Anxiety and Panic Attack

Anxiety and Panic Attack
Patient: John Larsen – Anxiety and Panic Attack with SBAR and assessment

• Finding: Established chief complaint

Finding: Reports that he felt like he was "smothering" - sense of chest pressure (Found)
Where do you feel the smothering sensation?
Finding: Reports feeling rapid heartbeat (Found)

Can you describe the smothering
sensation Reports sweating and shivering
Example Question: Can you describe the smothering sensation?
Finding: Reports shortness of breath
Example Question: Do you ever get short of breath?
History of Present Illness
•
Finding:
Asked about onset and duration of symptoms
•
Finding:
Reports feeling started last night
Example Question:
When did the smothering sensation start?
•
Finding:
Reports feeling began at 3 am
Example Question:
When did the smothering sensation start?
•
Finding:
Reports that feeling has been constant since onset
Example Question:
Has the smothering sensation been constant?
•
Finding:
Asked about aggravating factors of symptoms
•
Finding:
Reports that movement or anything besides resting seems to make the symptoms worse
Example Question:
What makes the smothering sensation worse?
•
Finding:
Asked about relieving factors of symptoms

,Anxiety and Panic Attack
•
Finding:
Reports trying to take deep breaths
Example Question:
What makes the smothering sensation better?
•
Finding:
Reports resting to try to feel calmer
How do you treat your symptoms?
Anxiety Screening
•
Finding:
Asked about anxiety
•
Finding:
Reports excessive
worry Example
Question:
Have you been unreasonably worried?
•
Finding:
Reports worry frequency as occurring more days that not
Example Question:
Do you experience excessive worry more days than not?
•
Finding:
Reports excessive worry has happened for at least the last 6 months
Example Question:
Have you been troubled by excessive worry for the last six months?
•
Finding:
Reports unreasonable worry about work
Example Question:
Are you unreasonably troubled by work?
•
Finding:
Reports unreasonable worry about health
Example Question:
Are you troubled by unreasonable worry about your health?
•
Finding:
Reports occasionally feeling unable to control worry
Example Question:
Are you feeling troubled by worrying uncontrollably?
•
Finding:
Asked about restlessness
•
Finding:
Reports occasional
restlessness Example
Question:
Are you bothered by restlessness?
•
Finding:
Reports occasionally feeling "keyed up" or "on edge"
Example Question:
Have you been feeling on edge lately?
•
Finding:
Denies feeling easily tired

, Anxiety and Panic Attack
Example Question:
Do you tire easily?