Anxiety. Jade Gamber Ferris State University. Purpose. Awareness Review Evidence Based Research Enhance Nursing Care. Summary of Presentation. Describe the nursing care problem Summarize individual parts of the research study TRUEPIC care plan
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Ferris State University
3. UNDERSTAND…the importance of the propositions, assumptions, and confounding variables.
Proposition:“If anxiety does not get under control, patient will have increased number of anxiety attacks.
Significance of Assumptions: “If pt is not aware of the need to lower anxiety levels to decrease attacks, she may unintentionally be contributing to the worsening of her condition.”
Possible Confounding Variables: “If the pt has a fear of medications because of the costs, she may be reluctant to start any new medications to help control her anxiety disorder. Pt may not be able to continue to take sleeping pills if put on certain medications.”
2. RELATE…Or put the variables together to form propositions.
Primary Proposition: “Pt’s pressure to pass her classes to graduate nursing school is causing her to have palpitations and shortness of breath.
Possible Assumptions: “Pt knows that if she does not pass her classes, then her stressors in life are going to intensify
Possible Confounding Variables: “Fear of taking any medications because she cannot afford to continue the medication.”
1.IDENTIFY… The variables in this situation
6. INFLUENCE…someone to change one or more variables in order to achieve a desired outcome or prevent an undesirable one.
Proposition: Make sure the pt understand what an anxiety attack is. Refer her to a psychiatrist to further evaluate her concerns and manage her medications.
Assumptions: Make sure pt understands how to help herself if she feels an anxiety attack coming on. Discuss triggers and coping mechanisms
Confounding Variables: Make sure the pt understands the psychiatrist is there for her when she needs medical help regarding her anxiety and anti-anxiety pills.TRUEPIC cont.
5. PREDICT…what will happen in this situation if one or more variables are not changed.
Proposition: If pt’s anxiety is not controlled, her symptoms may worsen and she may begin to have thoughts of self-harm which then could lead to longer recovery and hospitalization time
Assumptions: If pt cooperates and begins taking the prescribed medication and other helpful nonpharmacological methods, her anxiety levels will lessen dramatically and relatively fast.
Confounding Variables: If the pt has other alternative methods to help with anxiety, it will give her a sense of control and she will be able to decide for herself what method works best for her and her lifestyle.
7. CONTROL…one or more variables in order to achieve a desired outcome or prevent an undesirable one. To control isn’t an issue of wanting to dominate or do what is unreasonable or unwanted, but simply a matter of changing one or more variables in order to bring about a desired outcome when influence is not possible, realistic, or advisable.
Pt take her own sleeping pills during her stay at the hospital
Mild Anxiety related to multiple co-existing stressors AEB palpitations and shortness of breath and pt statements, “I can’t stand this feeling of stress and anxiety any longer.”
4. EXPLAIN…the significance of the situation to those involved based on their individual KSVME
Proposition: Explain to the pt what an anxiety attack is, signs and symptoms, how to prevent or stop one from happening and possible complications from unresolved attacks.
Assumptions: Explain to the pt the benefits of the anti-anxiety medications and how it can benefit the patient’s overall quality of life.
Confounding Variables: Explain alternative options to help control anxiety. Talk to the pt and explain that you are there to support her and to answer any questions