Nursing interventions for anxiety, depression, and suspiciousness in the home care setting. 1993

L Lehman, and J H Kelley

Home healthcare nurses who have no special training or experience in mental health care can use the suggestions provided in this review of nursing interventions for clients experiencing anxiety, depression, or suspiciousness. As mentioned, when dealing with psychosocial behaviors, the crux of the nursing interventions is the establishment of the nurse-client relationship. The means used to initiate this relationship and the interventions used for ongoing care vary with the presenting behavior. However, trust is the primary goal, and this trust often comes only with patience and persistence. Above all interventions, the most important to remember are active listening and presence, or "being with" the client. Because the emotions involved in anxiety, depression, and suspiciousness evoke similar or strong emotions in others, the nurse must continually examine his or her own feelings and reactions to the client. Being aware of the effect of such emotions on oneself can help the nurse become aware of the effect on the family who deals with the client. If family members are caregivers or are involved in the client's daily life, they may benefit from supportive interventions to assist them in recognizing and dealing with their feelings as well. The home healthcare nurse can provide a high level of professional care by assessing and intervening in these psychosocial dynamics of clients and their families.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009723 Nurse-Patient Relations Interaction between the patient and nurse. Nurse Patient Relations,Nurse Patient Relationship,Nurse Patient Relationships,Nurse-Patient Relation,Patient Relations, Nurse,Patient Relationship, Nurse,Patient Relationships, Nurse,Relations, Nurse Patient,Relations, Nurse-Patient,Relationship, Nurse Patient,Relationships, Nurse Patient
D003152 Community Health Nursing General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department. Nursing, Community Health
D003863 Depression Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders. Depressive Symptoms,Emotional Depression,Depression, Emotional,Depressive Symptom,Symptom, Depressive
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001007 Anxiety Feelings or emotions of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS. Angst,Anxiousness,Hypervigilance,Nervousness,Social Anxiety,Anxieties, Social,Anxiety, Social,Social Anxieties
D019964 Mood Disorders Those disorders that have a disturbance in mood as their predominant feature. Affective Disorders,Affective Disorder,Disorder, Affective,Disorder, Mood,Disorders, Affective,Disorders, Mood,Mood Disorder

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