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Skills required as a registered nurse

Registered nurses need to use a variety of abilities and skills in order to work with Taylor, who is undergoing severe stress, worry, anxiety, and discomfort. These abilities are essential for delivering safe, person-centred care to advance Taylor's mental and physical health (Molony et al., 2018). Fundamental abilities for nursing work include active listening and empathy. Taylor may openly communicate his worries and concerns because nurses actively listen to him. Through empathic communication, nurse can confirm Taylor's feelings and understand his needs and feelings (Thomson et al., 2019). Taylor is more likely to follow his care plan if the nurse and patient have a good therapeutic bond. Using effective communication strategies like open-ended inquiries and reflective listening, nurse can help Taylor explore her thoughts and feelings in greater depth (Kwame & Petrucka, 2021).

This is consistent with National Safety and Quality Health Service (NSQHS) standard 6, which highlights the value of efficient communication in ensuring patient safety and receiving high-quality care (Australian Commission for Safety and Quality in Health Care (ACSQHC, 2021). It also complies with Nursing and Midwifery Board (NMBA) guideline 3.3, which emphasises the importance of therapeutic communication in developing a therapeutic connection (NMBA, 2018). It is crucial to recognise when Taylor is in distress, particularly when he admits to having "mad" thoughts. In accordance with NSQHS standard 8, which deals with identifying and treating deteriorating patients, nurses must take necessary action. This is in keeping with NMBA guideline 6.6, which places a strong focus on the nurse's duty to provide care in emergency situations and protect patient safety.

To ensure Taylor receives a comprehensive care strategy that addresses his physical and mental health requirements, coordination with the GP and other medical professionals is essential (NSQHS standard 6) (ACSQHC, 2021). This is supported by NMBA guideline 2.6, which state working together with other healthcare providers is crucial to improve patient outcomes (NMBA, 2018). It is crucial to teach Taylor about coping mechanisms for handling his worry and tension. This is in line with NSQHS standard 5, which is concerned with avoiding damage and deterioration. Furthermore, it is crucial to impart knowledge on anxiety, handling stress, and the mind-body relationship (NMBA 2.7) (NMBA, 2018). Taylor's worries about workplace blunders and their potential effects on others being burgled call for a comprehensive strategy. The NSQHS standard 5, which emphasises comprehensive care, is in line with this (ACSQHC, 2021). The nurse must take into account the patient's general well-being, comprising their family and employment, according to NMBA guideline 3.2. Taylor's cultural origins and ideas, which may affect how he experiences stress and anxiety, must also be considered by nurses (NMBA recommendation 2.2). By providing care that is culturally competent, the requirements of the individual are met (NMBA, 2018).

Strategies employed to support the personal recovery

Implementing measures based on evidence-based practice can help Taylor, who is under a great deal of stress and anxiety. This will support her personal rehabilitation. His resilience, general quality of life, and well-being are all intended to be improved by these techniques. First and foremost, Taylor's healing process is heavily reliant on psychoeducation. By giving him information on anxiety disorders, nurse can make him more aware of the severity of his disease and the widespread nature of his symptoms (Robichaud et al., 2019). In order to enable people to take control of their mental health, psychoeducation is essential Additionally, teaching Taylor useful coping skills like meditation, deep breathing, and gradual relaxation of muscles gives him the tools he needs to control his anxiety effectively (Subramanyam et al., 2020).

According to Kaczkurkin & Foa (2022), cognitive-behavioral therapy (CBT) is effective for treating anxiety disorders. Taylor can question unreasonable thinking, create healthy coping mechanisms, and lessen his anxiety symptoms by being referred to a mental health specialist with CBT training. In situations where a healthcare professional prescribes medication, making sure that those medicines are suitable and efficient is essential to Taylor's rehabilitation process. In order to ensure effective delivery and tracking of their effects, the nurse's role in drug management is crucial. (Cunningham et al., 2020). Anxiety has been successfully treated with medications such as selective serotonin reuptake inhibitors (SSRIs) (Gorka et al., 2018).

Techniques for reducing stress and unwinding are essential resources for Taylor's recovery. Progressive muscle relaxation, guided visualisation, and meditation are a few methods that have been proven to lower anxiety (Toussaint et al., 2021) effectively. I can help Taylor manage his anxiety by teaching him these techniques and encouraging him to use them frequently. Exercise and physical activity have repeatedly been linked to lowered anxiety and enhanced mental health (Violant-Holz et al., 2020). Taylor's physical health gains from frequent exercise and offers a healthy alternative for reducing anxiety. Another crucial element of Taylor's recuperation is good sleep hygiene. (Alvaro et al., 2013) Poor sleep can make anxiety symptoms worse. Taylor's sleep habits may be improved by guiding sleep hygiene techniques, which will benefit his general well-being.

Taylor can benefit from regular counselling sessions in a caring therapeutic setting. He can discuss his concerns and fears during these meetings while getting advice and support. The nurse can lead these sessions and provide him with a secure and accepting environment to express himself (Kocsis & Yellowlees, 2018). Taylor's recuperation can be aided further by motivating him to create important objectives and desires. Positive psychology interventions can improve his feeling of purpose and well-being, including goal-setting and focusing on strengths. Taylor can create a better future for himself by figuring out what makes him happy and content (Stone & Parks, 2018). Additionally, encouraging a routine might lessen Taylor's feelings of uncertainty and anxiety. Stability and certainty are provided by predictable schedules (Schneider & Harknett, 2019). Establishing such habits with Taylor can aid in his overall recuperation. Last but not least, Taylor's family and close friends can be accommodating in his recovery. His recuperation will be aided by their compassion and understanding, which can provide him with a strong network of social support (Slade et al., 2019).

References

Australian Commission for Safety and Quality in Health Care [ACSQHC]. (2021). National Safety and Quality Health Service Standards (2ed). https://www.safetyandquality.gov.au.pdf

Cunningham, C., Edlund, M. J., Fishman, M., Gordon, A. J., Jones, H. E., Langleben, D., & Femino, J. (2020). The ASAM national practice guideline for the treatment of opioid use disorder: 2020 focused update. J Addict Med , 14 (2S Suppl 1), 1-91. https://doi.org/10.1097/ADM.0000000000000633

Gorka, S. M., Burkhouse, K. L., Klumpp, H., Kennedy, A. E., Afshar, K., Francis, J., & Phan, K. L. (2018). Error-related brain activity as a treatment moderator and index of symptom change during cognitive-behavioral therapy or selective serotonin reuptake inhibitors. Neuropsychopharmacology , 43 (6), 1355-1363. https://doi.org/10.1038/npp.2017.289

Kaczkurkin, A. N., & Foa, E. B. (2022). Cognitive-behavioral therapy for anxiety disorders: An update on the empirical evidence. Dialogues in Clinical Neuroscience .

Kocsis, B. J., & Yellowlees, P. (2018). Telepsychotherapy and the therapeutic relationship: Principles, advantages, and case examples. Telemedicine and e-Health , 24 (5), 329-334. https://doi.org/10.1089/tmj.2017.0088

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing , 20 (1), 1-10. https://doi.org/10.1186/s12912-021-00684-2

Molony, S. L., Kolanowski, A., Van Haitsma, K., & Rooney, K. E. (2018). Person-centered assessment and care planning. The Gerontologist , 58 (suppl_1), S32-S47. https://doi.org/10.1093/geront/gnx173

Nursing and Midwifery Board Aphra [NMBA]. (2018). Registered nurse standards. https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx

Robichaud, M., Koerner, N., & Dugas, M. J. (2019). Cognitive behavioral treatment for generalized anxiety disorder: From science to practice . Routledge. https://books.google.co.in/books

Schneider, D., & Harknett, K. (2019). Consequences of routine work-schedule instability for worker health and well-being. American Sociological Review , 84 (1), 82-114. https://doi.org/10.1177/0003122418823184

Slade, M., Rennick-Egglestone, S., Blackie, L., Llewellyn-Beardsley, J., Franklin, D., Hui, A., & Deakin, E. (2019). Post-traumatic growth in mental health recovery: Qualitative study of narratives. BMJ Open , 9 (6), e029342. http://dx.doi.org/10.1136/bmjopen-2019-029342

Stanton, R., To, Q. G., Khalesi, S., Williams, S. L., Alley, S. J., Thwaite, T. L., & Vandelanotte, C. (2020). Depression, anxiety and stress during COVID-19: Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. International Journal of Environmental Research and Public Health , 17 (11), 4065. https://doi.org/10.3390/ijerph17114065

Stone, B. M., & Parks, A. C. (2018). Cultivating subjective well-being through positive psychological interventions. Handbook of Well-being , 730-740. https://d1wqtxts1xzle7.cloudfront.net

Subramanyam, A. A., Somaiya, M., Shankar, S., Nasirabadi, M., Shah, H. R., Paul, I., & Ghildiyal, R. (2020). Psychological interventions for dissociative disorders. Indian Journal of Psychiatry , 62 (Suppl 2), S280. https://doi.org/ 10.4103/psychiatry.IndianJPsychiatry_777_19

Thomson, A. E., Racher, F., & Clements, K. (2019). Person-centered psychiatric nursing interventions in acute care settings. Issues in Mental Health Nursing , 40 (8), 682-689. https://doi.org/10.1080/01612840.2019.1585495

Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., & Sirois, F. (2021). Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evidence-Based Complementary and Alternative Medicine , 2021 .  https://doi.org/10.1155/2021/5924040

Violant-Holz, V., Gallego-Jiménez, M. G., González-González, C. S., Muñoz-Violant, S., Rodríguez, M. J., Sansano-Nadal, O., & Guerra-Balic, M. (2020). Psychological health and physical activity levels during the COVID-19 pandemic: A systematic review. International Journal of Environmental Research and Public Health , 17 (24), 9419. https://doi.org/10.3390/ijerph17249419

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