Stress management plan

Stress Management Plan

Table of Contents
Introduction......................................................................................................................................1
Question 1........................................................................................................................................1
Given Fei’s daughter has found her unconscious on the floor, discuss the first aid management
in this scenario........................................................................................................................1
Question 2........................................................................................................................................2
Fei has arrived at the hospital and the scan shows a bleed in the brain. On return from the
scan, Fei becomes unconscious again, this time she has also stopped breathing. Explain the
process of the DRSABCD action plan?..................................................................................2
Question 3........................................................................................................................................4
During the resuscitation, your manager on shift was at a meeting and is unaware of what
happened. Are you required to inform them of what has occurred during this time? Explain
your answer............................................................................................................................4
Question 4........................................................................................................................................5
This is your first time being involved in a medical emergency and you are feeling quite
overwhelmed. Complete the stress management plan in relation to this scenario.................5
Question 5........................................................................................................................................7
While caring for Fei, you need to transfer her from her back to her side. Discuss what steps
you would need to take in order to complete this nursing task..............................................7
Question 6........................................................................................................................................7
You are unable to find the equipment required to assist Fei. Discuss the process that needs to
be taken and what you as an Enrolled Nurse should consider...............................................7
Conclusion.......................................................................................................................................8
References........................................................................................................................................9

Introduction
Stress management refers to set of practices to deal with stressed condition of an individual to
make them comfortable and confident. It is necessary to manage stress earlier at initial stage so
that relevant complication stage can be avoided along with its several severe effects of health
condition. Meanwhile, it includes the criterion of stress management with the help of using
appropriate medications and therapies for improving psychological health of people (Boss,
Bryant and Mancini, 2016). In context of this project, it is based on the case study of Fei Hong
having problem of dementia and hearing as well as sight impairment as she is showing relevant
symptoms. Fei is a Chinese grandmother with age of 60 years and little English has been shifted
to Australia for supporting her daughter with her 3 years old twins. Fei lost her footing and has a
fall at the time when she was helping to cook dinner. However, she hit her head on the tiles and
is found by her daughter unconscious but still breathing. This assignment will focus on first aid
management and process of action plan related to DRSABCD. It will also include the
management of resuscitation in the absence of manager of the shift and stress management plan.
The discussion of steps to transfer patient from her back to her side and process to assist patient
is given below.
Question 1
Given Fei’s daughter has found her unconscious on the floor, discuss the first aid management in
this scenario.
Unconsciousness is irregular condition in which an individual is not conscious and does not react
completely to the environment. Unconsciousness rates range from somnolence to collapse, and
can vary from fainting to coma. Some injuries and diseases can lead to unconsciousness.
Common symptoms of in conscience are a fall or blow to the head. The Fainting topic lists
causes of fainting-specific unconsciousness. Unconsciousness is a failing condition. Prolonged
unconsciousness problems may be severe. Lack of brain oxygen can lead to damage to the brain,
and choking can kill if left untreated (Abdelgadier, 2017). First aid emergencies can also be
complicated. CPR can often cause broken ribs, for example. An individual who is not aware of
itself may seem to be sleeping, but she may not respond to outside events, like loud noises; or
she may be touched or shaken. Seek medical attention right away if the pulse is slow or if the
person stops breathing. On the basis of given case, Fei Hong is 60 year Chinese grandmother
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who moved to Australia to help daughter. She lost her footing and fall and her head hit on titles.
She unconscious but still she was breathing. In this case, there is a need to give the first aid to Fei
Hong. In the first aid management, daughter of Fei Hong check breathing, airway and the pulse
of the person. There are some steps considered in first aid management plan given below:
 Test if the individual respires. If the person can not breathe, call anyone immediately
nearest emergency services and brace for CPR. Place the person on its back when they're
breathing.
 Raise your legs above ground nearby 12 inches.
 Lose garments or belts that are restricting. When within a minute they do not recover
memory.
 Ensure that there is no obstruction, test their airways.
 Check again to see whether they cough, cough or move. Those are good indicators of
circulation. Unless the signs are absent, does CPR before emergency personnel arrive.
If the bleeding is serious, press the bleeding zone directly or apply a tourniquel over the
bleeding area until expert assistance is provided (Colbeck and et. al., 2018.).
Question 2
Fei has arrived at the hospital and the scan shows a bleed in the brain. On return from the scan,
Fei becomes unconscious again, this time she has also stopped breathing. Explain the
process of the DRSABCD action plan?
On the basis of given case study, Fei Hong admitted to the hospital and there is a scanning and it
shows the bleed in her brain. After this, Fei was unconscious again and at this time she stopped
breathing. DRSABCD is a Danger, Response, Send for help, Airway, Breathing, CPR and
Defibrillation. In this situation of Fei Hong, there is a need to give the DRSABCD to her
(CONTAINS, 2018). The DRSABCD action plan is important to determine whether a patient has
conditions that endanger his or her life, and whether first aid is needed immediately. The Seven
Steps involved in DRSABCD action Plan are mention below:
Danger- You must see how dangerous it is for person, any witnesses and injured person before
attempting to support in an emergency situation. Don't hurt themselves when go to another
person's assistance.
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Response- See if the individual is aware of the conscious. Are talking, rubbing the patient side,
or pressing shoulder? Speak to them, shake the hands softly and forcefully. If patient is not
replied, then it is unresponsive.
Send for help- Once know that emergency services are called for, the first step will be to send /
scream / call for assistance. For all the emergency services in Australia, the number is 000. The
participants will leave the patient a clear path / space, in order to quickly find way for emergency
services (Dingli, 2016).
Airway- An unconscious patient is likely to be blocked by the airway by a dropping tongue.
Conduct a tilt-in head elevator to open patient airway, it can be done by opening mouth and
looking inside. Tilt the patient head gently, and check for ventilation if patient person's mouth is
open. If mouth of the person isn't clear then twitch the head ahead and are for breathing, open the
mouth and concise any obstacles.
Breathing- Search for respiration through looking for (up and down) chest motions. Listen to ear
through putting mouth and nose close. Feel breathable when place hand on the base of chest. Flip
them on their sides if patient is unaware but breathable to ensure they are kept in line with the
head, back and neck. Monitor the patient breathing until ambulance officers are given over.
CPR- If an individual is unconscious and does not move, make sure he / she is flat on the back,
then place heel on the person's chest and other hand on his / her shoulder. Push tightly down to
one third of width of the person's throat. Do the thirty-fold. Provided two breaths. Just give two
breaths. Tilt the head softly by raising your chin to get breathed in. Close nose, put your mouth
open firmly on the face of the person, and blow into mouth. Start at a pace of around five recipes
within 2 minutes with the 30 chest compression and two breaths before move the emergency
officer or another qualified person or before the person arrives (Echeverria Barzola, 2020).
Defibrillation- The automatic external defibrillator (AED) is used when the unconscious person
does not breathe. There are a number of areas of public interest, clubs and associations, just
inquire. An AED is an electrical shock machine that cancels abnormal cardiac blows
(arrhythmias) and re-establishes natural heartbeat. Follow the directions and voice instructions.
Turn to side and tilt patient head to protect airways if patient respond to defibrilation. Make sure
that the AED is suitable for use on a minor when the patient is a child.
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Question 3
During the resuscitation, your manager on shift was at a meeting and is unaware of what
happened. Are you required to inform them of what has occurred during this time? Explain
your answer.
Resuscitation can be defined as a process which helps to correcting physiological disorders in
sick patient. It can be consider as an important part of intensive care medicine, trauma surgery
and emergency medicine. Basically, it includes the condition when proper care services are
required to be provided to patient in order to make them wellbeing. It is necessary for nursing
staff to follow instructions of physician for providing medications and services with proper
schedule which will facilitate to enhance the condition of an individual. However, it has been
analysed that effective clinical steps should be rendered for completing the process of
resuscitation for welfare of a person (Magtibay and et. al., 2017). However, the CPR can be
divided into several categories such as basic life support CPR, advanced cardiac life support,
paediatric advanced life support and heart saver first aid & CPR. In context of given case of Fei,
it has been analysed that it is necessary for nurse to inform manager about the incident and
prepare for providing the facility of resuscitation for improving their health condition. It involves
the criterion of following effective steps of resuscitation for making an individual feeling
relieved which are given below.
Step 1: Position the hand above and make sure that person should be lying on their back on a
firm surface. It includes the practice to kneel beside the patient and place the heel of hand on the
centre of chest.
Step 2: Interlock the fingers above by keeping straight arms and cover the first hand with heel of
other hand along with making interlock of fingers of both hands together. It involves keeping
fingers raised to avoid touching the chest or rib cage of patient.
Step 3: The third step is to given chest compressions which includes to lean forward in order to
direct the shoulders over the chest of an individual and press down on the chest about two inches.
It includes the releasing the pressure and but not hands along with letting the chest come back up
(Antoni and Dhabhar, 2019). However, it is required to provide at least 30 compressions
repeatedly at a rate of 100 compressions per minute.
Step 4: Open the airway by moving the patient’s head and tilt the head of patient along with
lifting the chin to open the airway again. It includes the let patient’s mouth fall open slightly.
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Step 5: Give rescue breaths with the help of pinching nostrils closed with the hand which was on
the forehead along with supporting chin of an individual with other hand. It includes the
important practice to take normal breathe and put mouth over the patient’s mouth and blow until
the chest rise happened.
Step 6: Watch chest fill with the help of removing the mouth from the patient’s along with
looking the chest by watching the chest fall. It is required to repeat steps of five to six for a once.
Step 7: Repeat chest compressions and rescue breaths by placing the hand on the chest of an
individual for repeating the cycle of 30 chest compressions followed by two rescue breaths. It is
necessary to continue this cycle until the completion of requirements for making patient
wellbeing (Holton, Barry and Chaney, 2016).
This service should be provided immediately to Fei Hong as per requirement in order to make
them wellbeing. It includes the essential aspect to informing the shift manager about specific
condition of individual along with respective service to be provided for welfare of patient.
however, it is very important to make records of this patient and share the same to respective
individuals including shift manager, senior nursing assistant and associated specialist or
physicians. However, the medical records of patient should be formulated along with information
related to specific treatment provided including patient outcomes respectively.
Question 4
This is your first time being involved in a medical emergency and you are feeling quite
overwhelmed. Complete the stress management plan in relation to this scenario.
Stress management plan can be described as practices for managing the stressed condition which
facilitate to improve the psychological condition. It includes some of strategic factors that should
be considered for stress management including avoid, alter, accept and adapt. According to the
case of Fei Hong, it has been analysed that effective as well as efficient care plan should be
formulated in order to make patient feeling wellbeing. It is required to establish appropriate
interventions which facilitate to enhance the health condition effectively (Kane and et. al., 2016).
The plan is divided into several parts including tackling the problem, talking care of my body,
dealing with emotions and making the world better. Moreover, appropriate stress management
plan should be required to be established to make patient healthy in which some of them are
mentioned here.
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Point 1: Identify and then address the problem is known as the criterion of determining specific
cause of stress in order to make decision of treatment for improving health condition. It includes
to identify specific cause behind stress to make team discussion for providing effective care
services in order to make individual disease free.
Point 2: Avoid stress when possible is considered as an effective technique which is helpful
avoid risk of acquiring complicated form of stress. It is beneficial for patient to improve health
condition along with reducing suffering of an individual (Osawa, Akasaka and Kachi, 2019).
However, it is necessary for enhancing the condition of an individual with the help of making
patient feeling disease free.
Point 3: Let somethings go which refers to fix important problems in terms of making
appropriate interventions of managing stress condition to address the relevant cause. It is
necessary to focus on specific reason behind occurrence of stress to manage the same for
improving psychological condition that is helpful to improve regular routine work of an
individual.
Point 4: it is required to have specific time for own body to take care of it which is facilitates to
avoid stressed condition. It includes the adopting of regular exercise which is favourable in order
to improve health condition as well as control the development of stress.
Point 5: Eat well is an effective strategy for people to gain proper nutrition and minerals which is
helpful to avoid development of stress.
Point 6: Active relaxation is very significant stress management practice which will provide
support to maintain appropriate psychological as well as physical health (Amiri, Setoodeh and
Sajjadi, 2018).
Point 7: Sleep well should be applied which is favourable to enhance the entire health condition
and provide mental peace to an individual which is helpful to manage stress.
Point 8: Take instant vacations includes the criterion of providing proper rest and peace to mind
which is suitable to avoid and manage the developed stress for maintaining better psychological
health.
Point 9: It is required to use of strategy of releasing emotional tension regularly which is suitable
to enhance the efficiency of an individual by managing stress.
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Question 5
While caring for Fei, you need to transfer her from her back to her side. Discuss what steps you
would need to take in order to complete this nursing task.
According to the case study of Fei Hong, it has been analyse that proper mobility assessment in
order to provide appropriate services to patient. It is necessary for care professionals for
providing effective facilities to facilitate their mobility for improving comfort level of an
individual. Mobility assessment should be carried out in given case for evaluating actual medical
needs of individual by considering several aspects such as pain assessment, height, weight, body
mass index, body alignment, joint function, gait and activity tolerance. It includes the criterion of
conducting several clinical methods including inspection, palpation, percussion and auscultation
(Bartalena, 2017). In addition this, proper evaluation should be focussed to provide appropriate
nursing skills to hid patient and make them easy to transfer from their back their side. It is
necessary for nurse to have desired skills such as cultural awareness, professionalism, attention
to detail, critical thinking, compassion, time management, problem solving, decision making and
many more, they are required to make effective communication so that patient will feel
comfortable which facilitate to improve the condition of selected patient. However, the nursing
staff should make healthy conversation which will provide support to develop mutual
understanding in order to make Fei Hong healthy. The nursing staff should communicate
effectively and make proper decision of treatment as per instructions of physician by evaluating
actual needs of patient.
Question 6
You are unable to find the equipment required to assist Fei. Discuss the process that needs to be
taken and what you as an Enrolled Nurse should consider.
Considering the given case of Fei Hong, it has been analysed that proper equipment are required
for her to make regular routine work easy. It includes the criterion of involving effective
equipment and instruments including wheelchair and walkers for making mobility of patient
essay so that they can follow their regular routine activities easily (Roos and et. al., 2017). It is
favourable to improve the condition of Fei to facilitate her independent living to live life in
comfortable manner. However, it is required for Enrolled nurse to use wheelchair and supportive
instruments for making patient feel comfortable and spend their regular routine properly. It is
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observed that EN should facilitate independent living of an individual which enhance comfort
level that results into better patient outcomes by making them healthy as soon as possible.
Conclusion
From the above project, it has been concluded that stress management can be defined as n
important aspects for managing stressed condition of an individual to make them psychologically
wellbeing. It is necessary to use effective therapies and medications in order to control stress
along with reducing risk of occurring relevant complications. However, it is required that people
should have time for themselves for reducing stress of lives and spend vacations to gain mental
peace which is favourable to maintain better psychological condition respectively.
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References
Books and journals
Abdelgadier, A.A.A., 2017. Assessment The performance of nursing staff regarding
cardiopulmonary resuscitation (CPR) in critical care unit in military hospital from (May to
September) 2017 (Doctoral dissertation, Mohammed Jebreldar Abuanja Nimer).
Colbeck, M.A. and et. al., 2018. International examination and synthesis of the primary and
secondary surveys in Paramedicine.
CONTAINS, T.C., 2018. CHAPTER SIX-The narrative of Paper 4. ADVANCING PUBLIC
HEALTH IN THE CONTEXT OF NATURAL HAZARDS: NORMALISING PREPAREDNESS
WITHIN A FRAMEWORK OF ADAPTED PROTECTION MOTIVATION THEORY, p.65.
Dingli, K.M., 2016. Engaging delinquent adolescents in a school-based injury prevention
program (Doctoral dissertation, Queensland University of Technology).
Echeverria Barzola, V.I., 2020. Designing Feedback for Collocated Teams using Multimodal
Learning Analytics (Doctoral dissertation).
Boss, P., Bryant, C.M. and Mancini, J.A., 2016. Family stress management: A contextual
approach. Sage Publications.
Magtibay, D.L. and et. al., 2017. Decreasing stress and burnout in nurses: efficacy of blended
learning with stress management and resilience training program. JONA: The Journal of Nursing
Administration, 47(7/8), pp.391-395.
Antoni, M.H. and Dhabhar, F.S., 2019. The impact of psychosocial stress and stress management
on immune responses in patients with cancer. Cancer, 125(9), pp.1417-1431.
Holton, M.K., Barry, A.E. and Chaney, J.D., 2016. Employee stress management: An
examination of adaptive and maladaptive coping strategies on employee health. Work, 53(2),
pp.299-305.
Kane, D.A. and et. al., 2016. Needles in hay II: detecting cardiac pathology by the pediatric chest
pain standardized clinical assessment and management plan. Congenital heart disease, 11(5),
pp.396-402.
Osawa, T., Akasaka, M. and Kachi, N., 2019. Facilitation of management plan development via
spatial classification of areas invaded by alien invasive plant. Biological Invasions, 21(6),
pp.2067-2080.
Amiri, A., Setoodeh, G. and Sajjadi, S.F., 2018. The Effect of Educational Stress Management
on Job stress of Operating Room Nurses at Hospitals Affiliated to Shiraz University of Medical
Sciences During Year 2016: A Randomized Controlled Clinical Trial. Women’s Health
Bulletin, 5(1), pp.1-8.
Bartalena, L., 2017. General Management Plan for Graves' Orbitopathy. In Graves'
Orbitopathy (pp. 105-112). Karger Publishers.
Roos, M.M. and et. al., 2017. Constructing risks–Internalisation of flood risks in the flood risk
management plan. Environmental science & policy, 74, pp.23-29.
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