon admission |
Patient will demonstrate breathing techniques by January 18, 2050. |
|
Establish a quiet, calm environment to reduce external stressors. |
A calm environment helps lower physiological responses to anxiety. |
Ongoing, daily check |
Assess room for quietness and comfort. |
|
Provide patient with coping strategies and encourage journaling. |
Journaling can help process emotions and clarify thoughts. |
Within the first 48 hours |
Patient will start a journal by January 17, 2050. |
|
Monitor vital signs (heart rate, blood pressure) every 4 hours. |
Monitoring ensures that physiological symptoms are tracked and addressed early. |
Every shift (q4h) |
Vital signs will be stable within 24 hours. |
|
Encourage patient to engage in light physical activity, such as walking. |
Physical activity can help alleviate tension and improve mood. |
Begin within 24 hours |
Patient will walk for 10-15 minutes daily. |
Evaluation
|
Goal |
Outcome |
Status |
Date of Evaluation |
|---|---|---|---|
|
Goal 1: Reduce anxiety symptoms to a manageable level. |
Anxiety decreased to 4/10. |
Met |
January 20, 2050 |
|
Goal 2: Enhance coping mechanisms. |
Patient demonstrated breathing exercises and journaling. |
Met |
January 22, 2050 |
|
Goal 3: Improve physiological stability. |
Vital signs stable: BP 125/80, pulse 76 bpm. |
Met |
January 20, 2050 |
Date Prepared: January 15, 2050
Next Review Date: January 22, 2050
