PIPRAMS

LESSON PLAN ON
TOPIC: Panic attack
SUBJECT: Mental Health Nursing
 IDENTIFICATION DATA:
 NAME OF THE TEACHER: SAURAV
 NAME OF THE SUBJECT: MEDICAL HEALTH NURSING
 NAME OF THE TOPIC: PANIC ATTACK
 GROUP OF THE STUDENTS: 45
 SIZE OF THE GROUP:
 DATE AND TIME OF PRESENTATION:
 VENUE/PLACE OF PRESENTATION: CLASSROOM
 DURATION OF TEACHING: 45 min
 AV AIDS: BLACK BOARD , flash card , av aids, chart paper
 PREVIOUS KNOWLEDGE ABOUT THE TOPIC: The group will already have knowledge
regarding topic Panic attack.

 GENERAL OBJECTIVES: At the end of health talk the student & people will gain knowledge
 of regarding panic attack

 SPECIFIC OBJECTIVES:

• To Introduce Panic attack

• To define panic attack
• To causes panic attack
• To sign & symptoms of panic attack
• To Cognitive symptoms of panic attack
• To somatic symptoms of panic attack
• To explain Diagnosis of panic attack
 • To explain Treatment of panic attack
• To summary of panic attack
• To conclusion of panic attack
• To bibliography of panic attack

S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

OBJECTIVE ACTIVITY/
AV AIDs
To Definition Learning
 Definition. Cum Discussion What is
1. 5 min Method Definition?
o Panic attack:
o Is a brief period of extreme distress,
anxiety, or fear that begins suddenly
and is accompanied by physical and
or emotional symptoms.
o Panic disorder:
o Is involves spontaneous panic attacks
that occur repeatedly, worry about
future attacks, and changes in
6 min To Explain behavior to avoid situations that are
2. causes. associated with an attack. AV AIDs
Method Explain the
causes ?
Causes. ((Etiologic theories))

 Neurochemical dysfunction behind

panic disorder: May involve
autonomic imbalance, decreased
gamma-aminobutyric acid (GABA),
increased adenosine receptor
function, increased cortisol,
diminished benzodiazepine receptor
function, and disturbances in
serotonin.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

OBJECTIVE ACTIVITY/
AV AIDs
 o Genetic factor:
o Studies of the association between
psychiatric illness in first-degree
relatives revealed a heredity of
approximately 43% for panic disorder.
o The exact nature of the panic
disorder genetic basis is unclear.
o However, some studies shows that
Locus 13q22-32 and locus 9931
3. 5 min To explain Explain sign
sign & Signs and symptoms. AV Aids &symptom
symptoms & flash card
* A panic attack involves the sudden onset of
at least 4 of the 13 symptoms in the table.
Method
Symptoms usually peak within 10 minute.
Panic attacks may occur in any anxiety
distress.
19
• Most people within panic disorder
anticipate and worry about another attack
(anticipatory anxiety)and avoid the places or
situations where they have previously
panicked.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

OBJECTIVE ACTIVITY/
 AV AIDs
4. 2 min To Explain Cognitive symptoms Av aids method
Cognitive o Fear of dying. Explain
Symptoms o Fear of going crazy or of losing the Cognitive
control.
o Feeling of unreality, strangeness or
symptoms?
3 min detachment from the self Av aids method
5. To somatic (depersonalization).

symptoms
Somatic symptoms

o Chest pain or discomfort.

o Dizziness or fainting.
o Feeling of choking.
o Flushes or chills.
o Nausea or abdominal distress.
o Numbness or tingling sensation.
o Palpitation or accelerated heart rate.
o Sensations of shortness of breath.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION

 OBJECTIVE ACTIVITY/
AV AIDs
6. 6 min To explain How to Diagnose, Teaching cum discussion
Diagnosis o A doctor's evaluation, based on method Explain
specific criteria Diagnosis?
o Because serious physical disorders
often cause some of the same
physical and emotional symptoms as
panic attacks, doctors first make sure
people do not have a physical
disorder.
o Panic disorder is diagnosed when
people have repeated unprovoked and
unexpected panic attacks plus at
least one of the following for at least
1 month:
o Persistent worry that they will have
more panic attacks or worry about
the consequences of the attack (for
example, that they will lose control or
go crazy)
o Changes in behavior due to the panic
attacks (for example, avoiding
situations that may cause an attack)
o Once doctors are confident that a
person's symptoms are caused by a
panic disorder, they try to avoid doing
extensive tests when future panic
attacks occur
S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY/
AV AIDs
7. 5 min To explain Treatment. Teaching method
treatment Drugs that are used to treat panic disorder What is
include: treatment?
1. Antidepressants (SSRIs or SNRIs are
the preferred drugs because they are
as effective as the other drugs but
usually have fewer side effects)
2. Antianxiety drugs such as
benzodiazepines (Benzodiazepines
work faster than antidepressants but
can cause drug dependence).
o Initially, will start of benzodiazepine
and antidepressant. When the
antidepressant starts working, the
dose of benzodiazepine is decreased.
o Exposure therapy and cognitive
behavioral therapy are types of
psychotherapy, often helps diminish
the fear.
S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
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8. 3 min To prognosis Prognosis.

o Panic disorder is a chronic disorder

with a variable course.
o Appropriate pharmacologic therapy
and cognitive-behavioral therapy, are
effective in more than 85% of cases.
o About 10-20% of patients continue to
have significant symptoms.
o Overall, the long-term prognosis is
usually good.
o The suicide rate in individuals with
panic disorder is also many times
higher than the general population.
IS NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY/
AV AIDs
9. 4 miN To prevention Prevention Learning method
o These recommendations may help: What is
o Get treatment for panic attacks as prevention ?
soon as possible to help stop them
from getting worse or becoming more
frequent.
o Stick with treatment plan to help
prevent relapses or worsening of
panic attack symptoms.
o Get regular physical activity, which
may play a role in protecting against
3 min To reference anxiety.
10.

References.

o Merk manual (nineteenth edition,

page 1496-1497).
o Medscape:
o http://emedicine.medscape.com/
article/287913-overview#a4.
S NO TIME SPECIFIC CONTENT TEACHING LEARNING EVALUATION
OBJECTIVE ACTIVITY/
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 SUMMARY
Anxiety and panic are common features within many psychiatric conditions, but the focus,
scope and intensity of one's worry is important in determining whether an independent
anxiety or panic disorder exists.

CONCLUSION
Anxiety disorders are common illness with considerable morbidity and social cost,
accompanied by anxiety, worry, distress. Half of them is undiagnosed or untreated.

BIBLIOGRAPHY
"Panic Disorder without Agoraphobia" Diagnostic and Statistical Manual of Mental Disorders,
fourth edition 1994
"Panic Attacks and Panic Disorder"
WebMD 22 February 2005 1 January 2007
<http://www.webmd.com/hw/anxiety_panic_disorders/hw53798.asp>