Abstract

Health is the level of functional or metabolic efficiency of a living organism. In humans it is the ability of individuals or communities to adapt and self-manage when facing physical, mental or social challenges. An individual with healthy body and mind is an asset to the family and society. But health is not a commodity to purchase; health can be destroyed by various disorders or diseases. Disease broadly refers to any condition that impairs the normal functioning of the body. Some minor disease can be treated at home itself, while some major disorder or severe diseases requires medical therapy or surgical treatments in the health care set-up. Clients with critical condition such as upper GI bleeding, masses or tumors, upper GI stricture and sepsis are required to be treated in endoscopy unit of hospital setting. Endoscopy unit is special department of hospital or health care facility that provides visualization through internal organ with help of different fiber optic scopes to the patient with upper GI problems like bleeding, masses, stricture and foreign body ingestion as well as lower GI problems like intestinal obstruction, bleeding and also for patients with respiratory disorders. Close monitoring and support from special equipment and medications to the patients in order to ensure normal bodily functions. Patients undergoing any procedures have mild to severe anxiety towards the procedure. Decreasing or relieving anxiety help the patient and care giver for procedures. There are different ways to decrease anxiety of patients like posters, charts videos and verbal information. The HAM- A tool was used to assess anxiety. HAM-A was one of the first rating scales developed to measure the severity of anxiety symptoms and is still widely used today in both clinical and research settings. It is psychological questionnaires used by clinicians to rate the severity of patient’s anxiety. HAM-A developed by M. Hamilton and it is based on 14 parameters including anxious mood, tension, fears, insomnia, somatic complaints and behavior.

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