Question

A 37-year-old male with a history of anxiety presents to urgent care hyperventilating and experiencing chest pain. The symptoms started in response to an unexpected increase in his job responsibilities to begin on Monday. The patient is a single father and is fearful about not being able to perform, losing his job, and being unable to support his children. After an examination and ECG are performed, the symptoms are diagnosed as a panic attack. Patient is prescribed Sertraline daily and alprazolam PRN.

• Describe the assessment process for this patient.
• Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn't work?
• Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.

Answer 1

•Assessment process for this patient--

1)We should check the mouth smell and body temperature.

2)Check vital signs.

3)We can use the panic scale for a better assessment. In that, we can ask him to rate how much he is feeling worried or discomfort according to the scale.

4)Panic assessment includes these three aspects, what he is THINKING, what he is FEELING, and what he is DOING before the recent attack.,

5)For the pain assessment pain scale can be used.

6)Assessment for the other anxiety symptoms like nausea, trembling, sweating.

7) assess the other triggering factors that may be present in the environment.

8) blood gas analysis

• 1)effective intervention---- motivate and ask the client to breathe through pursued lip into a paper bag or cupped hands. Because of this, the balance of oxygen and carbon dioxide will be imoroimp.

2) noneffective intervention---- it's a very common noneffective intervention to immediately make the client drink water because of dehydration that will turn out to be one of the triggering factors.

• 1) ventilation of emotions---- this is the most effective way to reduce stress. Aa ventilating your emotions out will make you feel light and connected. Sharing with someone will make you feel more confident and less anxious.

2) meditation or yoga---- this the common technique people are using nowadays for stress relief. It soothes your mind and body and makes your mental health stronger make