Supporting older people experiencing anxiety through non-pharmacological interventions

Nurs Older People. 2021 Nov 30;33(6):35-42. doi: 10.7748/nop.2021.e1331. Epub 2021 Nov 3.

Abstract

Anxiety is a debilitating condition that adversely affects people's quality of life. It is challenging to differentiate anxiety from other physical and mental health conditions in older people, particularly those with co-morbid dementia or depression. The coronavirus 2019 pandemic has compounded social isolation and loneliness in older people, causing increased levels of anxiety. Nurses need to be able to detect and assess anxiety in older people and offer short, low-intensity interventions to support older people's mental health or refer them to specialist assessment and treatment. While research on anxiety in older people is lacking, cognitive behavioural therapy, mindfulness, yoga, music therapy and pleasant activities have shown potential as non-pharmacological interventions for alleviating anxiety in older people. This article explores the role of nurses in identifying when an older person may be experiencing anxiety and then choosing the optimal non-pharmacological intervention to support them.

Keywords: anxiety; cognitive behavioural therapy; mental health; mental health therapies; mindfulness; older people; patient assessment; patients; professional; psychological care; psychosocial interventions.

MeSH terms

  • Aged
  • Anxiety / therapy
  • Anxiety Disorders
  • Cognitive Behavioral Therapy*
  • Depression
  • Humans
  • Loneliness
  • Quality of Life*