Anxious patient

Hi All,
I am on my Cardio placement and this week I have learnt how important non-verbal communication is.
My patient is 75 years old after CABGx3 and MVR (nil complications). When I came first time the patient reported to me how well she was after surgery, how diligently she was performing her exercises and that doctors and nursing staff were saying to others patients that they should take example by Mrs.SK. Later during the same visit patient told me that she is excepting to stay at hospital for 8-12 weeks! Additionally, patient mentioned that is scared to stay at home on her own during night. In patient’s notes, I found that Mrs.SK had pharmacological treatment for depression. She is 7 days post CABG, independent with self-caring and ambulation around ward (including stairs), able to perform her HEP independently and correctly, no chest problems. However, patient complained that her (R) hand and leg shaking. At the beginning, I worried about this shaking so I reported to my supervisor. My supervisor made me aware that it does not need be “serious neurological sign” but just anxiety++. Each time when I have been treating this patient, I was trying to match evidence for example auscultation, SpO2/HR/BP) with what patient was saying. I was looking as well for any discrepancy between patient’s performance, verbal and non-verbal communication. During team meeting, other AHS members bring anxiety issue out, too. From the physio point patient is safe for discharge but I think patient would benefit from psychological/counselling referral. As this particular patient is from non-English background with limited English skills, it makes this situation even more complicated.
I would like to know if you have treated similar patient and how you dealt with anxious++ patient from non-English background. Thanks for any suggestions.

Daria