anxiety nursing diagnosis labor and delivery
Labor and delivery remain great mysteries. Demonstrate use of thought-stoppers or anxiety-interrupters such breathing control, self-directions, imagery and voice alterations that might be helpful for the patient when dealing with stressful events. Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. The nurse can help the mother have a total experience by allowing her as much control over, and knowledge of, her labor process as possible. Below is a nursing care plan with diagnosis and nursing interventions/goals for patients with anxiety. Exam Mode . Nursing Diagnosis: Anxiety related to situational crises as evidence by increased in blood pressure, pulse, and respirations, restlessness, expression of helplessness, and difficulty concentrating. Understand own personal issues and concerns through regular reflection and self-awareness activities. Chapter 7 Nursing Care During Labor Objectives 1. All patients should be kept informed of their progress and constantly encouraged, for the woman who has gone through childbirth education has often replaced her fear of death in childbirth with fear of “not doing well.” Every woman wants to have pride in her conduct during labor. The process of childbirth reduces the strength and cohesion of the ego, and while the pregnant woman may dread the physical damage to her body, she must intuitively sense that this damage will go deeper. Definition of Anxiety Nursing Diagnosis: Anxiety is a type of an actual nursing diagnosis that is described as feelings of discomfort and apprehensions in response to the disturbance of the usual concept or pattern situation … The woman may be fearful because she is modest and repulsed by the idea of the intimate things that will be done to her during labor and delivery. It is also associated with habits such hair-twisting and nail-biting in reducing the tension. In contrast with fear, which is related to a more obvious and more specific threat, anxiety is not associated with clear of identifiable source of threat. She states they started two weeks ago and she has tried to manage them with a prescription of Xanax 0.25 mg PO that he doctor gave her a month ago but says it is not helping. These intuitive fears will reinforce her sense of helplessness for, again, something will happen to her that she cannot control. -The patient will verbalize how to correctly take her PRN anti-anxiety medication the md prescribes. Pregnancy involves an emotional crisis in which the woman may appear far more neurotic that she is. Therefore, she must know the variables which affect the degree of anxiety experienced during childbirth. Decent and Indecent: Our Personal and Political Behavior. If the patient is diagnosed with chronic anxiety, refer him for a regular mental health counseling and treatment. DOI: https://doi.org/10.1111/j.1552-6909.1974.tb00576.x. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. She reports to having “uncontrollable anxiety attacks” while at work, sleeping, and driving. It seems that the degree of anxiety and the character of a woman’s labor are interdependent. There are instances wherein the coping mechanisms inherent or learned by the person cannot overcome the feelings, consequently develop maladaptive behaviors. 3. Anxiety continues throughout labor. A short childbirth education program cannot get at such deep-seated problems. Explain the benefits of mild-moderate exercises and routine. Avoid arguing or devaluing patient’s rationalizations with actions and behaviors. It is also an important suicide precaution. In Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. There are two ways of classifying anxiety.
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