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OASIS C: Best Practices for Managing M1720 Anxiety

Posted by Melissa Cott on Oct 23, 2014

If the patient reports anxiety and its noted on the OASIS home health care, OASIS C assessment make sure you14-06-11-nurse-patient include anxiety management in your careplan.

Your patient may be anxious and/or depressed because illness prevents participation in activities. While anxiety or depression is an understandable response to illness it is not inevitable. With support and counseling a patient can cope with the blues.

Recognizing Anxiety

  • Excessive worry about several events or activities for more than half a day.
  • Trouble controlling anxious feelings
  • The presence of three or more of the following symptoms, some of which are present for over half a day:
    • Feeling restless, edgy, keyed up
    • Tiring easily
    • Trouble concentrating
    • Irritability
    • Increased muscle tension
    • Trouble sleeping (initial insomnia or restless, unsatisfying sleep)
    • The anxiety and worry aren't suggestive of another mood disorder


 Teaching the patient how to cope with anxiety

  • Keep a journal.  Studies show that when patients keep a log or journal about their symptoms before and after treatment it helps identify the interventions that are effective. Keep a  log of your response to treatments to see if your symptoms are getting better. By tracking this information your doctor, home health nurse and/or therapists will know if they want to keep or make changes to medications and exercises.
  • Advise the patient to avoid making major life decisions until s/he is effectively coping with anxiety.
  • Avoid alcohol.
  • Exercise daily. Encourage exercise even if it is only with a few body parts. Mild exercise 30 minutes a day may have a positive effect on anxiety. If s/he misses a day, tell her/him not to worry and to simply do it the next day.
  • Be social. Encourage the patient to be around people, even if s/he is not feeling up to it. The illness may make the patient feel withdrawn, but counsel them to not let it govern their behavior. Encourage the patient to call or visit a friend.
  • Maintain nutrition and personal hygiene. Help the patient gain a sense of control by encouraging her/him to care for her/himself as much as possible and make daily decisions such as what to wear
  • Encourage the patient to express feelings and listening attentively an make no judgments.


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