Question

Mr. Jones is 37 years old and he has a history of anxiety attacks. He is hyperventilating and experiencing chest pain. Mr. Jones just recently got a increase in his job responsibilities and this is when his symptoms started. He has many worries because he is a single father that wants ti be able to support his children. After his assessment he was diagnosed with a panic attack and prescribed Sertraline, zaleplon, and alprazolam.

During the assessment with the patient take full history and conduct an examination, including a mental status examination. Consider organic causes of anxiety, such as stimulant use, endocrine disorders, asthma or congestive heart failure. Staying calm and being nonthreatening is one intervention that is effective because it doesn't agitate the patient. Encouraging the client to verbalize feeling may not work if he is not ready. Two stress reduction techniques are exercising and lighting a candle. They both were helpful but Mr. Jones was hesitant to start exercising.

Respond and explain if you agree or disagree with how they would handle a client who was having severe anxiety. If you do not agree, please provide how they could have approached the client differently, and provide supporting rationale and citations. in 5 paragraph

Answer 1

1.As Mr. Jones is hesitating to start exercising, he should not be forced to do it. We should look for alternatives such as :

1.mindfulness

2.relaxation techniques

3.correct breathing techniques

4.cognitive therapy

5.behaviour therapy

6.counselling  

7.dietary adjustments

8.learning to be assertive

9.building self-esteem

10.structured problem solving

2.how they could approach patient differently :

Ask questions-Sometimes anxiety arises in response to troublesome thoughts, such as “I believe I am a failure” or “Everyone is judging me.” When you notice anxiety arising from a thought, ask yourself: Is this thought true? Or is it a story I’m telling myself? Be honest about which thoughts are based on real evidence and which ones are only convincing because they “feel” powerful.

Relax on purpose-Meditation, mindful breathing, guided imagery and body scans are all good techniques that can induce feelings of relaxation. Many of these can be practiced anywhere riding the bus, loading the dishwasher, sitting at your desk and require nothing but a few minutes of your time. Try practicing purposeful relaxation at different times of the day, even when you are not feeling stressed or anxious.

Make your space a calm space-Our attitudes and feelings are often reflections of our surroundings, so creating a healing environment can help bring a sense of peace and joy to our lives.

Take care of body-The mind body connection is never more obvious than when we’re caught up in a state of anxiety fearful thoughts prompt a biochemical response in the body (racing heart, shallow breath, dry mouth) and the mind interprets these physical symptoms as further evidence of something being “wrong.”

Eat well-balanced meals-Do not skip any meals. Do keep healthful. Taking balanced diet helps in maintaining biomolecules balance in the body. Which helps in synthesis and maintainace of stress reliving harmones.