The MDT would also have to consider psychosocial factors. One major psychological factor would be anxiety. Anxiety can have an effect on the respiratory system and can contribute to hyperventilation (Kelly, 2014). Some things nursing staff could do to counteract this is to give the patient reassurance. A way they can do this is exploring the patient's ideas, concerns and expectations. It is important to make sure the patient is able to convey their fears. Another way to decrease anxiety is to summarise all stages of care and explain what’s happening e.g. taking a blood pressure or placing a cannula (Kular, 2014). One reason for an increase in anxiety might be because he cannot communicate because of his breathlessness. This is why it is recommended
The purpose of this paper is to examine different ways of using CBT in treating anxiety disorder. Cognitive Behavioral Therapy (CBT) is one of the most used approach in treating anxiety and depression. There are different styles of CBT that are used to treat different subtypes of anxieties. However, the main focus of this paper will be about incorporating different intervention programs to CBT to treat Generalized Anxiety Disorder (GAD).
In the first step of the Tanner (2006) model nurses use their personal knowledge and experience to notice whether the patient requires attentions based on their expectations and looking at environment of the patient. Therefore, for an experience nurse it is easier for them responding to the similar situation if she or he revisit because the knowledge is already there through experience. In the case of Mr Devi, assessment will perform using systematic assessment based on the ABCDE approach (Airway, Breathing, circulation, Disability and Exposure). The ABCDE approach is an evidence-based practice widely accepted and used by all the members of a multidisciplinary team (MDT) to assess an acutely ill patient (Harrison and Daly 2011). First, life-threatening
This paper briefly touches on a case study by a nursing assistant student who is assisting with an anesthesiologist that she is shadowing. The student was asked to monitor vitals during a knee surgery. The patient was given Halothane and the surgery began. After two hours in surgery, the patient, who was a young athletic female named Sharon Riley, began to show signs of distress. This patient’s temperature elevated to 105 °F and pulse began to rise up to 120 bpm, and her blood pressure began to drop down to 60/56 mmHg. This triggers the monitors alarm because normal vitals for this patient were a temperature of 98.6 °F, 75 bpm pulse and blood pressure of 105/60 mmHg. This causes the doctors to react quickly and begin to assess what is wrong
Assessment: Patient has history of Diabetes, potential high blood pressure; assess client and situation for possible stressors. Examine and identify actual and/or potential circulatory problems, assess pulses. Intervention: Nurse should help client to reduce stress, support adaptive behaviors (diet, exercise, and medications) (Bednar,
As a respiratory therapist depending on the facility you may be required to insert an arterial catheter and manage its hemodynamic. It is important for the respiratory therapist or any clinician at the bedside to know how manage arterial catheters and be competent with blood pressure monitoring as well as troubleshooting. Arterial cannulating with continuous pressure waveform display remains the primary choice for monitoring blood pressure of hemodynamically unstable patients (Pittman, Ping, & Mark, 1998). If the therapist notice the arterial waveform is dampen first assess the patient than the respiratory therapist should check arterial tubing for possible obstruction due to air bubbles, blood clots, or blood in the system. If the problem
It is suggested by Henderson (1998) that breathlessness in the UK today is a common and complex subjective set of symptoms. A vast range of medical and lifestyle choices cause and exacerbate breathlessness, which can be a frightening and sometimes a painful experience for the patient. A nurses interaction with a patient can help alleviate and reduce these episodes and make a substantial difference to patients both in the community and hospital setting.
In our efforts to understand what is anxiety we have conducted a good amount of research. In our research we have come across the term anxiety DSM IV on various occasions. At the beginning we ignored the term and moved on to study what we thought were better things to concentrate on and would enable us to understand anxiety much better.
X to pace his activity while taking frequent periods of rest to decrease the development of dyspnea (Touhy, Jett, Boscart, & McCleary, 2012). During activities of daily living, the extremities were often supported to reduce muscle demand, which helped to control breathing, while avoiding shortness of breath. My co-assigned nurse also administered pharmacological interventions which consisted of pills, inhalers, and mechanical oxygen to assist with ventilation. Mr. X was given a low concentration of oxygen at 2 liters to avoid the probability of another hypercapnic respiratory failure. Lastly, I provided emotional support for my client when he was expressing stress due to his pain as well as the loss of individuality. Mr. X often experienced anxiety during periods of dyspnea. Therefore, I guaranteed my presence, which not only assisted in relaxation but also helped me develop a therapeutic nurse-client relationship with him (Watson,
primary conclusions of this study were that 77% of participants who successfully completed the MBCT experienced a significant reduction in recurrence rates of almost half in comparison with those who received only treatment as usual (Teasdale et al., 2000). In 2002, Teasdale et al. followed up with a three-part empirical investigation into the effects of MBCT on depression on 148 subjects, ages 21-65 years, who met selection requirements that included DSM-III criteria for major depression. Different subsets of the sample were used for each of the three parts of the study and then compared to a non-depressed control group of similar demographics. Compared with treatment as usual, Teasdale et al. found a significant reduction in relapse of major
Within the Medline database the following search terms were used, “hypertension”, “high blood pressure”, “hypertension” combined with “pathophysiology”, “high blood pressure AND pathophysiology”. “hypertension AND device-guided breathing”, “hypertension AND slow-paced breathing”. In the Cochran Library database, the following terms were searched, “hypertension AND device-guided breathing”, “hypertension AND minorities”. Within the Clinical Key database, the following terms that were searched included, “hypertension AND intervention”, “hypertension AND baroreflex”, “high blood pressure AND device-guided breathing. The above databases and search terms were used on the following dates and times: January 9th, 2018 between 3pm-5pm EST, January 28th, 2018 between 4pm-5pm EST, and March 5th, 2018 between 5pm-7pm
Ct’s anxiety related sxs cause clinically significant distress or impairment at home (outbursts, anger and irritability) which contribute to significant strain in her relationships with family members as ct is unable to express thoughts/emotions which trigger sxs of anxiety and at school (worry, anxiety, and fears impact ability to concentrate and complete tests) which in turn places cl at high risk for academic
I enjoyed the thoroughness of your forum post this week. I have heard anxiety referred to many times as a normal human reaction to a stressful situation. Personally, I found this week’s reading and forum assignment interesting. I agree that everyone deals with anxiety from time to time, I know that I have, however when you see someone who has a chronic anxiety disorder the difference is drastically apparent. I live with a person who has a chronic anxiety disorder and it has really helped me to see and understand anxiety in a way that is impossible to learn from a book. Prior to this week’s reading, I did not know that anxiety has such a high rate of heritability. I guess it makes sense that anxiety is an illness that can inherited,
A Psychology disorder known as anxiety disorder, is the most common in the United States. In a result of, 18% of 40 million people suffers from anxiety. However, there are six different types of anxiety disorders in the results of stress, depression, social interaction, obsessive compulsive, and phobia. Which characteristic functions as a natural part of life, that can be treated thought several methods.
Do you experience test anxiety (or do you know someone who does)? How does the anxiety manifest itself (physically, behaviorally, effectively)? I have never experienced test anxiety but I do know someone who has. A colleague of mine, attended a university where he was the only minority in his classes. My colleague was Black and the majority of his classmates were White. During his first semester, he experienced a cultural shock and felt out of place. My friend told me that his classmates and professors were nice and that he wasn’t treated unfairly or differently. However, due to the social and racial history of the U.S., my colleague went into every class believing that he had something to prove. I believe that the stereotypes of African Americans affected him greatly and he strove to prove them wrong. This burden that he carried, no one else in his classroom shared, (which is understandable because race affects those directly impacted by it more than those indirectly affected), caused him to have tremendous stress. Physically, my friend was always stressed out and tired. My colleague rarely got enough sleep which directly impacted his academic performance. My friend’s behavior changed as well. Previously, my friend had been easy going and gregarious but now he appeared agitated. Although he received passing marks on his test, he wasn’t performing at the level he should have. According to Katherine Ryan and Allison Ryan (Woolfolk, 2013, p. 247), the fear of confirming a
The difference between social anxiety disorder and other disorders is that a person is capable of enjoying themselves. This is because they are not impacted as severely physically since their fear is only stimulated in the event that they will have to be