Saturday, June 6, 2009

Anxiety Disorders nursing care plan

. Saturday, June 6, 2009

anxeity disorders nursing care plans
Anxiety disorders categorized as follows:
  • Panic Disorder (with or without Agoraphobia)
  • Agoraphobia Without History of Panic Disorder
  • Social Phobia
  • Specific Phobia
  • Obsessive Compulsive Disorder
  • Post traumatic Stress Disorder
  • Acute Stress Disorder
  • Generalized Anxiety Disorder
  • Anxiety Disorder Due to a General Medical Condition
  • Substance-Induced Anxiety Disorder
Patients experience a panic attack under following conditions:
  • As the predominant disturbance, with no apparent precipitant
  • Exposed to a phobic stimulus
  • Attempts are made to curtail ritualistic behavior
  • Psychologically traumatic event
Sign and Symptoms include:
Pounding, rapid heart rate, Feeling of choking or smothering, Difficulty breathing, Pain in the chest, Feeling dizzy or faint, Increased perspiration, Feeling of numbness or tingling in the extremities, Trembling, Fear that one is dying or going crazy, Sense of impending doom, Feelings of unreality

Causes for Anxiety Disorders
The etiology of Anxiety Disorders is unknown but may have Predisposing Factors of Anxiety Disorders divide into Physiological and Psychosocial risk factor:

  • Biochemical: unusual Biochemical levels have been noted implicated in the etiology of Anxiety Disorders such as increased levels of norepinephrine noted in panic and generalized anxiety disorders, elevations of blood lactate in clients with panic disorder, Decreased levels of serotonin usually found on patient with obsessive compulsive disorder
  • Genetic
  • Medical or Substance-Induced

  • Psychodynamic Theory: view focuses on the inability of the ego to intervene when conflict occurs between the id and the superego, producing anxiety.
  • Cognitive Theory: faulty, distorted, or counterproductive thinking patterns accompany or precede maladaptive behaviors and emotional disorders

Common Nursing Diagnosis found on Anxiety Disorders nursing care plan
  • Anxiety (panic)
  • Ineffective coping
  • Powerlessness
  • Social isolation
  • Self care deficit
  • Chronic low self-esteem
  • Decisional conflict (excessive worry)
  • Impaired social interaction
  • Fear

Nursing outcomes, Nursing interventions, Patient teaching for Anxiety Disorders click here


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