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Stress is characterized as a condition of anxiety or mental tension…
Stress is characterized as a condition of anxiety or mental tension brought on by a challenging circumstance. Stress is a normal human reaction that motivates us to deal with problems and dangers in our lives. Everyone goes through periods of stress.
Signs & Symptoms
worrying
worrying can depression, digestive problems, headaches, aches and pains in the muscles, heart disease, heart attacks, hypertension, stroke, sleep disorders, weight gain, and problems with memory and concentration
Physical sensations such as pain and sweating
The physical feeling of pain and sweating is a result of the body being in fight or flight mode from being in so much mental distress
fatigue & insomnia
Those thoughts might include violence and potential harm
fatigue & insomnia
fatigue and insomnia can cause brain fog and issues concentration
Cannot concentrate
The inability to concentrate can have to do with disassociation as a coping mechanism
0ver eating or under eating
this causes malnutrition or obesity and other health issues related to weight
Outburst of anger/irritability
Anger can be a result of feeling unfairness to the situation
suicidal thinking
can lead to patients hurting themselves or others
Who is at risk
phycological : aspect of stress
The SNS plays a role in the "fight or flight" response that occurs when the body is under stress. The body redirects its energy resources in order to defend itself or run away from an aggressor. Adrenalin (epinephrine) and cortisol are released by the adrenal glands in response to signals from the SNS.
Parents
Students
those who have lost jobs or have unmanageable debt
older persons who might not be independent or mobile
Patients who lost a loved one or friend involved in a disaster
Patients suffer from chronic pain or illness
Patients who survived a previous disaster
people who are going through a divorce
https://youtu.be/hnpQrMqDoqE
Diagnosis and treatment
Treatment
SSRIs Medications
Fluoxetine
It can help with sadness, (OCD), bulimia nervosa, and panic attacks.
monitor for nausea, insomnia, and nervousness. these S/S can improve over time.
Sertraline
treat depression, CD, panic disorder, PTSD, and social anxiety disorder
Monitor for nausea
Paroxetine
Monitor for headache, dizziness, weakness, difficulty concentrating, nervousness, forgetfulness.
Advise patient to take a few minutes and assess their stress level for the past 6-12 months using the Recent Life Changes Questionnaire.
The Daily Stress Index (michellecederberg.com)
Assess the triggers of the patient's stress and their willingness to cope.
Teach relaxation techniques such as deep breathing exercises, guided imagery, meditation and short progressive muscle relaxation.
Promote a healthy lifestyle.
benzodiazepines
it helps by amplifying the effects of GABA, an inhibitory neurotransmitter, to depress the central nervous system.
monitor for Respiratory depression, Respiratory arrest., Drowsiness, Confusion, Headache, Syncope, Nausea/vomiting, Diarrhea
Goals and Outcomes
The patient can sufficient sleep.
Patient is able to fulfill a role or work requirements
help the patient understand their emotions and start addressing issues.
tach the patient coping mechanisms for crippling anxiety. Think back to the events, ideas, and emotions that preceded the anxiety attack. Include a list of useful organizations and individuals. aid in the development of skills
..
The patient can perform routine tasks and sustain rewarding interpersonal relationships.
Nursing Interventions
Care for the patients anxiety
Make sure the patient is effectively coping
Provide calming and reassuring environment
Facilitate access to community though case managers and social workers
Administer medications appropriately and monitor for side effects of dependence
Encourage client to write about traumatic events
Encourage client to express emotions in a sage environment
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strict compliance with medicine (if given by a doctor) and a therapeutic plan
stress reduction methods
staying away from triggers
maintaining the beneficial coping mechanisms you've learnt
Relaxation methods (such as music therapy, visualisation, and deep breathing)
The patient's danger of suicide will be reduced.
https://youtu.be/v-t1Z5-oPtU
suicide
A significant risk factor for suicide is depression. After experiencing a period of despair or irritability, the person experiences an abrupt tranquility
interventions
Nursing interventions
Conduct a suicide risk assessment using a method that is supported by evidence.
The treatment team should be informed on the client's overall degree of suicide risk as well as the plan for reducing that risk.
Conduct an environmental risk assessment and get rid of everything that could be used as a suicide attempt.
treatment
Treatment for suicidal thoughts and behavior is based on your individual circumstances, including your suicide risk and any underlying issues that might be driving them.
Call 911 or your local emergency number.
Have someone else call if you're not alone.
Health Problems
