"Anxiety Care Plan" is a perfect example of a paper on the disorder. Mr. Scott is a successful 30-year-old engineer, who has been married for five years. His wife, a seventh-grade math and science teacher is supportive, loving, and loves to make home-cooked meals. Mr. Scott has had a series of attacks that he fears have become worse. His symptoms include sporadic episodes of chest pains, breathing problems, sweating, nausea, and dizziness. Mr. Scott is clean of any substance abuse. He avoids flying to his work destinations and instead drives.
As a result, he is lagging behind at work and has accumulated speeding tickets, which are expensive for him. As much as he accompanies his wife to run errands, the family rarely goes out. They have an entertainment system installed in their house. In the past few years, they have stopped going to church and have not seen their friends and family. Further Mr. Scott is not comfortable in situations in which he is being watched by others, or where his performance is being judged. He does not attend social gatherings in fear of succumbing to an attack.
Mr. Scott does this to minimize his attacks, which recently have become worse. He is certain that his disease is a heart attack and not psychiatric. Although, judging from his actions and symptoms, this is not the case. Baseline assessment This is the first admission for Mr. Scott, who has had mild and frequent symptoms of panic disorder since he was a teenager. He has reported negative work performance, and social isolation, which is secondary to his symptoms, hence suggesting signs of depression. His symptoms include relentless chest pain, dizziness, shortage of breath, G1 distress inclusive of nausea, and sweating. DiagnosisPsychiatric Diagnosis Axis I.
Agoraphobia and panic disorder Axis II. Deferral period Axis III. None Axis IV. Social and occupational problems outside spouse Axis V GAF 65, current 90 last yearMedication To be diagnosed with, serotonin reuptake inhibitors (SSRIs), norepinephrine reuptake inhibitors, Benzodiazepines and cognitive, behavioral therapy (Neimeyer, 2009). Retain prn lorazepam (Activan) Lorazepam (Activan) 2mg IM, for agitation, and cognitive restructuring. Nursing diagnosis, mental status exam Defining characteristics Evidenced by Impatient with interview questions He is restless and uneasy Articulate with speech, though speaks rapidly about his symptoms He is coherent and logical No hallucinations or delusions No suicidal ideation, (positive family history in paternal aunt), Signs of depression Severe episodes of chest pain, breath shortness, dizziness, nausea, and sweating. Panic disorder with agoraphobia fear of suffering an attack in the presence of the interviewer believes his symptoms are medical rather than psychiatric, social isolation Panic disorder. Outcome Initial Discharge To learn strategies to deal with social isolation, for instance, Mr.
Scott drives long distances to work instead of flying. Participate in activities in the treatment plan Agree to go for therapy and participate in order to curb his panic disorder problem. Take medication as prescribed. Intervention Rationale Goal Commence a patient-nurse relationship by exhibiting Mr.
Scott’ s importance as a human being. This is accomplished by evading pessimistic critics and behavior (Jongsma, (2010). Approach the patient in a calm and encouraging manner (Corey, 2009). Assist Mr. Scott to differentiate between thoughts and reality, which is achieved by confirming that his problem is psychiatric and not medical. As a result, focus aspects oriented on reality. Assist the patient to develop effective skills in communicating with other people in his environment The relationship will give Mr. Scott support as he comes to terms with his panic disorder problem and its implications. At first, the patent will argue on the basis that his problem is not psychiatric.
This is because he does not want to give an impression of losing his mind. Therefore, because panic disorders tend to be repetitive, the patient learns that these recurring experiences are not validated by other people and that he should go through therapy for him to get well. Patients with panic disorder often avoid crowded places in fear of suffering an attack To establish whether Mr. Scott can engage in a patient-nurse relationship. Determine if Mr.
Scott is convinced that his problem is psychiatric and not medical (Belmont, 2003). Establish circumstances that cause Mr. Scott to suffer an attack and help him overcome them. Evaluation analysis Outcomes Revised outcomes Intervention Mr. Scott continues to have panic disorders. He has started to plan ways to deal with his disorder problem as well as, social isolation. He is even considering visiting his friends and family once he has fully recovered. Mr. Scott understands that he has a disorder and that his problem is psychiatric and not medical Use these strategies to deal with panic disorder, social isolation, and be more active in his community. Continue to learn about panic disorders Encourage Mr.
Scott to practice these strategies, and activities in therapy for his full recovery Recommend, cognitive-behavioral, therapy and a medication group. Conclusion After two months of treatment, Mr. Scott has made remarkable improvements. His frequent attacks have decreased significantly. Although he is still under therapy, he now flies to work instead of driving and accompanies his wife to social gatherings.
Neimeyer, R. (2009). Constructivist psychotherapy: distinctive features. London New York: Routledge.
Corey, G. (2009). Theory and practice of counseling and psychotherapy. Australia CA: Thomson/Brooks/Cole.
Jongsma, A. (2010). Evidence-based treatment planning for panic disorder. Hoboken, N.J. Chichester: Wiley John Wiley distributor.
Belmont, J. (2003). Insomnia: a clinical guide to assessment and treatment. New York: Kluwer Academic/Plenum Publishers