The Problems of Anxiety Disorders
Anxiety is a normal reaction to a threatening situation and results from an increase in the amount of adrenaline from the sympathetic nervous system. This increased adrenaline speeds the heart and respiration rate, raises blood pressure, and diverts blood flow to the muscles. These physical reactions are appropriate for escaping from danger but when they cause anxiety in many situations throughout the day, they may be detrimental to a normal lifestyle. An anxiety disorder is a disorder where feelings of fear, apprehension, or anxiety are disruptive or cause distortions in behavior, (Coon, 526); they are psychiatric illnesses that are not useful for normal functioning. At times, an underlying illness or disease can cause persistent anxiety. Treatment of the illness or disease will stop the anxiety. Anxiety illnesses affect more than 23 million Americans with about 10 million Americans suffering from the most common, general anxiety disorder . (Harvard, 1). Common anxiety disorders are panic attacks (panic disorder), phobias, and general anxiety disorder (GAD). Panic attacks Panic attacks can begin with a feeling of intense terror followed by physical symptoms of anxiety. A panic attack is characterized by unpredictable attacks of severe anxiety with symptoms not related to any particular situation. (Hale, 1886). The person experiencing the attack may not be aware of the cause. Symptoms include four or more of the following: pounding heart, difficulty breathing, dizziness, chest pain, shaking, sweating, choking, nausea, depersonalization, numbness, fear of dying, flushes, fear of going crazy. Heredity, metabolic factors, hyperventilation, and psychological factors may contribute to anxiety causing panic attacks. (Hale, 1886) Panic disorder tends to run in families with first degree relatives of patients having four to seven times greater risk than the general population. Metabolically, the levels of three neurotransmitters, nor-epinephrine, gamma-aminobutyric acid (GABA), and serotonin, may play a role in anxiety. These neurotransmitters act as signals between brain cells. Drugs that change the levels of these neurotransmitters are useful in the treatment of anxiety. Hyperventilation (rapid shallow breathing) can cause a decrease in carbon dioxide in the blood. This decrease in carbon dioxide has been associated with anxiety. Anxiety can be caused by psychological factors as well. One theory is that there is an unconscious conflict between certain wishes and desires, and guilt associated with these desires. Another theory is that certain fearful childhood situations provoke anxiety later. This later theory has been associated with agoraphobia in that the fear of being abandoned in the past may lead to fear of public places.
Generalized Anxiety Disorder, also known as (GAD) is one of the several types of anxiety disorders. GAD according to our textbook (Lahey) is an uneasy sense of general tension and apprehension for no apparent reason that makes the individual highly uncomfortable because of its prolonged presence. GAD is much more than the normal anxiety people experience day to day. Without provoking, it is chronic and exaggerated worry and tension. This disorder can involve anticipating disaster, often worrying excessively about health, money, family or work. Sometimes, though, just the thought of getting through the day brings anxiety.
The impact left in this case, Jackson vs. Board of Education (2005), has been an issue that?s gone on for decades. It is a more recent encounter that shows it still exists in modern day. In Davis v. Monroe County Board of Education (1999) and Franklin v. Gwinnett County Public Schools (1992) these cases both enforce Title IX of the Education Amendments of 1972 such as Jackson vs. Board of Education (2005). Rights to equal protection began in Brown vs. Board of Education (1954). This case left a huge impact on equal rights against sexual discrimination, discussing the importance of the 14th
Anxiety according to Dr.Mercola, “anxiety is a natural normal response to potential, threats, which puts your body into a heightened state of awareness.” (Dr. Mercola) People are often unaware and disregard the severity of the disorder, thus mistaking anxiety for stress. On the contrary, anxiety has many similarities to stress,but stress is an anxiety trigger.(Henry) Frequently the causes of anxiety are unknown or result with our a clear cause rather by its own will.( Henry) The disorder most distinct feature is its internal trigger and its internal response, unlike many other disorders frequently caused internally by the victim without their knowledge.(Henry) “[Anxiety like stress, triggers]... a flood of stress hormones like cortisol
Pressure ulcers development occurs in every hospital and it remains a major worldwide health problem for many years. However, pressure ulcers have received minimal attention when we talk about it as a patient safety issue. It is a patient safety issue as it can lead to serious damage such as life-threatening infections and pain (Richardson & Barrow, 2015). On a med/surg unit, individuals may experience long or short hospital stays depending on the situation. For the short stays, the focus of care is often on regaining activities of daily living (Registered Nurses’ Association of Ontario, 2011). Therefore, assessment and education regarding pressure ulcers is often minimal or non-existent (RNAO, 2011). Every client who is at risk needs to be assessed and educated regarding pressure ulcers and the subsequent skin breakdown (Cooper, 2013). During the hospital stay, clients may have limited movement and pressure ulcers can extend into the muscle, tendon, and bone (RNAO, 2011). In many cases, clients do not notice the formation of an ulcer and as it may be in areas that are out of sight such as the coccyx. Often,
Crime control models have been important to the government in the United States because it allows it to keep citizens away from crimes. First of all, Packer’s due process model is a system in which it has a liberal approach in maintaining the rights and liberties of any citizen. According to the textbook crime control in America: what works states that (Worrall, 2015, pg. 26) “due process advocates believe that the government’s job is not first and foremost to control crime, but rather to maximize human freedom, which includes protecting citizens from undue government influence.” The due process model is simply protecting citizens from unfair justice. The government at times makes mistakes in incarcerating people that were believe to be guilty.
The National Center For Public Research. “Brown v Board of Education, 347 U.S. 483 (1954) (USSC+).” Supreme Court of The United States. 1982 .
Pressure ulcers (PU) remain one of the relevant and persistent issues in a long-term hospital stay patients (Theisen, Drabik, & Stock, 2012). Although healthcare settings try to implement evidenced-based pressure ulcer protocols, hospitalized patients still continue to suffer from this prevalent and preventable injury. PU is a big challenge for many hospitals and they continue to strive to prevent this illness because most of the insurance companies stopped paying for this hospital acquired condition. Most of the hospital acquired pressure ulcers are preventable; however, despite some of the evidenced-based approaches made to prevent this persistent issue from the healthcare team, it continues to
Many challenges had to be faced during the Civil Rights movement of the 1950’s; one of those challenges being the case of Brown v. Board of Education, which tested the ruling in the case of Plessy v. Ferguson back in the year 1896 proclaiming segregation to be constitutional as long as it was “separate but equal”. In this particular case, Thurgood Marshall claimed that forcing African Americans to used separate education facilities was violating the 14th Amendment which gave the right of equality to all citizens under the law of the United States.
Fear and Anxiety are essential functions that occur in the brain that allow people to respond to stimuli appropriately. These feelings as normal as they are can cause problems and in 3.1 percent of adult Americans approximately 6.8 million people it does cause problems (“Generalized anxiety disorder”, 2014). A problem can arise when people have too much fear and anxiety; a problem is evident when it interferes with their life and their ability to do things. This is known as general anxiety disorder (GAD). When someone is suffering from generalized anxiety disorder they normally experience excessive exaggerated anxiety and worry about normal life events that give no clear reason for worry (“Generalized anxiety disorder”, 2014). This disorder can be debilitating and rule over people’s lives if it is severe and a better understanding of the disorder can be gained by looking at historical views, current views, causes and symptoms, case studies, differential diagnosis considerations, and treatment.
As an ICU nurse I constantly watch how patients develop pressure ulcers, a pressure ulcer is an area of skin that breaks down due to having constant friction and pressure, also from having limited movement and being in the same position over a prolonged period of time. Pressure Ulcers commonly occur in the buttocks, elbows, knees, back, shoulders, hips, heels, back of head, ankles and any other area with bony prominences. According to Cox, J. (2011) “Pressure ulcers are one of the most underrated conditions in critically ill patients. Despite the introduction of clinical practice guidelines and advances in medical technology, the prevalence of pressure ulcers in hospitalized patients continues to escalate” (p. 364). Patients with critical conditions have many factors that affect their mobility and therefore predispose them to developing pressure ulcers. This issue is significant to the nursing practice because nurses are the main care givers of these patients and are the ones responsible for the prevention of pressure ulcers in patients. Nurses should be aware of the tools and resources available and know the different techniques in providing care for the prevention of such. The purpose of this paper is to identify possible research questions that relate to the development of pressure ulcers in ICU patients and in the end generate a research question using the PICO model. “The PICO framework and its variations were developed to answer health related questions” (Davies, K., 2011).
The reduction of pressure ulcer prevalence rates is a national healthcare goal (Lahmann, Halfens, & Dassen, 2010). Pressure ulcer development causes increased costs to the medical facility and delayed healing in the affected patients (Thomas, 2001). Standards and guidelines developed for pressure ulcer prevention are not always followed by nursing staff. For example, nurses are expected to complete a full assessment on new patients within 24 hours at most acute-care hospitals and nursing homes (Lahmann et al., 2010). A recent study on the causes of pressure ulcer de...
Hospital acquired pressure ulcers is a major nurse sensitive indicator and nurses greatly impact the development and prevention. Prevention of hospital acquired pressure ulcers often involves minimal use of equipment, but requires attentive caution to treat the continually increasing risks associated with the development of pressure ulcers. Not all pressure ulcers can be prevented, but the use of comprehensive pressure ulcer programs can prevent the majority of its development, (Gulanick & Myers, 2014). When a pressure ulcer develops, the goals of healing or preventing deterioration and infection are paramount. As leaders, nurses must take initiative in constantly educating themselves about new successful interventions and implementing evidenced-based practice and take action in the prevention before risk factors are detected.
When a wound is determined as non-healable, as described by Sibbald et al (1), it should not be treated with a moist treatment and should be kept dry in order to reduce the risk of infection that would compromise the limb. It is also important to consider the patient 's preferences and try to control his pain, his discomfort in activities of daily living and the odour that their wound may produce. In this case, special attention must be given to infection prevention and control. Some charcoal dressing would be interesting in the care of our non-healable wounds at St. Mary 's Hospital.
Anxiety is a normal reaction to stress. Every person experiences some form of anxiety in his or her lifetime. Anxiety helps us deal with tense situations like using our flight or fight reaction, study harder for an exam, or keep focus on important deadlines. Anxiety can be useful until it gets to the point of interfering with everyday life. Some people explain it as not being able to shut the anxiety off. When anxiety becomes an excessive, irrational dread of everyday situations, it becomes a disabling disorder (National Institute of Mental Health, 2009). Each year, anxiety disorders affect about 40 million American adults age 18 years and older (National Institute of Mental Health, 2009). There are five major Anxiety Disorders they include Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Panic Disorder, Post-Traumatic Stress Disorder (PTSD), and Phobias.
2. Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a comprehensive program to reduce the incidence of hospital-acquired pressure ulcers in an intensive care unit. American Journal of Critical Care, 25(2), 152-155. doi:10.4037/ajcc2016963