00148 Fear

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00148 Fear

Definition of the NANDA label

Stage in which the individual presents a response to the perception of a threat that he consciously recognizes as dangerous.

Response to perceived threat that is consciously recognized as a danger.

Defining characteristics

• Reports of:
– Apprehension.
– Increased tension.
– Reduced self-confidence.
– Excitation.
– Feeling scared.
– Restlessness.
– Dread.
– Alarm.
– Terror.
– Panic.

Cognitive

• Identify the object of fear.
• Stimuli are interpreted as a threat.
• Decreased productivity, learning, the ability to solve problems.

Behavioral

• Increased alertness.
• Avoidance or attacking behaviors.
• Irreflection.
• Narrowing of the focus of attention at the origin of fear.

Physiological

• Increased pulse.
• Anorexy.
• Nausea.
• Vomiting.
• Diarrhea.
• Muscle tightness.
• Fatigue.
• Increased respiratory rate and shortness of breath.
• Paleness.
• Increased perspiration.
• Increased systolic blood pressure.
• Pupillary dilation.
• Dry mouth.

Related factors

• Innate or natural origin
– Sudden noise.
– Heights.
– Pain.
– Lack of physical support.
• Learned response
– Conditioning.
– Imitation of others.
– Identification with them.
• Separation from the support system in a potentially stressful situation (eg, hospitalization, hospital procedures).
• Lack of familiarity with environmental experience or experiences.
• Language barriers.
• Sensory impairment.
• Innate triggers (neurotransmitters).
• Phobic stimuli.

Associated condition

• Sensory deficit

NOC

• Self-control of fear.
• Control of anxiety.

NIC

• Increase coping.
• Enhancement of security.
• Emotional Support.
• Advice.
• Behavior modification.
• Health education.
• Decreased anxiety.
• Contact.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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