Fear is a gut-level response that can be triggered by past actions, memories, and experiences, or worry of the unknown. Fear may end when the current event is over, or it can exacerbate into a panic response in which the patient can actually faint or act out.   Fear can be dealt with by understanding what the patient is going through and helping provide enough information so that the patient feels secure.  
Stress and anxiety manifest is the next marginalized population.   Stress can occur in a physical response such as alarm, exhaustion, or panic. We all have some measure of stress in our lives. Stress can be good, but too much can affect the nervous system. Injury, pain, and lack of sleep can all trigger a stress reaction.   Anxiety can be short-lived, or it can perpetuate itself if a situation exacerbates it.   The best ways to reduce stress and anxiety is to walk or exercise. Removal of caffeine from the diet, better nutrition, meditation, counseling, or other ways to let off steam can reduce stress and anxiety (Tamparo & Lindh, 2000).
Angry and aggressive is the next marginalized in a patient.   Some patients are easily frustrated by an inconvenient situation, such lateness, improper care, a billing problem, or something not related to the medical appointment that can upset a patient before entering the examining room.   These patients are not happy with their surroundings; they may be excessively sarcastic and talkative and may exhibit very nasty behavior.   These patients may threaten you, be uncooperative, and become physically violent.   If this happen, it is important for you, as the caregiver, to act neutral and realize that any response is depending on the caregiver words or deeds. Use common sense and provide responses that will diffuse the situation. Speak softly and stay in control. It is important to add comments in the patient’s medical notes describing the situation you encounter.
The overall lesson from the stimulation activity is that all... [continues]

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