Anxiety related to Testicular Cancer

Nursing Care Plan for Testicular Cancer : Diagnosis and Interventions : Anxiety

Testicular cancer is the growth of malignant cells in the testes (testicles), which can cause enlarged testicles or cause a lump in the scrotum (the scrotum).

Testicular cancer, which ranks first in cancer deaths among men in the age group 20 to 35 years, is the most common cancer in men aged 15 to 35 years and is the second most common malignancy in the age group 35 years to 39 years .

Nursing Diagnosis: Anxiety related to crisis situations (cancer), health change, socio-economics, the role and functions, form interaction, preparation of death, separation of families.

Goal:

• Clients can relieve anxiety.
• Relax and be able to see himself objectively.
• Demonstrate effective coping and able to participate in treatment.

Nursing Interventions - Anxiety related to Testicular Cancer:

• Determine the client's experience prior to the illness.
• Provide accurate information about prognosis.
• Give the client an opportunity to express anger, fear, confrontation. Give reasonable information to the emotions and expressions accordingly.
• Explain the treatment, the purpose and side effects. Help clients prepare for treatment.
• Note the ineffective coping such as lack of social interaction, helpless.
• Encourage to develop interaction with the support system.
• Provide a quiet and comfortable environment.
• Maintain contact with clients, talk and touch with the fair.

Rational:

• Data about previous client experience will provide a basis for counseling and avoid duplication.
• Provision of information to assist clients in understanding the disease process.
• Can reduce client anxiety.
• Assist clients in understanding the need for treatment and side effects.
• Knowing the client's coping patterns and explore and resolve / provide solutions in an effort to increase the strength in dealing with anxiety.
• So that clients get the support from the nearest person / family.
• Providing the opportunity for clients to think / contemplate / rest.
• Clients gain the confidence and belief that he is really in for help.

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Anxiety Assessment and Nursing Diagnosis

Nursing Assessment for Anxiety

Assessment of the physiological function and behavior change through a symptom or coping mechanism, as a defense against anxiety.

Assess the predisposing factors
Predisposing factor is all the tensions in life can cause anxiety such as:

1. Traumatic events that can trigger a crisis of anxiety experienced by individuals, either developmental or situational crisis.
2. Emotional conflict experienced by individuals and are not well resolved. The conflict between the id and super ego, or between desire and reality can lead to anxiety in individuals.
3. Impaired self-concept will lead to the inability of individuals to think realistically that will cause anxiety.
4. Frustration will lead to a sense of powerlessness to make decisions that impact on the ego.
5. Physical disturbance will cause anxiety because it is a threat to physical integrity that may affect the individual's self concept.
6. Patterns of family coping mechanisms, or patterns of families dealing with setres will affect individuals in responding to conflicts experienced as patterns of individual coping mechanisms widely studied in the family.
7. History of anxiety disorders in families will affect the response of individuals in responding to conflict and overcome anxiety.
8. Medications that can trigger anxiety.

Assess the precipitation stressors

Precipitation stressor is any tension in life that can trigger the onset of anxiety. Precipitation anxiety stressors grouped into two parts:

1. The threat to physical integrity. Tensions that threaten the physical integrity include:

• Internal sources, including the failure of the physiological mechanisms of the immune system, regulation of body temperature, normal biological changes (eg pregnancy)
• External sources include exposure to viral and bacterial infections, environmental pollutants, malnutrition, inadequate shelter.

2. Threat to self-esteem, including internal and external sources.

• Internal source: difficulties in interpersonal touch at home and at work, adjustment to new roles. Various threats to the physical integrity of self-esteem may also be threatened.
• External sources: loss of a loved one, divorce, change of employment status, peer pressure, social culture.

Assess the behavior

Directly concerns can be expressed through physiological and psychological responses, and indirectly through floating coping mechanisms as a defense against anxiety.
1. Physiological response.
Activate the autonomic nervous system (sympathetic and parasympathetic)

2· Psychological Response
Anxiety can affect intrapersonal and personal aspects.

3· Cognitive Response.
Anxiety can affect your ability to think both the mind and isis thought, such is not able to pay attention, decreased concentration, forgetfulness, decline in the field of perception, puzzled.

4· Response affective.
Clients will be expressed in the form of confusion and suspicion over-emotional reaction to anxiety.


Nursing Diagnosis for Anxiety

1. Panic related to the rejection of the family because of confused and failed to make a decision.
2. Severe anxiety related to marital conflict.
3. Anxiety was related to financial pressures.
4. Ineffective individual coping related to the death of a sibling.
5. Ineffective individual coping related to the impact of sick children.
6. Fear associated with surgery plans.

Levels of Anxiety - Mild, Moderate and Severe

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Levels of Anxiety - Mild, Moderate and Severe

Levels of Anxiety

1. Mild anxiety

Mild anxiety is a feeling that something is different and requires special attention. Increased sensory stimulation and helps the individual focus of attention for learning, doing, solving problems, feel, and protect themselves. Mild anxiety associated with the tension of everyday life events. At this level of perception of land to widen and individuals will be cautious and vigilant.

a. Physiological response

• Occasional shortness of breath
• Pulse and blood pressure increase
• Mild symptoms of the stomach
• Wrinkled face and lips tremble
• Mild muscle strain
• Relaxed or less anxious

b. Cognitive response

• Able to accept that complex excitatory
• Concentrate on the problem
• Solve problems effectively
• Little sense of failure
• Be alert and pay attention to many things
• Look calm and confident
• Optimal learning rate

c. Behavioral and Emotional Response

• Unable to sit still
• Fine tremor of the hands
• Voice sometimes rising
• A little impatient
• Activity tends to be alone

2. Moderate anxiety

Moderate anxiety is a disturbing feeling that something really different, people become nervous or agitated. For example, a woman visiting her mother for the first time in several months and feel that there is something very different. Mom said that the weight down a lot without trying to reduce it. At this level of land decreases the perception of the environment, individuals are more focused on the important thing was to the exclusion of anything else.

a. Physiological responses

• Intermediate muscle tension
• Vital signs improved
• Pupillary dilation, began to sweat
• Often paced, slapped hands
• Sound change: a shaky voice, high voice
• Increased alertness and tension
• Frequent urination, headaches, sleep pattern changes, back pain

b. Cognitive response

• Field perception of declining
• No attention is selectively
• The focus of the stimulus increases
• Decreased attention span
• Decreased problem-solving
• Learning takes place by focusing

c. Behavioral and emotional responses

• uncomfortable
• sensitive
• Confidence shaken
• Unconsciousness
• excited

3. Severe anxiety

Severe anxiety is experienced when an individual believes that there is something different and there is a threat: it shows the response of fear and distress. When individuals reach the highest level of anxiety, severe panic, all rational thinking stops and the individual is experiencing the fight, flight, the need to go as soon as possible, remain in place and fight, or be frozen or can not do anything.

a. Physiological responses

• Severe muscle tension
• hyperventilation
• Poor eye contact
• Transpiration increased
• Fast talking, high-tone
• Aimless and haphazard actions
• jaw tightened
• The need for increased space
• Pacing, yelling
• Wringing hands, shaking

b. Cognitive response

• Limited field of perception
• Fragmented thought processes
• It's hard to think
• Poor problem-solving
• Unable to consider the information
• Just watch the threat
• Preokupasi with a mind of its own
• Egocentric

c. Behavioral and emotional responses

• very anxious
• agitation
• fear
• confused
• Feeling inadequate
• withdraw
• denial
• want to be free

Anxiety Assessment and Nursing Diagnosis

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