Individualized Healthcare Plan
Medical Diagnosis:
Anxiety
Brownsville ISD: Health Services
Student Name:
DOB:
School Nurse:
Date of IHP:
NURSING DIAGNOSIS
1. Risk for low-self esteem related to:
academic difficulties, poor school
attendance, shame and embarrassment,
fatigue and social withdrawal.
STUDENT GOALS
.
Home Campus:
PLAN OF ACTION
BY WHOM/WHEN
Student will increase participation in
school activities.
Assist student to identify his/her strengths
and abilities.
School Nurse, counselor - ongoing
Student will maintain good school
attendance pattern.
Assist the student in identifying previous
and current effective coping strategies.
School Nurse/Counselor/Classroom
teacher - as needed.
The student will establish and maintain
healthy peer relationships.
Provide emotional support, caring,
empathy, and a listening ear.
School Nurse/Counselor/Classroom
teacher - as needed.
1. The student will identify triggers or
sources of anxiety and fear.
2. The student will experience and report
fewer somatic complaints.
1. During acute anxiety or panic episode at
school:
 Assess the level of distress.
 Reduce external stimulation by
providing a private, quiet, safe
place for the student to go, with
supportive supervision.
School Nurse, staff, office personnel ongoing
2. Teach the student relaxation exercises,
and assist him/her to use them to reduce
stress and anxiety symptoms.
School Nurse/Counselor – as needed
Assist student and parents/guardians to
identify and utilize healthcare providers for
management of the student’s anxiety
disorder: evaluation, follow-up
appointments, further symptom
management, concerns and problems,
refilling prescribed medications.
Student will demonstrate active
participation in school activities.
The student will demonstrate a good
school attendance pattern, missing less
than days per year due to illness or
symptoms related to anxiety.
Assist the education team to alert the
student of any changes to the usual school
day before it happens. Examples:
- I will be gone tomorrow to a meeting, so
you will be having a substitute teacher.
- We will be switching activities in physical
education class tomorrow from volleyball
to basketball.
- We will have a test on Friday on Chapter
3 - Revolutionary War. Write it down in
your planner.
2. Risk for Fear related to inability to
predict or control symptoms, feeling of
panic during anxiety episodes and feelings
of distress.
EXPECTED OUTCOMES
Student will identify persons in his/her
support system that he or she can use for
assistance in dealing with anxiety
symptoms.
Identify symptoms of depression.
Demonstrate effective management of
panic or anxiety episodes.
Anxiety Health Care Plan
NURSING DIAGNOSIS
3. Risk for Ineffective individual coping,
related to stress regarding possible school
failure, developmental
level/understanding, stressors that
exacerbate symptoms, anxiety, possible
associated depression and knowledge
deficit of school resources.
STUDENT GOALS
PLAN OF ACTION
BY WHOM/WHEN
1. Student will learn and use positive,
effective coping strategies to deal with
anxiety episodes.
1. Assist student to identify coping
strategies he/she uses, effective and
ineffective.
School Nurse/Counselor - ongoing
2. Student will identify triggers or sources
of anxiety and fear.
2. Assist student to learn effective coping
strategies.
School Nurse/Counselor – ongoing
3. Student will identify his/her support
system at school, at home, and within
his/her community.
3. Reinforce the use of effective coping
strategies.
School Nurse/Counselor/Teacher –
ongoing
4. Assist student in identifying the triggers
and sources of her anxiety and fear.
School Nurse/Counselor/Teacher –
ongoing
5. Determine students risk for depression
and suicide.
School Nurse/Counselor - ongoing
EXPECTED OUTCOMES
Student will identify 2 ways to express
his/her needs.
Student will identify 3 coping strategies
that can be utilized when experiencing
symptoms of anxiety and fear.
Student will demonstrate 2 effective
coping strategies that reduce his/her
anxiety.
Student will identify 2 family members and
2 staff members at school who can help
him/her in a crisis or as a resource for
assistance.