A Case Study On Different Anxiety Experiences Nursing Essay

A Case Study On Different Anxiety Experiences Nursing Essay Anxiety experiences different in everyone in different times, its a normal response to actual danger, promoting the body through stimulating of sympathetic and parasympathetic nervous system will be helpful action. (Springhouse, 2007). Anxiety affects our whole being. It affects how we feel, how e behave and has very real physical symptoms. It feels a bit like fear but whereas we know what we are frightened of, we often dont know what we are anxious about. Mild anxiety is vague and unsetting-severe anxiety can be extremely debilitating (Medical News Today, 2010). Acute pain it is not good sign about tissue damage, (Gulanick et al., 2010). 1- How can you manage Everts pain? As a nurse, the following can be done to manage Everts pain: Anticipate need for pain relief: early analgesic intervention helps to decrease pain. We have to respond to pain complain as soon as possible: early respond to patients complaining of pain its help to decrease anxiety and on other side its help to make a trust relationship. Trying to eliminate the addition of stressor or comfort as we can: help patient to tolerate the pain either these elements from environment, intrapersonal, or intrapschic factors. Make an good atmosphere of comfort, relaxation, and sleep: we have to help patient to be in good atmosphere to take a rest and sleep comfortably because some patients experiences of pain may will put them in fatigue condition, so we have to put him in darkroom and disconnected his phone (Gulanick et al., 2010). 2- What can you do to alleviate Everts anxiety? The following interventions can be done to alleviate Everts anxiety: Anticipate need for pain relief: early analgesic intervention helps to decrease pain. We have to respond to pain complain as soon as possible: early respond to patients complaining of pain its help to decrease anxiety and on other side its help to make a trust relationship. Some of cognitive behavioral strategies as follows: Images: if patient use his mental images its help to distract stress and pain with using all his five senses. Distraction techniques: heighten ones concentration upon nonpainful stimuli to decrease ones awareness and experiences of pain and reduce stress such as nerve stimulation and breathing modifications. Use the relaxation exercises: its important for patient to decrease attention and pain. Use breathing exercises. Using Music Therapy in treatment: the music therapy works well on patients. Its apart of treatment team (Mount Munro, 1978). 3- Why was Everts wife so worried the Evert did not eat? Should you treat with IV nourishment? Everts wife was worried because Evert might suffer from dehydration and malnutrition, and this will cause electrolyte imbalances and his condition will be aggravated by this, his health will deteriorate more rapidly. As a nurse the treatment plans for Evert to restoring fluid and correcting any electrolyte imbalances. Early treatment intervention its help to prevent any potentially life threatening such as hypovolemic shock (Gulanick et al., 2010). 4- Make a nursing care plan for Evert. Explain and motivate you suggested nursing intervention in according with the four key areas listed in the introduction? A. Assessment: defining characterized: Evert verbalizes pain, especially in connection with moving, narrowed focus such as withdrawal from social and physical contact, relief or distraction behavior( seeking out staff to do activities), restless, anxiety manifested, expression of helplessness, and inability to procure fluid and food. B. Nursing Diagnosis: actual diagnosis: acute pain related to severe anxiety. Nursing outcome: Evert will be enable adequate relief of pain when moving or ability to deal with the pain are not fully satisfied. Evert is able to recognize signs of anxiety. Risk diagnosis: risk for fluid volume deficit related to inability to procure fluid and food. Nursing outcome: sufficient fluids volume and electrolyte balance as evidence by urine output grater than 30ml/hr, consistency of weight, and normal skin turgor (Gulanick et al., 2010). C. Nursing Intervention: 1. Assess pain characteristics: Quality as example sharp, burning, and shooting. If we want to measure the level of severity from 1 to 10, with 10 level it is more sever to patient. Location according to anatomical description, onset if its gradual or sudden. Duration for how long is it intermittent or continuous (Gulanick et al., 2010). 2. Administer parenteral fluids as ordered: the nurse must give patient IV fluids as needed and as ordered, challenge with intermediate infusion of fluids for Evert who is unable to procure fluid and food (Gulanick et al., 2010). 3. Assess patients and help them to recognize the sign and symptoms of anxiety: it is important for patients to be able to know and recognize the sign and symptoms of anxiety, which will help Evert to be able to solve his sign and symptoms when anxiety level is low (Gulanick et al., 2010). 4. Relieving factors. Monitor the patient signs and symptoms with pain: Like Heart Rate, Temperature, Blood Pressure, skin color, restlessness, and patient inability to focus. Some patients ignoring sign and symptoms of pain when occur. The patients must inform the nurse about these sign and symptoms because it well helps the nurses in evaluation (Gulanick et al., 2010). 5. Assessing the main causes of pain: it is important for doctors and nurses to look to the causes of pain because the different causes having different treatments (Gulanick et al., 2010). 6. Assess the patient knowledge regarding pain relief strategies: a lot of patients may not realize how effective non drug method on them either with or without pain killing medication. So, we have to explain to them this point carefully (Gulanick et al., 2010). 7. Evaluate patients regarding response to pain medications or therapeutics: it is important to give patients chance to tell nurse about his expression regarding pain medication, and also let him to talk about effect of medication on him (Gulanick et al., 2010). 8. Assess patients from cultural, intrapersonal, intrapsychic, and environmental degree factors which are share to relief pain: these factors will affect patients expression on experiences, for example some cultural you have complete freedom to express how you fell (Gulanick et al., 2010). 9. Evaluate what is the meaning of pain to individuals: it is important to all patients to know the meaning of pain because if he doesnt know it will affect him to response (Gulanick et al., 2010). 10. Assess patients regarding expectation of pain relief: it is important for nurses to know patients expectations regarding pain relief either the pain decreased or pain disappeared. Because these patient expectation will help the nurse to know either the pain relief or need to participate in another treatment (Gulanick et al., 2010). 11. Assess patients if they would like to explore some other techniques to control pain: it is important to patient to know that there is many ways of pain relief (Gulanick et al., 2010). D. Evaluation: Evert manifests adequate relief of pain, recognizes sings of anxiety, and demonstrates positive coping mechanism. Everts urine output greater than 30ml/hr, weight is consistent and with normal skin turgor (Gulanick et al., 2010). FOUR MAJOR AREAS: Symptoms Control: A palliative approach, involving attention to symptoms control and the psychological, social and spiritual wellbeing of the patient and their family is relevant at all stages of the disease, and it has been argued that attention to these aspects combined with understanding of the patients feelings and concerns all contribute to improving quality of life of the person with acute pain (Montazeri et al., 1998). The principles of symptom control, which are used as standard by clinicians include: assessment of the symptom, understanding the meaning ascribed to it by the patient, explanation of the likely cause, investigation should only be undertaken if they will change the course of action to be followed, institution of treatment based on known or likely etiology, available options for treatment, and wishes of the patient, monitoring of the response to treatment and modification as necessary ( Steinhauser et al., 2000). Communication: make a good relationship between nurse and patient which well make patient comfortable in communication. Trying to orient the patient to the environment and help him to take experiences from people as needed, and also when the patient is aware and oriented very well it will help him to be comfort and may will decrease anxiety. Help the patient to express anxious felling if the patient has ability to describe them. (Gulanick, 2010). Teamwork: during assessment pain in patient, contributions from the multidisciplinary team is very important to evaluate the following: a detailed history of each pain, full examination, and psychosocial assessment, a history of analgesics already used and the response to them, investigations to confirm the diagnosis, depending on the stage of disease and the treatment options (Ripamonte et al., 1997). Perception of pain will be influenced by the meaning of pain for the patient. Open discussion among team members, family and patient, allowing fears to be discussed, providing explanation of the symptoms and reassurance of continued support is important (Twycross, R. G, 1993). Family: the nurse must teach patient and his/her family about intervention regarding inadequate intake, and explain to him the importance of intake such as drinking fluids and eating food. Explanation of the importance of the rationale and intended effect of treatment program to alleviate pain, diminish anxieties (Gulanick et al., 2010).

My Location

My favorite location would have to be the Seawall In Sundae Okinawa, Japan. The Seawall can impact all your senses if you let it. This location impacts a few of my senses, sight, sound, and smell. It is basically a wall 2 and half miles in length, and about 7 minutes away from the base, It gets better, right there In scenic view next to the ocean. How it impacts my sight is that it's an awesome dive spot especially those who are beginners at diving.Once you suit up with the various gears for scuba diving, the wet suit, goggles, buoyancy control device, regulator, compass and alarm anus, you submerge in the blue water of the sea of the wall. Visibility under the water can get to 30 to 50 feet on a clear day and sometimes it depends on the weather and tide prior to the day you dive. I remembered my first dive as If It was yesterday; during my certification I saw the various wild life animals at 60 feet under sea water (SF).The wild life includes, bright colored coral, which was a mixtu re of mostly red, yellow, green, and pink. Sea creatures like octopus and squid that comes out only at night, you can also see crabs, tapeworms, and tropical fish. Looking at all his and feeling weightless at 60 feet under water is a very relaxing feeling one would have to experience. After a dive heading back up the steps of the Seawall your sense of smell is awaken to the delicious smell of Japanese cuisine coming from the restaurants.My stomach would immediately start to grumble, the aroma of the favorable Japanese food would distract me, and cravings would begin for tertiary foods that you wouldn't even have time to change from your wet suit. Your eyes and stomach promptly lead you to the nearest restaurants for an afternoon cuisine. Either sitting on the Seawall or sitting from one of the restaurants and enjoying the sound of the ocean, the waves crashing against the wall can be used as a good stress reliever.When I'm trying to cope with stress at the end of the day will go sit on this wall and hearing the sound of the ocean puts my mind at ease. As if I close my eyes I think I'm on vacation, I can dream, can't I? The Seawall in Sundae is a main attraction, sometimes I wish I had one of the apartments Just a stone throw away from it. The Seawall can stimulate all the senses if you let It. I see people Jog along the walls to improve themselves for a healthier lifestyle. You can see peoples holding hands at night admiring the stars, watching, and listening to the water crashing along the walls.Divers use It as one of the perfect spots for entering the water calmly and getting a closer look at the marine life. For me it stimulates my senses as well as many people on the island of Okinawa. My Location By unmanning My favorite location would have to be the Seawall in Sundae Okinawa, Japan. The about 7 minutes away from the base, it gets better, right there in scenic view next to diving, the wet suit, goggles, buoyancy control device, regulator, compass and air theater and tide prior to the day you dive.I remembered my first dive as if it was mostly red, yellow, green, and pink. Sea creatures like octopus and squid that comes foods that you wouldn't even have time to change from your wet suit. Your eyes and a good stress reliever. When I'm trying to cope with stress at the end of the day I will close my eyes I think I'm on vacation, I can dream, can't l? Stone throw away from it. The Seawall can stimulate all the senses if you let it. I see water crashing along the walls. Divers use it as one of the perfect spots for entering

Criminal Minds Essay

Essay is â€Å"Criminal Minds† it is a Police Procedural† about a team of profilers in the FBI’s Behavioral Analysis Units (Criminal Minds 2014). The team’s job is to establish a profile of the suspect. The suspect is always a criminal who committed unusual crime. This program is chosen because it clearly displays social deviance. The suspects in this Police Programs are not ordinary criminals. They usually suffer from a mental or personality disorder that makes the incapable of remorse. The criminals were serial killer, child rapist, cult murderers and cold blooded murders. The FBI team often meets together and study the evidence in the crime scene. The evidence may include the manner of killing, the motive, the weapons use and the strategy to conceal the crime helps the FBI establish a personality profile of the suspect or criminal. The criminals in these programs are social deviant and the where labeled by the police organization as deviant based on the crimes they committed. The FBI behavioral analysis unit who work hand in hand with the police, labels the suspects as not the everyday criminal. The criminals were extremely dangerous and usually suffering from behavioral disorders or mental illness. They are not normal criminals who committed their crimes because of survival or to earn money. These criminals usually commit their crimes due to passion, for fun or for some superstitious belief. The FBI unit labels these criminals as the most deviant of all criminals; they are extremely dangerous and will continue to commit their crimes until they are caught. It is therefore necessary for the FBI unit to build a personality profile of the criminal in order to known which is the next victim and where will be the next crime. The FBI team is the one doing the labeling for the deviance. The crimes committed by the criminals and the criminals themselves could be considered as primary deviance (Siegel, 2008). The crimes are murders; homicide, robbery and rape are all primary deviance. The criminal is pursued, arrested killed or sent to jail by the FBI team. This is the penalty of the criminal. They are treated and penalized like any ordinary criminal but the FBI team labels them as extre mely dangerous criminal. This is secondary labeling. Because they are labeled as extremely dangerous, they become top priority of the organization. The FBI may sometimes employ questionable practices just to capture these extremely dangerous criminals. They may sometimes hack the email of the suspect just to know what is in his mind. Another instance of  secondary labeling is when cult members commit a crime and then when another crime is committed, they were being blamed for the crime simply because they are cult members. Some individuals in this program are not actually criminals and do not actually commit a crime. Such as in the episode where Satanist are considered suspect for the crime they did not commit. However, the FBI have encountered murders and homicide committed by cult members. Hence, when a murder was committed and style of the murder is similar to a cult, the FBI agents quickly concluded that the Satanists were involved. There are no cults in the community but there are Satanists who meet together in discos and private gatherings. The NBI team felt that the Satanists were responsible for the crime simply because they are Satanists. This is secondary deviance. According to Sociologists, secondary deviation is what causes individuals to become hardened criminals. Stigma could also be found in this episode. Satanists in the film were considered deviants even though the leader of the Satanists claimed that they were only misunderstood, He has a valid justification but because the society considered Satan as the king of Evil, his believers were considered evil and deviant. The four functions of Emile Durkheim are also portrayed in the series. In the Season three- episode 12, entitled â€Å"3rd Life.† A teenager was found murdered and her friend went missing and believed to be abducted. The task of the FBI agents was to create a profile of the killer and finds him before he kills the other teen. According to Durkheim, Deviance serves four functions. The first is Affirming Cultural Values and Norms (Thompson, 2012). Murder and abduction that takes place in the episode go against the cultural values of norms of the American society. The murder is also against moral standard of the US society. It is wrong to murder this is the moral standards. Durkheim third function of deviance is promoting social unity. The crime allowed all community members to participate in the hunt for the killer and kidnapper. Everybody is willing to give information regarding the events related to the murder. People do not approve crime. When crime rate is high they group together and pressure the government to do something about the crime. Some participate in solving crimes and cooperate with the government by standing as witness or providing information to help solve the crime. Uniting the community is the third function of deviancy. Community may also group together to stigmatize people  who are considered not following the norms. The people in the TV series agreed that Satanists are bad. Both the policemen and the FBI agents stigmatized the Satanists. The fourth function of deviancy according to Durkheim is it encourages social change. The social change in the TV series as brought about by the crimes is implied. FBI procedure are revised whenever they encounter a very difficult to find criminal. References: Criminal Minds (2014) Per. Mandy Patikin, Thomas Gibson & Lola Glaudini. USA. ABC studios Siegel, L. (2008) Criminology. Theories, Practice and Typologies. NJ: Prentice Hall. Thompson. W. 92012) Society in Focus: an Introduction to Sociology. NY Allyn and Beacon

Health Care Reform in the United States Essays - 1876 Words

â€Å"We will pass reform that lowers cost, promotes choice, and provides coverage that every American can count on. And we will do it this year.† The preceding is a powerful statement from the newly elected President Barak Obama. One of the main aspects of both political campaigns was health care reform. The above quote shows passion and encouragement, but the quotes about health care do not end there. Georgian republican gubernatorial candidate and health care policy maker John Oxendine expressed: â€Å"Their proposal would virtually devastate the private healthcare sector in this country along with competition and patient choice, by replacing it with bureaucratic planning and government control. The result of this plan and its one trillion†¦show more content†¦There should be a public option available in health care and the government should have control over the industry. Backing up a bit, what is wrong with the health care system in the first place to caus e such an enormous reform? Less than a hundred years ago, in the late 1920’s and 30’s, almost 90% of Americans did not have health insurance (Fall of HMO’s 4). They used a variety of home remedies and when medical assistance was truly needed, they paid for it out of pocket, even incurring vast amounts of debt. This had been the case throughout history, and it changed due to an important factor, medical equipment. The industrial revolution finally caught up with the medical industry and the country saw a vast change in the scientific instruments used by physicians. These instruments required a lot of money to make and care for which caused prices to rise. Due to this massive problem, a committee was formed of health care professionals and after a 5 year study, the Committee on the Cost of Medical Care suggested that health insurance co-operatives start. These corporate medical practices became known as Health Maintenance Organizations (HMO’s) and pre ferred provider organizations (PPO’s), and up until the 1970’s, were an experiment to regions across the U.S. Factors that hindered health care included bullying of â€Å"money politics† from both sides of the isle as well as Presidential views and tactics as well. President Nixon firstShow MoreRelatedHealth Care Reform : The United States Essay1087 Words   |  5 Pagesfeel heath care reform was necessary, health care costs affect the economy, the federal budget, and virtually every American’s family’s financial well-being. According to Obama, â€Å"In 2008, the United States devoted 16% of the economy to health care, an increase of almost one-quarter since 1998 (when 13% of the economy was spent on health care), yet much of that spending did not translate into better outcomes for patients† (Obama, 2016, p.526). 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