In Britain, every nurse is on grade. The grade depends on experience and skill, and each grade has different responsibilities and pay. On the bottom grades are unqualified auxiliary nurses who do the routine work on hospital wards. On the top grades are nursing officer, who are usually administrators.
Auxiliary nurses are on the bottom grades, but student nurses get the lowest pay. However, student don't stay at the bottom of the scale forever. When they qualify, they start working on a middle grade. As they get experience, they can get promotion and move up the ranks to become staff nurse, then sister (charge nurse if a man), and perhaps eventually nursing officer.
Many Nurse work shift, and often they work overtime to earn more money. After basic training, many nurses choose to do further study and become specialists. Nurses can specialize in many different fields, there are triage nurses working in Casualty, and Psychiatric nurses who treat the mentally ill. There are health visitors who visit patients in their own home, practice nurses working in GPs' surgeries, and midwives who deliver babies.
Many of them say they don't get enough pay and respect for the work they do. They say that the work is physically and mentally hard, that they work long hours and get very tired. But they also say that there are many great rewards which have nothing to do with money.
Nursing Care Plane For Anxiety
To decide what kind of nursing intervention or nursing management for the anxiety's patient, the Nurses should make an assessment in two point ; Actual or Potential before they make their nursing care plan (NCP) note. Then the nurses collect some information, why the patient become anxiety.
May be related to :
- Anesthesia intervention
- Anticipated or actual pain
- Him or Her condition (Disease)
- Invasive/noninvasive procedure during treatment
- Loss of significant other
- Threat to self-concept
- Other may appear on Him/Her self
To help and support the assessment's data, look and check on :
- Physiological; Elevated Blood Pressure , Pulls and Respiration. Insomnia, Restlessnes, Dry mouth, Dilated pupils, Frequent urination, Diarrhea.
- Emotional; Patient complains of apprehension, nervousness, tension
- Cognitive; Inability to concentrate. Orientation to past. Blocking of thoughts, hyper-attentiveness
Plan and Outcome data :
The patient will :
- Demonstrate a decrease in anxiety A.E.B.:
- A reduction in presenting physiological, emotional, and/or cognitive manifestations of anxiety.
- Verbalization of relief of anxiety.
- Discuss/demonstrate effective coping mechanisms for dealing with anxiety.
- Other:...
Nursing Interventions :
- Assist patient to reduce present level of anxiety by:
- Provide reassurance and comfort.
- Stay with person.
- Don't make demands or request any decisions.
- Speak slowly and calmly.
- Attend to physical symptoms. Describe symptoms: Give clear, concise explanations regarding impending procedures.
- Focus on present situation.
- Identify and reinforce coping strategies patient has used in the past.
- Discuss advantages and disadvantages of existing coping methods.
- Discuss alternate strategies for handling anxiety. (Eg.: exercise, relaxation techniques and exercises, stress management classes, directed conversation (by nurse), assertiveness training)
- Set limits on manipulation or irrational demands.
- Help establish short term goals that can be attained.
- Reinforce positive responses.
- Initiate health teaching and referrals as indicated:
- Other:...
Labels: NCP Psychology - Anxiety
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Management Nursing Care Plans @ 12:18 AM,
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