Anxiety

Anxiety

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Definition: a vague uneasy feeling of discomfort or dread accompanied by an autonomic response. The source is often nonspecific or unknown to the individual.

1. Your initials (required):

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis states feeling of apprehension states feeling of tension states feeling of nervousness fidgeting irritability/impatience angry outbursts crying
inability to concentrate increased pulse increased BP diaphoresis trembling
insomnia dry mouth nausea

3. Related Factors- check those that apply to your client:

threat to or change in health status (disease, invasive procedure, dying) threat to or change in environment (hospitalization, institutionalization, moving) threat to self concept (failure, ethical dilemmas, change in status) actual or perceived loss of significant others (death, divorce, separation) maturational crisis (separation, peer relationships, pregnancy, parenting, retirement)
threat to or change in economic status threat to or change in role

4. Goal (ultimate, long term)

5. Outcome Criteria (short term)

6. Evaluation: Was the outcome criteria met?

Yes- Give Evidence:

No- Explain how you would change the plan:

7A. Interventions

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7B. Rationale for each intervention

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