University:
Lincoln University
Course:
NUR301 | Fundamental of Nursing
Academic year:

2024
Views:

493

Pages:

2
Author:

Bobby E.

Nursing action training for anxious patients using strategies for implementing nursing actions for anxious patients Meeting 1 Patient condition DS : Worried about not being able to act as a good wife. Complaining of heart palpitationspalpitations, difficulty sleeping. DO: Face tense, attention span narrowed, results in changes in vital signs (pulse and increased blood pressure), frequent shortness of breath, often startled, decreased attention, often wringing hands and appearing to talk a lot and faster. dry mouth, restlessness, cold sweaty hands, narrowed focus of attention, focus only on after surgery, external stimuli unable to be received, perceptual field narrowed. Nursing diagnoses :Anxiety Nursing goal: after being taught the deep breathing technique, the patient's anxiety will decrease Meeting 1 Orientation phase: "Good morning, Ma'am!" I'm a nurse in this room who will check on mother. "What's mother's name?" Who do you like to be called?" Mom, try telling me what you're experiencing, I will listen carefully "Oh, so that's what you feel, now I'm going to check you first, oh yes, your blood pressure is quite high, 145/90 mmHg and your pulse is 90 x /minute. Mother also looks tense, often takes deep breaths, is easily startled, mother, mother also often wrings her hands. The evaluation results show that the mother really dominates the conversation with a rather loud and fast voice. Based on the results of the examination that I have carried out, the mother is experiencing anxiety or anxiety. "So now what if we talk about the mother's complaints? Where are we going to have a conversation?” "How about just here?" “How long are we going to talk ma'am? How about 20 minutes?” We will talk about the anxiety that mothers experience after surgery. "The aim is for mothers to be calmer and able to take steps to reduce anxiety." Work phase What do you usually do when you feel anxious? It's very good for you to pray, does praying make you calmer? Oh great, you can do that, every time you experience anxiety. Apart from praying, there are several other ways to overcome anxiety, namely physical, social and psychological methods. Now I will teach the mother physically, namely to take deep breaths. Is this how I will demonstrate, ma'am? Inhale deeply through your nose, then hold for a count of three and exhale slowly from your mouth. Like I did, now try doing it. Very good mother. Mothers can do it well, mothers can do it three to five times a day if anxiety arises. Termination phase "How do you feel after we talked, calmer, good ma'am, now try explaining to me again the signs that you are anxious, what do you do when you are anxious? It's good that you understand. "Because we've been chatting for 20 minutes, I have to go to another patient, good afternoon, ma'am." Upcoming contracts Next week, you have to go to the polyclinic again, okay? At the next meeting, we will learn the second exercise, namely progressive muscle relaxation by relaxing and tightening all the muscles so that they remain relaxed and comfortable. How do we meet at the polyclinic, open from 08.00 to 14.00, in this room? Don't forget to practice taking deep breaths, ma'am, and to remind you to practice, I will make a schedule on paper. OK, mother, I have to take care of another patient, good afternoon.