Name
Chamberlain University
NR-326: Mental Health Nursing
Prof. Name
Date
Posttraumatic stress disorder (PTSD) is characterized by symptoms such as re-experiencing traumatic events, high anxiety, and emotional numbness (Townsend & Morgan, 2018). When caring for a patient with PTSD, safety precautions are crucial to protect both the patient and the staff. Reducing stimulation that could trigger trauma-related memories helps minimize risks of aggressive or defensive reactions. Patients may sometimes perceive themselves as still being in a traumatic environment, such as a warzone, which may cause them to lash out unknowingly.
Additionally, depression is a common symptom of PTSD, and this increases the risk of self-harm or suicide. Assessing suicide risk is therefore essential in patient care. Nutritional concerns also arise because depression may cause patients to experience poor appetite, sleep disturbances, and reduced energy, which could lead to inadequate nutritional intake. Nurses should monitor daily nutritional consumption and support patients in meeting their dietary needs.
| Concern | Description |
|---|---|
| Patient Safety | Risk of flashbacks leading to aggression or defensive behaviors |
| Staff Safety | Potential harm from patient lashing out during trauma re-experiencing episodes |
| Suicide Risk | Increased risk due to depression, guilt, and hopelessness |
| Nutritional Needs | Poor appetite and sleep patterns leading to inadequate nutrition |
Immediate interventions for a patient experiencing PTSD include creating a safe and supportive environment. Establishing a trusting relationship is key because patients may struggle with trust issues. Maintaining close physical presence during potential flashback episodes can help in calming the patient and ensuring safety. Once a safe environment is established, discussing coping strategies is vital to help patients manage negative thoughts and emotions.
These interventions not only promote safety but also foster a therapeutic relationship that can reduce anxiety and improve the patient’s overall stability. By identifying triggers and teaching healthy coping mechanisms, nurses can help minimize the recurrence of traumatic episodes and create a safer environment for both the patient and staff.
Several relaxation techniques can be effective in helping patients with PTSD relieve anxiety. Reducing environmental stimulation, such as dimming bright lights or minimizing loud noises, helps ease agitation. Breathing exercises, including the Bellows breath and 4-7-8 breathing, are useful in calming the patient’s mind and maintaining focus (Weil, 2018).
Imagery techniques, such as visualizing peaceful scenes like lying on a beach, can promote relaxation and shift attention away from distressing thoughts. Music therapy can also be implemented, as it enhances mood and provides a calming effect. These strategies serve as practical tools that patients can use independently, helping them manage anxiety more effectively.
Breathing Exercise: Three To Try | 4-7-8 Breath | Andrew Weil, M.D. (2018, September 28). Retrieved from https://www.drweil.com/health-wellness/body-mind-spirit/stress-anxiety/breathing-three-exercises/
Townsend, M. C., & Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice. Philadelphia, PA: F.A. Davis Company.
