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11 Feb 2014

8. Anxiety: Bronchitis Nursing Care Plans

 Anxiety
related to: changes in health status.
As evidenced by:[Check those that apply]
Major:
(
Must be present)
[Physiological]
(_) Elevated BP, P, R (_) Insomnia (_) Restlessnes (_) Dry mouth
(_) Dilated pupils (_) Frequent urination (_) Diarrhea
[Emotional]
(_) Patient complains of apprehension, nervousness, tension
[Cognitive]
(_) Inability to concentrate (_) Orientation to past
(_) Blocking of thoughts, hyperattentiveness

Date &
Sign.
Plan and Outcome[Check those that apply]Target
Date:
Nursing Interventions[Check those that apply]Date
Achieved:
The patient will:
(_) Demonstrate a decrease in anxiety A.E.B.:
  • A reduction in presenting physiological, emotional, and/or cognitive manifestations of anxiety.
  • Verbalization of relief of anxiety.
(_) Discuss/demonstrate effective coping mechanisms for dealing with anxiety.
(_) Other:

(_) Assist patient to reduce present level of anxiety by:
  • Provide reassurance and comfort.
  • Stay with person.
  • Don't make demands or request any decisions.
  • Speak slowly and calmly.
  • Attend to physical symptoms. Describe symptoms:


  • Give clear, concise explanations regarding impending procedures.
  • Focus on present situation.
  • Identify and reinforce coping strategies patient has used in the past.
  • Discuss advantages and disadvantages of existing coping methods.
  • Discuss alternate strategies for handling anxiety. (Eg.: exercise, relaxation techniques and exercises, stress management classes, directed conversation (by nurse), assertiveness training)
  • Set limits on manipulation or irrational demands.
  • Help establish short term goals that can be attained.
  • Reinforce positive responses.
  • Initiate health teaching and referrals as indicated:

(_) Other:________________
________________________
________________________
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