related to unfamiliar environment, separation from significant others, severity of current condition, and threat of death.
|The client will experience a reduction in fear and anxiety as evidenced by:|
- verbalization of feeling less anxious
- usual sleep pattern
- relaxed facial expression and body movements
- usual perceptual ability and interactions with others.
|Nursing Actions and Selected Purposes/Rationales|
- Assess client for signs and symptoms of fear and anxiety (e.g. verbalization of feeling anxious, insomnia, tenseness, shakiness, restlessness, diaphoresis, tachycardia, elevated blood pressure, self-focused behaviors).
- Implement measures to reduce fear and anxiety:
- orient client to hospital environment, equipment, and routines
- introduce client to staff who will be participating in care; if possible, maintain consistency in staff assigned to his/her care
- assure client that staff members are nearby; respond to call signal as soon as possible
- maintain a calm, supportive, confident manner when interacting with client
- encourage verbalization of fear and anxiety; provide feedback
- reinforce physician's explanations and clarify misconceptions the client has about his/her current infection, the treatment plan, and prognosis
- explain all diagnostic tests and monitoring devices
- provide information based on current needs of client at a level he/she can understand; encourage questions and clarification of information provided
- encourage significant others to project a caring, concerned attitude without obvious anxiousness
- include significant others in orientation and teaching sessions and encourage their continued support of the client
- administer prescribed antianxiety agents if indicated.
- Consult physician if above actions fail to control fear and anxiety.