Levels of Anxiety (Hildegard Peplau)Version en ligne Navigate through the perceptions, s/s, and nursing interventions of the 4 anxiety levels in this interactive game. par Elizabeth 1 Mild Anxiety 2 Moderate Anxiety 3 Severe Anxiety 4 Panic Anxiety Normal everyday life Reality in sharp focus Fidgeting or nail biting Restlessness or irritability Can be constructive Nursing Interventions - emotional support, encourage communication Perceptual field narrows to missing details Learning and problem solving are suboptimal Increased HR, respirations, perspiration, GI discomforts Constructive if danger is identified, hindrance if unable to focus sharply on details Nursing interventions include reducing stimulation Nursing interventions include speaking slowly and calmly. Perceptual field reduced to one detail or several scattered details Confusion and automatic behavior HA, nausea, dizziness, trembling, hyperventilation Intervention required d/t the loss of ability to make safe, logical decisions Nursing interventions include removing the client from the stimuli. Stay with the client and discuss the cause of elevated anxiety if possible. Unable to process reality Pacing, running, shouting, screaming Garbled speech or inability to speak Chest pain, shortness of breath, chills, flushed skin Stay with the client and keep safe from injury Nursing interventions include moving to a safe space
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