solution:   in this discussion please respond to all discussion posts with…


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  in this discussion please respond to all discussion posts with…

 in this discussion please respond to all discussion posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation.Share your opinions and comments,Do you agree ? Why? DISCUSSION: 1.Although occasional anxiety is a normal part of life due to recurring issues such as money problems or health issues, anxiety can involve more than fear or temporary worry. Individuals with anxiety disorder are always anxious, and the symptoms worsen over time. As a LPN, I have encountered many with anxiety disorders, but one special case involved a patient who had lost both his parents within a span of two months due to health complications associated with the COVID-19 pandemic. The patient reported feeling weak and tired, constantly worrying, having trouble sleeping, and experiencing difficulty thinking or concentrating about anything other than present worry. The patient’s fear emanated from the fact that his siblings were still in school and relied entirely on their parents for survival. As the eldest among his siblings, the patient was worried about how they would proceed with schooling and how life would turn out in the future for their family. Based on the reported symptoms, I diagnosed the patient with administered him three medications, including Cymbalta, Zoloft, and Pamelor. These medications belong to different classes of drugs, and they are effective in reducing anxiety symptoms.  Patient assessment for anxiety disorder involved taking his full health history and conducting a health examination, including a mental status exam. I reviewed the interpersonal, functional, and social difficulties the patient was experiencing. Also, I took the patient’s psychiatric history while carefully noting the comorbid mental health conditions and past episodes. Lastly, I assessed the patient’s potential suicidal intent following the loss of both parents. The nursing intervention that works is using relaxation techniques, primarily guided imagery. This intervention could have worked because guided imagery creates a sense of tranquility and peace, leading to relaxed thoughts (Parizad et al., 2021). The intervention that failed to work was encouraging the patient to engage in daily exercise as a means to reduce anxiety levels. This intervention might have failed to work because the patient reported feeling too weak even to engage in normal daily activities like cleaning his room and clothes.Successful stress reduction techniques included guided imagery and mindfulness meditation techniques. Guided imagery was used to conjure the patient’s feelings about losing his parents and fears about the future. The technique helped reinforce the patient’s positive vision and encouraged him that things would turn up. The mindfulness meditation technique was used to prompt the patient to think about the present to address his worries about the future.  2.Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications. I worked at a nursing home in Dupage County at the beginning of my nursing career. There was a client who was severely diabetic, but his attitude was always pleasant. Unfortunately, his disease worsened and the only option was to have his left leg amputated. Days leading up to the surgery, he became increasingly agitated and restless. His appetite decreased and he barely slept at night. The physician ordered Melatonin, which was ineffective. Trazodone was helpful. Common medications used for anxiety include: Zoloft, Xanax and Lexapro.  Describe the assessment process for this patient. The first thing assessed in an anxiety patient should be safety, as well as a mental status examination. The Hamilton Anxiety Rating Scale is a great tool to use for assessing a patient with severe anxiety. It is important to gather all pertinent information about the patient and develop a plan that is specific to the needs of the patient. Identifying the root cause and utilizing therapeutic listening can be beneficial to the nurse/client relationship.  Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work? The staff did an amazing job reassuring and acknowledging the feelings of the patient. Activities were increased as a distraction for the patient social services provided a number of outside counseling and therapy services. The nursing staff were calm and provided detailed information on the new medications that were prescribed to the patient. Nurses allowed the patient to vent with no interruptions or judging.  Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress. Stress reduction techniques that help me (especially being a student at Rasmussen), are daily meditation, which includes deep breathing and positive visualization. Laughter helps significantly. I love to laugh and I enjoy making others laugh. It has been a stress and defense mechanism for me since I was a child.  3.Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.The patient that I am using for this discussion is a 34 years old African American male brought to assisting living healthcare for management and rehabilitation after the amputation of right lower limb. He was involved in a tragic motor accident. Visible symptoms include looking nervous, anxious, and lethargy. Other severe symptoms include refusing to admit inward, refusing to take treatment on a consistent basis, and irritability. His medications include alprazolam (Xanax) prn, duloxetine (Cymbalta), and buspirone (Buspar). Describe the assessment process for this patient.The following tools assisted in the diagnosis of the patient. The assessment process for the patient included mental status, Beck’s Anxiety Inventory (BAI) (2), the Depression Anxiety Stress Scales (4), the Hamilton Anxiety Scale (HAM-A) (4), and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) (5). Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?Physical care was used in the management of the patient and this was effective. Patient was assisted with movement and he began to perform range of motion movement. A non-effective strategy is client education as patient was non-compliance with medication intake and inadequate time for therapy sessions. Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress. Stress reduction techniques include physical exercise and Sleep/Relaxation. Patient was involved in regular exercise, more so activities that help them relax their muscles and breathe deeply to relieve the stress they are experiencing. He was also involved in leisure games such as watching tv, and playing with puzzles.   4.Experiencing occasional anxiety is a normal part of life. However, people with anxiety disorders often have intense, excessive, persistent worry and fear about everyday situations. In some cases, anxiety signs and symptoms are the first indicators of a medical illness (Mayo Clinic, 2019). The client I observed during my clinical experience had bipolar disorder. In addition, she had severe anxiety. The client was given alprazolam at the time. She also had orders in her chart for both valium and Ativan. The staff kept close attention to her behavior, mainly because her anxiety could cause frequent panic attacks resulting in her passing out from hyperventilating. The patient had also suffered from manic episodes due to her bipolar disorder. I saw the patient go through a panic attack while speaking to the nurse about her talking to the doctor about her discharge from the mental health facility. The nurse intervened and sat in front of her, speaking calmly and having her breath controlled. The breathing technique helped calm her down, and the nurse was able to give her medication. I did not see any non-effective interventions, but I could imagine that based on all patients being free roaming in the same area. If she does have an anxiety attack, some people may not be so understanding and helpful, and this could cause it to worsen based on their actions toward her. The Stress techniques I use are meditation before I go to sleep. It clears my head from all thoughts, and my body relaxes before I go to bed. I started doing this after my father passed away, and I could not fall asleep; since I have been meditating, I can fall asleep quicker. I woke up rested the next day. 

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