Nursing Actions for Patients with Anxiety 2nd Meeting

Nursing Actions for Patients with Anxiety 2nd Meeting Orientation phase "Good morning ma'am!" Do you still remember me? Tell me, please, what have you experienced since we met a week ago? Have you practiced what we learned? Very good, ma'am? With this technique, maternal anxiety is reduced? Oh, it turns out it's true, ma'am, with the deep breathing technique, your anxiety decreases? Now what do you feel? Okay, I'll check your mother first, your blood pressure is quite good, 120/70 mmHg and your pulse is 78/minute. Mother also looked relaxed. Mother is able to be a good listener, "Now how about we have a conversation, the second exercise is the five finger distraction technique, ma'am: 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?” "The goal is to make the mother calmer and can take steps to reduce the mother's anxiety." Work phase Now please sit down and relax, now inhale slowly from your nose and exhale slowly from your mouth, then take a few slow breaths, ma'am. Now try tapping your finger with your little finger and imagine that you are in good health. ma'am, then both thumbs with the ring finger, imagine that you are in the midst of people you care about and love, continue, ma'am, imagine that you are in a very comfortable atmosphere or place in the midst of people you really love and finally you get praise from people who are very dear to you. darling. Keep imagining until you feel comfortable and that's great, do you feel more comfortable and calmer? Oh great, you can do this. Every time you experience anxiety, there are several actions to reduce anxiety, ma'am, namely the spiritual method by praying, the physical method by taking deep breaths and the psychological method by distraction. Mothers can do this well, this can be done three to five times a day if anxiety arises. Termination phase "How do you feel after we talked, calmer, good, now try to explain again the signs that you are experiencing anxiety, what you can do when you are anxious," good, mother, you understand. "Because we've been talking for 20 minutes, I have to go to another patient, good afternoon." Upcoming contracts In one week, do you have to go to the polyclinic for control? During the next control, we will learn the second exercise, namely progressive muscle relaxation by relaxing and tightening all the muscles so that the mother remains relaxed and comfortable. How about we meet at the polyclinic which is open from 08.00 to 14.00, in this room? Don't forget to practice deep breathing, ma'am, and to remind yourself of the practice, I'll make a schedule, ma'am. OK, mother, I have to take care of another patient, good afternoon. Strategy for implementing the 3rd patient meeting: Evaluate anxiety, the benefits of relaxation techniques and self-hypnosis exercises3rd meeting. Self-hypnosis training (five fingers) and Orientation Phase activities: Good morning sir, how are you feeling today? Do you still have thoughts of fear about undergoing surgery? Have you done the deep breathing you were advised to do? Have you done reading books, chatting, reciting the Koran? How is the result? OK sir, according to our promise yesterday afternoon I will teach you the five finger technique. This method can also be used to overcome father's anxiety. How long do we discuss? Where is the place ? Work Phase Let's start, sir, as the name suggests, this exercise uses five fingers, sir. There are four pleasant memories that you will imagine when you put your thumb and index finger together, your thumb and middle finger, your thumb and your ring finger, finally your thumb and your little finger (the nurse demonstrates how to put your thumb together). When doing this exercise, you are asked to close your eyes and take a deep breath as we have learned. Let's start now, sir.... take a deep breath, inhale deeply from your nose and exhale slowly and relaxed. Do it three times a day, sir. Now put your thumb and forefinger together, imagine the times you spent with your family. , together with your children, wife, parents and extended family, imagine sir, now with them when there is laughter and jokes full of intimacy, laughter and cheerfulness. Now put your thumb and middle finger together when you get praise from your family because you can unite your extended family in a very pleasant atmosphere. You get praise for your achievements. . . . . relax, sir...... that's good... then put your thumb and ring finger together, imagine when you're doing an activity that you like with your big family, like playing football,.... that's very good, sir.... well Finally, put your thumb together with your little finger, imagine the moment Termination How do you feel after our discussion? Please tell me two ways that you can do to overcome your worries..... good, after this you can do this five finger exercise, how many times a day will you practice? How about five times? What time do you practice? So, don't forget that every time you pray after your prayer you ask for strength from Allah so that you will be given the strength to overcome the anxiety you are experiencing. How about tomorrowwe discuss again to see the results of your training to overcome feelings of anxiety. What if it's 10.00? OK sir, I'll say goodbye.....good afternoon Generalist intervention in families 1. Goal: a. Families are able to recognize anxiety problems in their family members b. Families are able to care for family members who experience rice disease c. The family can afford itfollow-upfamily members who experience anxiety 2. Nursing actions for the family a. Discuss the patient's condition: anxiety, causes, process, signs and symptoms,consequences. b. Train families to care for patient anxiety c.Training the family to dofollow up