So what are our
We want to assist all of these
patients to increase their awareness
of when the feelings of
anxiety first appear,
in order to help them engage
into a coping strategy.
We want to be able to facilitate
and teach coping strategies
so that the person can learn how to
decrease some of their own anxiety.
We want to support our patients to
explore healthy coping mechanisms
that they can employ, that will help
keep their anxiety at a manageable level.
We can't tell them what to do.
I can't say, "You know, you should
be yawning five times every morning,
because that's a really
great way to start the day."
I can say to my patients,
"Why don't you try yawning and stretching
and see if either of those help you?"
And if the person says,
"No, it didn't work for me."
So well, let's start
thinking about other ways
that you could possibly
reduce that anxiety.
We don't want to support
If they say,
"If I had a drink in the afternoon."
We know I said,"
Well then try that".
We want to say,
"Well, what's an alternative to
drinking that might relax you?"
How about running?
How about walking?
What are the outcomes
that we're hoping to have
once we have our
We want to make sure that our
patients are able to verbalize a plan
to manage their anxiety.
We want to be able to have
the patient demonstrate
how they are going to engage
in that coping strategy.
If we are unable to have our patients
have that awareness of their anxiety,
that anxiety will
always come up.
I like to use the word hijack, it will
hijack them, it will hijack their emotions,
and they won't know
which way is up or down.
So at that first sensation
of this doesn't feel good.
You want that patient
to say to you,
"You know what?
I'm starting to have that feeling."
So that you can say, "Well, what would
you like to do? Do you want to walk?"
I have one patient who likes to
sing whenever it starts happening.
And she happens to
have a very nice voice.
And so she hums now,
because that is very adaptive.
And people know, when she's
humming, it doesn't bother them.
So what are our nursing diagnoses
for the person with anxiety?
Well, believe it or not
anxiety is a nursing diagnosis.
And that would be
our first thought.
If a person presents themselves
with an anxiety disorder.
What is our intervention?
We remain with the patient
in that moment of anxiety,
we establish a calm and
And we assist that patient to explore
coping strategies like breathing.
Once that the patient
themselves will begin to use
when we are there and
when we are not there.
What do we hope the
patient will experience,
we hope that the patient will be able to
identify that escalating anxiety early on
and verbalize the ways
that they can engage
in coping strategies to
reduce their anxiety.
And we want to help
them, help them to engage
in testing different
The same thing doesn't
work for everyone.
Social isolation is
another nursing diagnosis
that might be related to
the anxiety disorders.
We also see ineffective coping,
ineffective impulse control.
These diagnoses again have to be
related not so much to the diagnosis,
but you're going to be relating it to the
individual that you're taking care of.
You may have a person who doesn't
have a social anxiety disorder,
and they might not
have social isolation.
Ineffective coping pretty
much works for almost everyone
who has an anxiety disorder.