Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer,

Question

Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer, is admitted with chest pain and shortness of breath. Mr. Wolfgang is admitted to the coronary care unit to rule out myocardial infarction. Immediately after admission, Mr. Wolfgang's wife comes to the coronary care unit with personal items such as family portraits, some roses from the client's garden, and some personal clothing. However, since the coronary care unit is restricted in space, personal items are not allowed and the wife is instructed to take the items home. On admission, Mr. Wolfgang's vital signs are stable and his color is good. He reports that the chest pain is not debilitating and is more or less an occasional dull ache. After 2 days, the diagnosis of myocardial infarction is confirmed, and Mr. Wolfgang remains restricted to bed but is transferred to a semiprivate room in the coronary care step-down unit. After admission to the coronary care step-down unit, the nurse observes that Mr. Wolfgang is anxious, somewhat withdrawn, and unable to express his needs and feelings.

7. List ways the nurse could control perceptual and verbal stimuli that may affect Mr. Wolfgang.

Explanation / Answer

Here Mr.Bernhard seems to be more tense and he is unable to express his inner feelings. So here its a nurse study to create a healing environment so that the person can express his feelings and become normal, Mr. Bernhard is a German and the nurse should be already familiar with the culture and diversity of the patient before providing treatment and care. The nurse should be aware that by providing space to Bernhard it should satisfy conditions like security, self -identity, privacy and autonomy. Generally, a person will feel less anxious only when he is in his own personal surroundings and his anxiety level increases when he is hospitalized. Mr. Bernhard may be asked to go home for somedays under medication, if he is continuously nervous or anxious. The nurse should provide a personal space for the patient by taking him to a neutral area so that he will be in a different environment so that he might start experessing his personal emotions. Personal space to Bernhard provides self identity , removes stress and helps to overcome anxiety and depression . The nurse may communicate warmth and reduce anxiety by uttering affectionate words and take good care. The nurse may also arrange for family meetings and provide environment for personal space and motivate him. The nurse should also make him view his family pictures , ask him to wear his own sleep wear so that his self identity is increased and he can experience security and gets more motivated . These are the ways a nurse can follow to reduce Mr. Bernhard anxiety.

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