Stress in life is part of the ordinary, and we are always familiar with expressions as being stressed out, or my work is such significant stress. Stress has no definite meaning as it means different things to different people. But we can say that stress is associated with a negative feeling. One can have physical stress which is caused having too much work to do, not getting enough sleep, eating a poor diet as well as illness. Mental stress is caused by worrying as well as experiencing an emotionally devastating event. Less dramatic daily duties cause much of the stress experienced in life. In response to the familiar strains, our bodies experience an automatic increase in blood pressure, heart rate, metabolism, respiration and blood flow to the body muscles. The response by the body is meant to help the body respond immediately and effectively to high-pressure situations. When a person is consistently responding to stressful events without the body adjusting to counter the adverse effects, a person is likely to be stressed, and the stress can negatively affect the well-being and health of the person.

Diagnosis and intervention of stress in nursing

The scenario may involve a nurse receiving a patient with stress caused by experiencing an accident a few days ago. The patient may be injured, and the nurse may learn that the same patient has lost family members. The patient may get stressed that the family members are gone and keeps on saying that. The nurse may find that the patient is in denial of the loss and stress about family members who are dependants of the lost members.

The diagnosis made by the nurse may involve recording increased blood pressure, pulse rate, and breathing rate. The nurse may also find that patient restless, helpless and having difficulty in concentrating. The subjective data that need to be recorded by the nurse is the loss of family members and worrying about the survival of the dependants. The nurse may as well record objective data which may include the injuries to the patient and the restless nature of the patient resulting from being in denial of what has happened.

The nursing interventions will include a nurse assessing how the patient is feeling about the present situation within 24 hours. The nurse will then assist the patient to identify ways of countering the current situation within 24 hours and will request the patient to know them before getting discharged from the healthcare center. The nurse will also demonstrate to the patient two non-pharmacological ways of dealing with anxiety in less than 12 hours, and the patient will need to respond. The patient will be administered with a dose of 0.25mg PO of Xanax every 6 hours in every MD order. The nurse will then assess the vital signs of the patient in every 4 hours and the patient’s attention in every 6 hours and report to the MD any abnormal results.

The most likely outcomes include the patient accepting of being able to control the situation and will have identified three ways of countering the situation before getting discharged. The reduction in the blood pressure will be recorded, heartbeat rate and breathing rate. The patient will be more calm and attentive evidenced by answering the questions asked by the nurse.

References

Lee, M. K., & Jung, D. Y. (2015). A study of nursing tasks, nurses’ job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration, 21(3), 287-296.

Pakos‐Zebrucka, K., Koryga, I., Mnich, K., Ljujic, M., Samali, A., & Gorman, A. M. (2016). The integrated stress response. EMBO reports 17(10), 1374-1395.

 
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