Nursing Care Plan Panick Attack

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Name:  

  Date:
Yr/Section: Prof:

Nursing Care Plan:

PLANNING
ASSESSMENT NURSING GOAL / EVALUATION
NURSING
DIAGNOSIS EXPECTED RATIONALE
INTERVENTIONS
OUTCOME
Ineffective After 7 days of INDEPENDENT INDEPENDENT After 7 days of
Subjective breathing pattern nursing 1. Stay calm and 1. To build nursing
Data related to panic intervention: be rapport. intervention,
“It’s not the attack as nonthreatening. the short-term
asthma. My evidenced by SHORT TERM goal was met
heart is 2. Assure client of 2. Reassure the
trembling, nasal GOALS: when the:
beating fast.” client’s safety
flaring, feeling safety. Do not
dizzy. and - Patient will leave the client and security to - Patient
difficulty verbalize the alone. convey a feeling verbalized the
Objective
breathing. absence of that he is not absence of
Data
difficulty alone. difficulty
- trembling
- nasal flaring breathing breathing
3. Be clear and 3. To explain
- feeling dizzy concise with hospital
- Patient will - Patient
- difficulty words when experiences to
exhibit an exhibited an
breathing speaking calmly client. In an
effective effective
breathing and clearly. intensely anxious breathing
pattern with situation, client is pattern with
VS:
oxygen unable to oxygen
BP: 132/90
saturation and comprehend saturation and
mmHg
blood gases anything but the blood gases
PR: 85bpm
within the most elementary within the
RR: 24bpm
normal range. communication. normal range.
4. Provide a non-
- Patient will 4. A stimulating - Patient
stimulating
verbalize environment may verbalized
environment (dim
breathing increase level of breathing
lighting, few
techniques to anxiety. techniques to
people)
maintain eupnea maintain
during episodes 5. Encourage eupnea during
of respiratory 5. To help the episodes of
client to verbalize client work with
distress. feelings. respiratory
his feelings that distress.
After a month of may have
nursing triggered the
intervention: attack. After a month
of nursing
6. Provide 6. Helps relieve
LONG TERM intervention,
comfort anxiety.
GOALS: the long term
measures.
goal was met
- Patient will 7. Support the when the
determine how 7. The client uses client:
client’s defenses defenses in an
to handle his initially.
self through attempt to deal - Patient
non- with an determined
pharmacological unconscious how to
techniques when conflict and handle his
having episodes. giving up these self through
defenses non-
prematurely may pharmacolog
cause increased ical
anxiety. techniques
8. Avoid asking when having
or forcing the 8. They may episodes.
client to make resist and may
choices. intensify panic
attacks.
9. Encourage the
client’s 9. Relaxation
participation in exercises are
relaxation effective
exercises (deep nonchemical
breathing, ways to reduce
progressive panic attack.
muscle relaxation,
guided imagery,
meditation)

10. Monitor
oxygen saturation 10. Elevated
and respiratory respiratory rate
rate. and decreased
oxygen saturation
means the client
is still having
difficulty in
breathing.
11. Teach signs
and symptoms of 11. Gives the
escalating client confidence
anxiety, and ways in having control
to interrupt its over his panic
progression attack.

12. Educate the


patient and/or SO 12.
that anxiety Pharmacological
disorders are therapy is an
treatable. effective
treatment for
anxiety disorders;
treatment
regimen may
include
antidepressants
and anxiolytics.
DEPENDENT
1. Administer DEPENDENT
medications as 1. Antidepressant
prescribed. medications
successfully
reduce the
severity of panic
symptoms and
eliminate panic
attacks.
2. Administer
oxygen inhalation 2. If the client
as ordered. cannot breathe on
his own, oxygen
through nasal
cannula can help
COLLABORAT him breathe.
IVE
1. Refer to a COLLABORA
psychologist/psyc TIVE
hiatrist. 1. To help them
understand more
their condition
and learn ways
on how to treat it
through a
specialist for
mental
conditions.

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