Anxiety

Card Set Information

Author:
dsherman
ID:
113630
Filename:
Anxiety
Updated:
2011-11-05 19:13:59
Tags:
Anxiety
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Description:
levels of anxiety, signs, and interventions
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  1. Mild +1 (Signs)
    • psychomotor:
    • Slight muscle tension
    • Slight fidgeting
    • Energetic
    • Good eye contact

    • Emotional:
    • Occasional slight irritability
    • feeling challenged
    • confident (use of adaptive coping mechanisms)

    • Cognitive:
    • alertness
    • awareness of surroundings
    • concentration
    • accurate perceptions
    • attentiveness
    • logical reasoning and problem solving skills
  2. Mild +1 (Interventions)
    • discuss source of anxiety
    • problem solve
    • accept anxiety as natural and benefit from it
  3. Moderate +2 (signs)
    • Psychomotor:
    • Moderate muscle tension
    • increased blood pressure, pulse, and respitations
    • startle reflex
    • slight perspitation
    • difficulty sitting still
    • repeated fidgeting
    • periodic slow pacing
    • increased rate of speech
    • sporadic eye contact

    • Emotional:
    • Feeling uncomfortable, on edge, keyed up
    • motivated to decrease anxiety
    • increased irritability
    • decreased confidence (use of palliative coping mechanisms)
    • Cognitive:
    • Difficulty in concentrating
    • easily distracted, can focus with assistance
    • circumstantiality
    • tangenitality
    • loose associations
    • narrowed perceptions
    • deceased attention span
    • misperception of stimuli
    • problem solving and reasoning skills with effort or assistance
  4. Moderate +2 (interventions)
    • decrease anxiety, ventilation, crying, exercise, relaxation techniques
    • refocus attention: relate feelings and behaviors to anxiety then use problem solving techniques
    • give oral medications if needed
  5. Severe +3 (signs)
    • Psychomotor:
    • increased perspitation
    • continuous and rapid pacing
    • reflex responses
    • loud or rapid speech or both
    • poor eye contact
    • somatic

    • Emotional:
    • Extreme discomfort
    • feeling of dread
    • hypersensitivity
    • defensiveness with threats and demand (use of maladaptive coping mechanisms)

    • Cognative:
    • distorted perceptions
    • difficulty focusing, even with assistance
    • flight of ideas
    • ineffective reasoning and problem-solving
    • disorientation
    • delusions and hallucinations if prolonged
    • suicidal or homicidal ideations if prolonged
  6. Severe +3 (interventions)
    • decrease anxiety, stimuli and pressure
    • use kind, firm, simple directions
    • use time out, (seclusion)
    • give Intramuscular medications if needed
  7. Panic +4 (signs)
    • suicide attempts or violence
    • depletion of body resources
    • eyes fixed
    • hysterical or mute
    • incoherent
    • feeling overwhelmed out of control
    • rage
    • desperation
    • feeling totally drained (Use of dysfunctional coping mechanisms)
    • disorganized perceptions
    • irrational reasoning and problem solving
    • neologisms
    • clang associations
    • word salad
    • out of contact with reality
    • peronality disorganization
  8. Severe +4 (inteventions)
    • Guide firmly, or physically take control
    • give intramuscular medication
    • order restraints, if needed

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