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Linda Waterfall: Severe Anxiety Vsim

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Date of Completion Jul 02, 2020 3:35 PM Linda Waterfall Age: 48 years Diagnosis : Left mastectomy Score 0 0 0 100% Feedback Log This study source was downloaded by 100000844830524 from Cou... rseHero.com on 11-24-2023 23:41:22 GMT -06:00 https://www.coursehero.com/file/74865697/Linda-Waterfall-Vsimdocx/ 0:00 Patient 0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety. 0:06 You introduced yourself. 0:28 You asked the patient: Is it OK for your cousin to be here, while we talk? It was correct to let the patient give her consent for letting her cousin be a part of the interview. 0:44 The patient said: Alice! Don't leave me! Nurse, she said she wanted some coffee.\nYou answered: Mrs. Waterfall, I will stay with you if Alice wants to get some coffee. \nYou used the therapeutic technique of offering self. 0:45 You washed your hands. 0:50 You identified the patient. 1:17 You assessed the respiration. 1:47 You checked the pulse oximetry. 2:03 You checked the radial pulse. 2:30 You measured the blood pressure. 2:47 You measured the temperature. 3:04 You auscultated the lung sounds. 3:22 You auscultated the heart sounds. 3:42 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with her to get an understanding of this. 4:04 The patient said: I had a horrible morning! I could not find my bag, then I broke a glass, and I could not get in touch with my father. My life is falling apart!\nYou answered: You must be feeling as if everything is out of your control. \nYou used the therapeutic technique of translating to feelings. 4:05 You asked the patient: Over the past year, when did you feel your best? It was This study source was downloaded by 100000844830524 from CourseHero.com on 11-24-2023 23:41:22 GMT -06:00 https://www.coursehero.com/file/74865697/Linda-Waterfall-Vsimdocx/ appropriate to ask the patient about when she felt her best. 4:22 The patient said: You are trying to kill me by making me go through this surgery without it. All of you are out to get me. You want me to die!\nYou answered: Ms. Waterfall, I am your nurse and I'm here to help you. \nYou used the therapeutic technique of giving information. 4:33 You asked the patient: Do you have any difficulty with your breathing? The patient said: Yes. I feel I can't breathe. 4:48 You asked the patient: Do you have chest pain? The patient said: No, I don't have chest pain. 6:14 You asked the patient: Have you had any changes in your appetite over the past month? The patient said: My appetite has been about the same. 6:23 You asked the patient: Have you lost or gained weight over the past month? The patient said: No, I am about the same weight. 6:32 You asked the patient: Tell me about any changes you have had in your sleep over the past few weeks? The patient said: When I am anxious I have a hard time sleeping. Recently this has been the case. 6:48 You asked the patient: Approximately how many hours of sleep do you get each night? The patient said: I sleep about 7 hours a night. 6:56 You asked the patient: Do you have energy to do the normal activities necessary to get through the day? The patient said: Yes, I have no trouble with energy once I get up in the morning. 7:39 You assessed the patient's IV. 8:06 You checked the patient's skin. 8:32 You asked the patient: I would like to ask you a series of questions about how you are feeling to help me better understand how together we can start to plan your care. These are questions I ask all of the patients I see. May I ask you these questions? 9:00 The patient said: All of this talking, it's just a waste of time.\nYou answered: Do you feel that no one understands your feelings? \nYou used the therapeutic technique of verbalizing the implied. 9:06 You supported the patient about religous beliefs. 9:12 You supported the patient about medicine bundle. 9:25 You supported the patient in taking deep breaths. This study source was downloaded by 100000844830524 from CourseHero.com on 11-24-2023 23:41:22 GMT -06:00 https://www.coursehero.com/file/74865697/Linda-Waterfall-Vsimdocx/ 9:41 You supported the patient about treatment. 9:51 You supported the patient's cousin about family relations. 10:07 You asked the patient: Do you have any thoughts or wishes to harm or kill yourself? The patient said: No. 10:15 You asked the patient: Do you have any thoughts or wishes to harm anybody else? The patient said: No. 10:20 You asked the patient: Can you tell me what a desired outcome of treatment would be for you? 10:32 The patient said: Do you think I should have this surgery?\nYou answered: Do you think you should? \nYou used the therapeutic technique of giving reflection. This response encourages the patient to make decisions independently. 10:43 You asked the patient: How do you understand your problems? 11:11 The patient said: There was so much going on this morning. I was trying to get my things together and waiting on Alice. I can't believe I left it at home.\nYou answered: Go back over your morning. What led up to Alice arriving at your home? \nYou used the therapeutic technique of placing the event in time or sequence. 11:17 You asked the patient: Do you find that you worry more than others? 11:32 The patient said: Without my medicine bundle, I won't make it.\nYou answered: Are you feeling hopeless? \nYou used the therapeutic technique of translating to feelings. 11:49 You asked the patient: Are you frightened of anything? 12:01 The patient said: I'm not sure what to do.\nYou answered: Go on. \nYou used the therapeutic technique of offering general leads. 12:09 You supported the patient in taking deep breaths. 12:36 You educated about possibilities and advocated for the patient. 13:15 You called the provider. 13:27 You educated about discharge plans. Generally, anxiety is divided into four levels:lt;/p>lt;p>lt;ul>lt;li>Mild: Mild anxiety may increase the person's sensory perceptions. The person is alert and can see, hear, and understand what is happening around him or her.lt;/li>lt;li>Moderate: Perception is narrowed. The person may benefit from This study source was downloaded by 100000844830524 from CourseHero.com on 11-24-2023 23:41:22 GMT -06:00 https://www.coursehero.com/file/74865697/Linda-Waterfall-Vsimdocx/ the guidance of others. The person may experience difficulty concentrating, a change in voice pitch or volume, or trembling.lt;/li>lt;li>Severe: The person may be unable to attend to events even when they are pointed out by others. Generally, the person experiences distorted perceptions, a sense of impending doom, a rapid heart rate, and rapid breathing.lt;/li>lt;li>Panic: The person may be unable to focus, want to flee, feel paralyzed by fear, or be completely withdrawn or extremely agitated.lt;/li>lt;/ul>lt;/p>lt;p>De-escalation techniques for patients with anxiety include the following: speaking while positioned directly in the patient’s field of vision; sitting down and asking the patient to sit down; giving the patient concrete directions; and keeping a clear, calm voice. As the patient calms, breathing exercises may be used.lt;/p>lt;p>It is important to be able to distinguish between an anxiety attack and a heart attack. Physiologic concerns should always be initially ruled out, as symptoms of panic and a heart attack are often indistinguishable.lt;/p>lt;p>Although it is important to never assume that an individual has a certain belief system based on his or her culture, assessing a patient’s spiritual beliefs is vital. This case illustrates how greatly a person’s spiritual beliefs can influence his or her health outcomes.lt;/p> You got 100% This study source was downloaded by 100000844830524 from CourseHero.com on 11-24-2023 23:41:22 GMT -06:00 https://www.coursehero.com/file/74865697/Linda-Waterfall-Vsimdocx/ Powered by TCPDF (www.tcpdf.org) [Show More]

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