Nursing Care Plan For Patients Of Anxiety Disorder And Adjustment Disorder

Running head: NURSING CARE PLAN 1

Nursing Care Plan for Patients of Anxiety Disorder and Adjustment Disorder

Name

University Affiliation

NURSING CARE PLAN 2

Nursing care plan for patients of anxiety disorder and adjustment disorder

1.0 NURSING CARE PLAN (MEDICATION I)

PATIENTS NAME_____________________ STUDENT’S

NAME___________

DATE OF CARE__________________________

1.1 Assessment

Subjective Data: Reports of the family divorce causing stress. She complains of worriedness,

nervousness, trouble concentrating at job, loss of appetite, frequent cold, and tiredness, sadness,

sweating and often having suicidal thoughts.

Objective data: the patient is restless, unhappy, disturbed and withdrawal.

Nursing Diagnosis

1. Priority Nursing diagnosis: Mental impairment.

2. Secondary Nursing diagnosis: Depression.

3. Risk nursing disorder: Adjustment disorder with anxiety.

Priority

Nsg Dx

GOALS

INTERVENTIO

SCIENTIFIC

RATIONALE

EVALUATION

GOAL

ACHIEVE

Fatigue

and

helples

sness.

Short term goals

1. The patient to

participate in

outside

activities and

stay from bed

in the day

before

discharge.

2. Patient will

sleep well at

night before

1. Creating

outside

exercise

activities

walking.

1. Throug

h mind

relaxat

ion,

the

patient

is able

recolle

ct from

past

1. The

patient

demonstra

ted trust in

nurse-

patient

relationshi

2. The

patient

had a

1. Ac

hie

ved

2. Go

ach

NURSING CARE PLAN 3

end of first

week.

3. The patient

will be able

to eat well

within one

week.

Long term goals.

4. The patient

will have

appropriate

coping

strategy

within two

weeks.

5. Ensure the

crisis

retirement of

the patient

and deny

suicidal

thoughts

before

discharge.

6. The patient

recovers

from

adjustment

and develops

stable moods.

2. Adminis

tering

sleeping

pills and

providin

g a

restful

environ

ment.

3. Encoura

ge and

remindin

g the

patient

to eat.

4. The

nurses to

demonst

rate to

caring

and

encoura

ging the

client to

try new

coping

skills.

(Halter,

2017)

5. Observe

the

patient

carefully

on the

verbal

and non-

verbal

behavior

indicatin

though

t and

focus

on the

activit

(Urde

n et

al.,

2017).

2. The

sleep

will

enhanc

relaxat

ion

and

provisi

on of

self-

control

and re-

assura

nce

(Sanso

n et

al.,

2018).

3. Encour

aging

her to

eat

will

enable

the

patient

focus

on her

necess

ary to

feed

and

preven

ting

restful

sleep.

3. .she drinks

fluids and

eats and

helps

maintainin

g physical

health

4. The

patient

demonstra

tes to cope

with the

stressful

moment.

5. The

patient

denies

suicide.

6. The

patient

demonstra

tes

effective

recovery

from

depression

iev

ed.

3. Ac

hie

ved

4. Ac

hie

ved

5. Ac

hie

ved

6. Ac

hie

ved

NURSING CARE PLAN 4

suicidal

intent.

6. Individu

counseli

ng group

therapy

specialis

ts is

offered

to her.

possibl

dehydr

ation

and

starvati

on.

4. She

expres

s trust

and in

nurse-

patient

care

relatio

nship.

5. Observ

ing the

indicat

ions

will

provid

e clue

sugges

ting

risks

of the

patient

and

will

enable

protect

ing her

from

self-

harm.

6. Patient

will be

involv

ed in

the

plan

care

and

unnece

ssary

anxiety

NURSING CARE PLAN 5

and

fears

shall

reduce

2.0 NURSING CARE PLAN (MEDICATION II)

PATIENTS NAME_____________________ STUDENT’S

NAME___________

DATE OF CARE__________________________

2.1 Assessment

Subjective Data:

 The patient reports suffering stressful event that occurred 8 months ago.

 Also states to be worried, sadness, nervousness, overwhelmed and have

difficulty concentrating at and can’t perform her roles of taking care of her

family

Objective Data:

 Multiple abrasions and bruises

 Appears to be anxious about her mother and concerned about the well-being

of the mother, restless preoccupied and confused. The blood pressure is

above 40 points.

Nursing Diagnosis

NURSING CARE PLAN 6

1. Priority nursing diagnosis: Unconscious conflict regarding life values.

2. Secondary Nursing diagnosis: Panic disorder

3. Risk nursing disorder: post-trauma Disorder.

Priority

Nsg Dx

GOALS

INTERVENTION

SCIENTIFIC

RATIONALE

EVALUATION

GOAL

ACHIEVED

Uncon

scious

ness

conflic

regardi

ng life

values

SHORT TERM

GOALS

1. Determinati

on of

normal

breathing

patterns, the

heart rate

and bowel

activities.

2. Patient’s

expression

to reflect the

reduction in

distress.

3. Patients to

show high

level of

consciousne

ss and

alertness.

Long term goals

4. Patients

reflect

increased

external

focus.

5. Identifying

causes of

stress and

establishing

personal

coping

principles.

1. Demonstr

ate and

encourag

relaxatio

technique

s like

visualizat

ion and

deep-

breathing

exercise.

2. Assisting

the

patient to

express

their

feelings.

3. Referring

the

patient to

psycholo

gical

specialist

s and

even

spiritual

leader’s

advice.

4. Providing

a calm

environm

ent.

5. Observin

g the

1. Exercis

ing

helps

learn to

relaxed

and

reducin

g fear

and

anxiety

and

prevent

s the

reoccur

rence.

2. Therap

eutic

exercis

enables

the

patient

to deal

with

her

feeling

and

able to

identify

miscon

ception

3. Speciali

sts

provide

1. The patient

appears

relaxed

2. The report

reduction

in anxiety

manageabl

e level.

3. The client

demonstrat

es fears and

concerns to

realize

weather to

be healthy

unhealthy.

4. Patient

verbalizes

released

distress and

manageabl

e level of

anxiety.

5. Reduced

physiologic

manifestati

on and

coping

enhanced.

6. Reduced

social

phobia and

1. Goal met

2. Met.

3. Not met.

4. goal

achieved

NURSING CARE PLAN 7

6. Establishing

approaches

to deal with

stressors

and

reducing

anxiety.

physical

responses

;

restlessne

ss,

combativ

eness.

6. Administ

ration of

medicatio

n (Xanax

0.25 mg

tabs) 3–4

times

daily.

additio

nal

assistan

ce in

the

momen

ts of

emerge

ncy and

adjustm

ents.

4. Removi

patient

from

external

stressor

promot

relaxati

on and

enable

coping.

5. This

would

help

identify

degree

of fear

patient.

The

sympto

ms may

shock

physica

l state.

further

investigatio

ns needed.

5. Achieved

6. Not yet

achieved.

NURSING CARE PLAN 8

References

Halter, M. J. (2017). Varcarolis' Foundations of Psychiatric-Mental Health Nursing-E-Book: A

Clinical Approach. Elsevier Health Sciences.

Sanson, G., Perrone, A., Fascì, A., & D'Agostino, F. (2018). Prevalence, Defining

Characteristics, and Related Factors of the Nursing Diagnosis of Anxiety in Hospitalized

Medical‐Surgical Patients. Journal of Nursing Scholarship.

Urden, L. D., Stacy, K. M., & Lough, M. E. (2017). Critical Care Nursing-E-Book: Diagnosis

and Management. Elsevier Health Sciences.

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