anxiety and family centred care - week 1 Flashcards
anxiety
A subjectively distressful experience activated by the perception of threat, which has both a potential psychological and physiological etiology and expression
mild-moderate anxiety
May have a positive impact (depending on the person or situation); if the impact is not positive, increased anxiety levels can result
severe anxiety to panic
Can lead to injury to self or others (in some cases, suicide, primarily due to impulsivity)
clinical management of anxiety:primary prevention
- Early recognition and referral for anxiety-based symptoms
- Cause? No cause?
Always consider the interdisciplinary team - Care Provider, Nurse
- Social work
- Occupational therapist, Physical therapist
- Chaplain
pharmacotheraoy for anciety
Pharmacotherapy
(depending on etiology):
* β-adrenergic receptor antagonists
* Benzodiazepines
* Nonbenzodiazepine antianxiety agents
* Antidepressants: selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), monoamine oxidase (MAO) inhibitors
complementary and alternative medicine for anxiety
- Psychotherapy
- Psychoeducation
- Cognitive behavioral therapy (CBT)
- Prolonged exposure therapy
- Cognitive processing therapy
- Mindfulness-based cognitive therapy
- Eye movement desensitization and reprocessing (EMDR)
complementary medicine
used together with conventional medicine
alternative medicine
used in place of conventional medicine
integrative medicine
combination of mainstream medical therapies with CAM based on some scientific evidence of safety and effectiveness
collaborative partnership
mutual trust, sensitivity to client’s and family’s beliefs and those of their culture.
interdisciplinary plan of care to meet physical, developmental, educational, spiritual and psycho-social needs. clinical expertise for best outcomes
cultrually competent nursing care
Support for uniqueness and diversity; enhancement of family strengths and competencies. Use client preferences. Greater family self-determination, decision-making, control.
evidence informed care
Use of research or evidence in establishing a plan of care and implementing it
communication
Effective therapeutic communication crucial to quality nursing care. Trust, respect, and empathy
education
Learning needs assessment, planning, interventions, evaluation and documentation
client advocate and resource manager
Ensure client’s and family’s needs being met
Ensure available resources, appropriate health care services
