Nursing Dx of Anxiety?

[Firemedic7]

Hi Guys,

CPNE in 5 days!!!!!

Another question.

With a Dx of "Anxiety" can you comfort mgmt AOC's be used for instance, "will offer patient a back rub" or "will assist patient with washing hands and face"?

I'm mostly thinking about a peds PCS

Let me know what you think

[Melinurse]

Think of lowering external stimuli from environment too. Such as , lowering lights, closing the door ( if patient is not a safety risk ), music therapy, collaborating care so as to promote rest, explaining everything you are doing with rationale to reduce anxiety related to procedures, etc. Be careful not to overthink, make what you are going to do patient centered. And most of all as you practice use the same books as you will for your CPNE.

[NC Girl BSN]

I haven't gotten that far but I wanted to wish you all the best with the CPNE. I will be rooting for you!

[Melinurse]

Firemedic7, where are you testing?I'll be keeping my fingers crossed for you.

:igtsyt: GOOD LUCK!

[Firemedic7]

Firemedic7, where are you testing?I'll be keeping my fingers crossed for you.

Racine, and thanks, I am most nrevous about drawing up my insulin without drawing too much and care plans:eek:

[Melinurse]

I will be working there this weekend on 4th floor. I also tested there. CA ( Beth ) is sooooo nice. She is very very supportive. Listen to any advice she gives you. My big problem with drawing up insulin was that I was so nervous, my hands were shaking. You have plenty of time so take your time in drawing it up. Time management is of course a factor but the amount they give to complete your labs is enough. Even though it does not sound like it. Pace yourself.

[SuesquatchRN, BSN, RN]

Don't use anxiety.

Use:

Acute Pain

Impaired mobility

Risk for Injury

Impaired Skin Integrity

Risk for Impaired Skin Integrity

obviously, as appropriate.

USE WHAT IS ON THE KARDEX. DO NOT GET CREATIVE.

Keep it simple, safe, specific.

NOTHING FANCY.

[SuesquatchRN, BSN, RN]

Firemedic, just remember:

regular (clear) first. Inject air into the NPH (cloudy) first. REMEMBER TO ROLL THE NPH BEFORE DRAWING IT UP.

[Firemedic7]

Firemedic, just remember:

regular (clear) first. Inject air into the NPH (cloudy) first. REMEMBER TO ROLL THE NPH BEFORE DRAWING IT UP.

Thank you, just to be sure.... air into cloudy first, clear second, draw out of clear first, cloudy second?

Also, if I decide on impaired mobility what is a measureable outcome, if patient is bedbound?

[Melinurse]

You got it! Be sure your needle does not touch the cloudy NPH! Otherwise, you got it.

[Melinurse]

Impaired Mobility

* Pt will remain free of reddened areas this PCS

* Pt will verbalize reason for repositioning this PCS

* Pt will participate in active/passive ROM this PCS

* Pt will remain safe in environment during PCS

What you will do for the pt during PCS for each of these is

* Reposition patient once during PCS

* Teach pt. reason for repositioning and why it is important

* Perform active/passive ROM on pt.

* Keep bedrails up x2 or 3, etc.

Be sure you use the careplan/Dx book recommended to come up with your own based on pt given. These were some I actually used at my CPNE. At least they are similar to them.

[SuesquatchRN, BSN, RN]

Thank you, just to be sure.... air into cloudy first, clear second, draw out of clear first, cloudy second?

Also, if I decide on impaired mobility what is a measureable outcome, if patient is bedbound?

Pt will move from - whatever the distance/place is - free from injury.