The plan must also allow only reasonable time for documentation and updating (Greenwood 1996). The depth and breadth of the initial assessment and care plan, the tool format and the amount of writing required are the other factors. And the written care plan must, most importantly, be readily accessible. If not, it becomes unusable. The nurse cannot be expected to memorize data or make unrealistically frequent visits to the nurses' station to acquire information. Relying on colleagues and repeated asking for information from the patient can affect the nurse's professional credibility (Greewood).
Part 3 - Drugs and Their Side Effects
The use of drugs in the care of anxiety patients has been associated with falls. These drugs are mostly anti-psychotics and benzodiazepines and other psychoactive ones that affect patient cognition, balance and motor coordination, pulse and blood pressure (Cooper 1993). Reports said that half of nursing home patients experienced a fall in the duration of their stay in such homes at a rate of two episodes per patient per year. The most common consequences are hip fracture, painful soft tissue injuries, bruises, sub-dural hematomas and burns, immobility, hypothermia, deep vein thrombosis, stasis pneumonia, joint contractures, dehydration, urinary tract infection and pressure sores.
Drugs such as anti-hypertensives and psychotropics produce orthosis, which is a fall in systolic blood pressure of 120 mm of the diastolic of 10 mm mercury of more, when moving from supine to upright position (Cooper 1993). The inappropriate use of narcotic analgesics, such as Darvocet-N 100, Talwin, Percocet, Vicodin and Lortabs, for arthritic pain may raise the tendency to a fall or develop confusion. Anticoagulants, such as Dilantin, Depakene and Tegretol, may also increase the incidence of falls, especially in ambulatory patients and may also be toxic as a sedative or in those with ataxic gait.
In summary, the drugs most associated with falls are long-acting benzodiazepines or LABZs, such as Valium, Dalmane, Librium, Tranxene, Centrax, Paxipam and Klonopin (Cooper 1993). These drugs are to be given for no more than 10 consecutive days for sleep or four consecutive months for anxiety unless gradual dose reduction is attempted and if functional improvement is observed or gained from the use of these LABZs. Prevention is still the most preferred approach (Cooper).
Part 4 - Therapies
Recently surveyed nurses mostly agreed that anxiety management is an important and...
Anxiety Disorder's Impact On Individuals And Treatment Anxiety disorder unlike a normal anxiety happens recurrently and tends to interfere with the quality of life of the persons suffering from the anxiety. In addition to the above, it may be an obstacle to the individual success in careers and relationships as well as the quality of life and happiness the individual would have achieved if they did not have the disorder. However,
Anxiety disorders are a varied and complicated set of physical and psychological problems that affect more than twenty million Americans. The disorders, which include general anxiety disorder (GAD), panic disorders, and phobias, can often exert a disabling influence upon the individual's life, and disrupt his or her personal and social interactions. Treatments focus upon helping the individual to identify and understand the irrationality of their anxiety, and to assist them
Anxiety Disorders Diagnosis of anxiety disorders Diagnosis Differential diagnosis Generalized anxiety disorder (GAD) Ethical issues in Psychopharamacology In this paper, we present an elaborate analysis of anxiety disorders involving symptoms, diagnosis as well as the differential diagnosis. The aim of this paper is however to discuss the Psychopharamacological of anxiety disorder with specific discussion of the medication for every case. The ethical considerations on Psychopharamacological are also presented. Anxiety disorders are noted by Oakley-Browne (1991) as
Likewise, anxiety and depression represent the most prevalent problems facing young adults attending college, with these two conditions being ranked first and third, respectively, among college students seeking counseling services (Mccarthy, Fouladi, Juncker & Matheny, 2006). According to Armstrong and her associates (2003), adolescence and young adulthood is a period in life when most people engage in explorative behaviors and test their limits in ways that may contribute to their
Twenty three percent of the studied older adults, that were available for follow up, with an anxiety disorder met the criteria for persistent anxiety. Nearly half of the participants demonstrated subsyndromal anxiety, making up the partial remission group, while 31% were in full remission. Drawing on previous literature regarding the fluctuating nature of anxiety disorder in younger patients, the researchers surmise that too much emphasis should not be placed on the
Generalized Anxiety Disorder Background/Definition/Epidemiology Humans have a natural response to survival, stress and fear. Such responses enable an individual to pursue pertinent objectives and respond accordingly to the presence of danger. The 'flight or fight' response in a healthy individual is provoked via a real challenge or threat and is utilized as a means of acting appropriately to the situation. However, when an anxiety disorder manifests in someone, then an inappropriate/excessive state
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now