Anxiety Disorders Studies Showed That Term Paper

Download this Term Paper in word format (.doc)

Note: Sample below may appear distorted but all corresponding word document files contain proper formatting

Excerpt from Term Paper:

The plan must also allow only reasonable time for documentation and updating (Greenwood 1996). The depth and breadth of the initial assessment and care plan, the tool format and the amount of writing required are the other factors. And the written care plan must, most importantly, be readily accessible. If not, it becomes unusable. The nurse cannot be expected to memorize data or make unrealistically frequent visits to the nurses' station to acquire information. Relying on colleagues and repeated asking for information from the patient can affect the nurse's professional credibility (Greewood).

Part 3 - Drugs and Their Side Effects

The use of drugs in the care of anxiety patients has been associated with falls. These drugs are mostly anti-psychotics and benzodiazepines and other psychoactive ones that affect patient cognition, balance and motor coordination, pulse and blood pressure (Cooper 1993). Reports said that half of nursing home patients experienced a fall in the duration of their stay in such homes at a rate of two episodes per patient per year. The most common consequences are hip fracture, painful soft tissue injuries, bruises, sub-dural hematomas and burns, immobility, hypothermia, deep vein thrombosis, stasis pneumonia, joint contractures, dehydration, urinary tract infection and pressure sores.

Drugs such as anti-hypertensives and psychotropics produce orthosis, which is a fall in systolic blood pressure of 120 mm of the diastolic of 10 mm mercury of more, when moving from supine to upright position (Cooper 1993). The inappropriate use of narcotic analgesics, such as Darvocet-N 100, Talwin, Percocet, Vicodin and Lortabs, for arthritic pain may raise the tendency to a fall or develop confusion. Anticoagulants, such as Dilantin, Depakene and Tegretol, may also increase the incidence of falls, especially in ambulatory patients and may also be toxic as a sedative or in those with ataxic gait.

In summary, the drugs most associated with falls are long-acting benzodiazepines or LABZs, such as Valium, Dalmane, Librium, Tranxene, Centrax, Paxipam and Klonopin (Cooper 1993). These drugs are to be given for no more than 10 consecutive days for sleep or four consecutive months for anxiety unless gradual dose reduction is attempted and if functional improvement is observed or gained from the use of these LABZs. Prevention is still the most preferred approach (Cooper).

Part 4 - Therapies

Recently surveyed nurses mostly agreed that anxiety management is an important and beneficial part of their care (Frazier 2003). Two of their most frequently used interventions are pharmacological, that is, adequate pain relief and administering anti-anxiety drugs. Others are information and communication intervention modes. They also use strategies to reduce anxiety in the presence and assistance or cooperation of the patient's family members and others concerned. They also use stress-reduction techniques, such as biofeedback, music and guided imagery, pharmacological interventions that address pain and anxiety, especially among critical care patients. The Joint Commission on Accreditation of Healthcare Organizations recently added pain assessment, management and education into its accreditation standard. Critical care nurses may also administer anxiolytic and sedative medications to patients primarily to increase comfort, induce amnesia, and prevent incidences of self-injury among agitated and unsettled patients.

Non-pharmacological interventions frequently used focused on providing information to reduce anxiety in these patients (Cooper 1993). These interventions or strategies consisted primarily of safety-oriented information, factual information and optimistic assurances. But the majority of the nurse-respondents said that they used traditional techniques such as a bed bath, massage, humor, education of patients, listening, and consultation with psychiatric or social services, distraction and the promotion of rest (Cooper).


Cooper, James W. Drugs that Cause Falls in the Nursing Home. Nursing Homes: Medquest Communications, LLC, Jan 2003.

Frazier, Susan K. Critical Care Nurses' Assessment of Patients' Anxiety. American Journal of Critical Care: American Association of Critical-Care Nurses, May 1993.

Critical Care Nurses' Beliefs About and Reported Management of Anxiety. Jan 2003.

Greenwood, Donna. Nursing Care Plans. Nursing Management: Springhouse Corporation, March 1996.

National Institute of Anxiety and Stress, Inc. Anxiety Statistics., 2005.

Peurifoy, Reneau. The Main Types of Anxiety Disorders. Life Skills Resources, 1999.[continue]

Cite This Term Paper:

"Anxiety Disorders Studies Showed That" (2005, March 20) Retrieved October 24, 2016, from

"Anxiety Disorders Studies Showed That" 20 March 2005. Web.24 October. 2016. <>

"Anxiety Disorders Studies Showed That", 20 March 2005, Accessed.24 October. 2016,

Other Documents Pertaining To This Topic

  • Anxiety Disorder s Impact on Individuals and Treatment

    Anxiety Disorder's Impact On Individuals And Treatment Anxiety disorder unlike a normal anxiety happens recurrently and tends to interfere with the quality of life of the persons suffering from the anxiety. In addition to the above, it may be an obstacle to the individual success in careers and relationships as well as the quality of life and happiness the individual would have achieved if they did not have the disorder. However,

  • Anxiety Disorders

    Anxiety disorders are a varied and complicated set of physical and psychological problems that affect more than twenty million Americans. The disorders, which include general anxiety disorder (GAD), panic disorders, and phobias, can often exert a disabling influence upon the individual's life, and disrupt his or her personal and social interactions. Treatments focus upon helping the individual to identify and understand the irrationality of their anxiety, and to assist them

  • Anxiety Disorders Diagnosis of Anxiety Disorders Diagnosis

    Anxiety Disorders Diagnosis of anxiety disorders Diagnosis Differential diagnosis Generalized anxiety disorder (GAD) Ethical issues in Psychopharamacology In this paper, we present an elaborate analysis of anxiety disorders involving symptoms, diagnosis as well as the differential diagnosis. The aim of this paper is however to discuss the Psychopharamacological of anxiety disorder with specific discussion of the medication for every case. The ethical considerations on Psychopharamacological are also presented. Anxiety disorders are noted by Oakley-Browne (1991) as

  • Anxiety Disorders Have Been Increasingly

    Likewise, anxiety and depression represent the most prevalent problems facing young adults attending college, with these two conditions being ranked first and third, respectively, among college students seeking counseling services (Mccarthy, Fouladi, Juncker & Matheny, 2006). According to Armstrong and her associates (2003), adolescence and young adulthood is a period in life when most people engage in explorative behaviors and test their limits in ways that may contribute to their

  • Anxiety Disorders in Older People

    Twenty three percent of the studied older adults, that were available for follow up, with an anxiety disorder met the criteria for persistent anxiety. Nearly half of the participants demonstrated subsyndromal anxiety, making up the partial remission group, while 31% were in full remission. Drawing on previous literature regarding the fluctuating nature of anxiety disorder in younger patients, the researchers surmise that too much emphasis should not be placed on the

  • Panic and Anxiety Disorders

    Anxiety Disorders - Panic Anxiety Disorder -- Panic Attacks The study of abnormal psychology has, in the past three centuries, developed to become a science that provides understanding to professionals and laymen alike about the nature and dynamics of psychological disorders that extraordinarily affects human behavior. Among the identified psychological disorders in the field of abnormal psychology, it is anxiety disorder that can be said as the most common yet unexplored category.

  • Separation Anxiety Disorder Separation Anxiety

    This correlation was more pronounced among female subjects. The results showed that of the 134 test subjects, 84.3% had no comorbid condition while the rest (15.7%) had atleast one comorbid condition. These subjects also showed a higher SASI score (p = .053). The subgroup with comorbid condition also showed a history of early onset (p < .01) and poor recovery of global functioning (p < .05) when compared to

Read Full Term Paper
Copyright 2016 . All Rights Reserved