Nursing Care Plan

Anxiety, worry, fear, is a common psychological symptoms and can be felt by each individual. Anxiety reactions usually occur frequently in adults, but children can also face the anxiety, such as temporarily abandoned by parents, first day of school or at the time wanted the exam. In the case of the elderly, the reaction of anxiety often occur when they face the pressure (stress) with the difficulties that can be faced and the difficulties that can not be faced, such as work pressure, pressure at school / college, the pressure on the issue of romance as well as pressure on health issues.

Excessive anxiety reaction and settled continuously over a considerable period of time can turn into a disorder, which anxiety disorder. The nature of anxiety disorders can produce a response to the physical and psychological.

Anxiety disorder is a serious mental illness characterized by feelings of great anxiety and excessive, such as feelings of excessive fear, heart pounding harder, shortness of breath, sweating, breathing short, easy to feel dizzy and feeling uneasy.

People who have anxiety disorders often experience these reactions and more severe, causing them distress and causes them unable to perform their daily work. They become very alert, because it is afraid of danger, as a result they are difficult to relax and also difficult to feel at ease in many situations.

According to Freud (in Alwisol, 2005: 28) says that anxiety is the ego function to warn people about the possibility of a danger, so it can be prepared the appropriate adaptive response. Anxiety serves as a mechanism that protects the ego because the anxiety signal to us that there is a danger and if not done the right thing, the danger will increase to ego defeated.

Lefrancois (1980) states that anxiety is an unpleasant emotional reaction, which is characterized by fear. However, according to Lefrancois, the anxiety danger is ambiguous, for example there is a threat, given the barriers to personal desires, their depressed feelings that arise in consciousness.

The concept of anxiety plays a very fundamental theories of stress and adjustment (Lazarus, 1961). According to Post (1978), anxiety is an unpleasant emotional state, which is characterized by subjective feelings like stress, fear, worry, and also characterized by active central nervous system. Freud (in Arndt, 1974) describes and defines anxiety as an unpleasant feeling, followed by certain physiological reactions such as changes in heart rate and breathing. According to Freud, anxiety involves the perception of unpleasant feelings and physiological reactions, in other words, anxiety is a reaction to a situation which is considered dangerous.

Not much different from Lefrancois opinion is the opinion expressed by Johnston (1971) which states that anxiety can occur because of disappointment, dissatisfaction, insecurity or the hostility with others. Kartono (1981) also revealed that neurosa anxiety is psychological condition in chronic fear and anxiety, though there is no specific stimuli. According Wignyosoebroto (1981), there is a fundamental difference between anxiety and fear. On fear, what is the source of the cause can always be designated significantly, whereas the source of anxiety cause can not be appointed to the firm, clear and precise.

Maramis (1995) states that anxiety is a tension, insecurity, fear, which arises because perceived will experience unpleasant incident.

Lazarus (1991) states that anxiety is the individual's responses to what they're getting. Anxiety is a feeling that is painful, such as anxiety, confusion, etc., associated with the subjective aspect of emotion. Anxiety is a common symptom at this point, because it is along the journey of human life, from birth until the death, anxiety is often present.

Saranson and Spielberger (in Darmawanti 1998) states that anxiety is a reaction to an experience for individuals perceived as a threat. Anxiety is a feeling of uncertainty, panic, fear, without knowing what is feared and can not eliminate the feelings of anxiety and the anxiety.

According to Freud (in Alwisol, 2005: 28) says that anxiety is the ego function to warn people about the possibility of a danger, so it can be prepared the appropriate adaptive response. Anxiety serves as a mechanism that protects the ego because the anxiety signal to us that there is a danger and if not done the right thing, the danger will increase to ego defeated.

Lefrancois (1980) states that anxiety is an unpleasant emotional reaction, which is characterized by fear. However, according to Lefrancois, the anxiety danger is ambiguous, for example there is a threat, given the barriers to personal desires, their depressed feelings that arise in consciousness.

The concept of anxiety plays a very fundamental theories of stress and adjustment (Lazarus, 1961). According to Post (1978), anxiety is an unpleasant emotional state, which is characterized by subjective feelings like stress, fear, worry, and also characterized by active central nervous system. Freud (in Arndt, 1974) describes and defines anxiety as an unpleasant feeling, followed by certain physiological reactions such as changes in heart rate and breathing. According to Freud, anxiety involves the perception of unpleasant feelings and physiological reactions, in other words, anxiety is a reaction to a situation which is considered dangerous.

Not much different from Lefrancois opinion is the opinion expressed by Johnston (1971) which states that anxiety can occur because of disappointment, dissatisfaction, insecurity or the hostility with others. Kartono (1981) also revealed that neurosa anxiety is psychological condition in chronic fear and anxiety, though there is no specific stimuli. According Wignyosoebroto (1981), there is a fundamental difference between anxiety and fear. On fear, what is the source of the cause can always be designated significantly, whereas the source of anxiety cause can not be appointed to the firm, clear and precise.

Maramis (1995) states that anxiety is a tension, insecurity, fear, which arises because perceived will experience unpleasant incident.

Lazarus (1991) states that anxiety is the individual's responses to what they're getting. Anxiety is a feeling that is painful, such as anxiety, confusion, etc., associated with the subjective aspect of emotion. Anxiety is a common symptom at this point, because it is along the journey of human life, from birth until the death, anxiety is often present.

Saranson and Spielberger (in Darmawanti 1998) states that anxiety is a reaction to an experience for individuals perceived as a threat. Anxiety is a feeling of uncertainty, panic, fear, without knowing what is feared and can not eliminate the feelings of anxiety and the anxiety.

Nursing Care Plans for Anxiety

A nursing care plan for Anxiety is used when a patient feels a vague, uneasy or discomfort or dread accompanied by an autonomic response (the source often nonspecific or unknown to the individual), a feeling of apprehension caused by anticipation of danger. It is an alerting signal that warns of impending danger and enables the individual to take measures to deal with threat.

Related factors for Anxiety :

• Anesthesia
• Invasive/noninvasive procedure
• Interpersonal conflicts
• Anticipated/actual pain
• Loss of significant other
• Threat to self-concept