NURSING CARE PLAN8

CUES SUBJECTIVE No Cues OBJECTIVE observed to be a loner hesitant to open up a topic doesnt want to engage in group relationships although was able to participate in activities NURSING DIAGNOSIS Ineffective Coping related to inadequate coping skills and inability to use coping mechanisms. GOALS/ OBJECTIVES Short Term: At the end of 4 hours of patient interaction, patient will be able to verbalized awareness of own coping and problem-solving abilities. Long Term: At the end of our 4 days of duty, patient will be able to demonstrate abilities to solve problems and develop new effective coping strategies. NURSING INTERVENTIONS Independent:

RATIONALE OF THE NURSING INTERVENTION

EVALUATION

Established a trusting relationship with the client.

To build trust and cooperation which help in the effective implementation of the care plans.

Used of active listening and acceptance to help client express emotions such as sadness, anger and others. Used of emphatic communication and encouraged the client and the family to verbalize fears, express emotions and set goals. Provided with mental and physical activities within clients ability (e.g. doing crafts, exercises) Encouraged to join and participate in the therapies and other scheduled activities.

- Provides an opportunity for the client to address all aspects of the impact of a health status change on their lives

A nurses holistic presence with client is considered to be vital because it helps in coping.

doesnt show willingness to mingle with others especially when shes inside the cell

After the implementation of nursing care plan, the goal is partially met. Patient was able to participate in the therapies and other activities as well as demonstrate improved personal strength but was not able to verbalize her role as an individual personally and socially.

- Activities which decreases stress and/or increase self-efficacy that promote appositive approach to stressors. - Active involvement in coping plans increases the possibility of a positive adjustment. -helps in managing symptoms of psychotic disorders

lack of persons to rely on

was not able to identify personal strengths

COLLABORATIVE:

Administer medications as ordered. Haloperidol 5mg 1 tab BID,PO Chlorpromazine 100mg 1cap, PO

NURSING CARE PLAN

CUES SUBJECTIVE OBJECTIVE >observed to be a loner >hesitant to open up a topic >doesnt want to engage in group relationship although was able to participate in activities >doesnt show willingness to mingle with others especially when shes inside the cell >lack of persons to rely on >was not able to identify personal strengths or the things shes capable of doing(lack of self worth) NURSING DIAGNOSIS Ineffective Coping related to inadequate Coping skills and inability to use coping mechanisms. GOALS/OBJECTIV ES Short Term: At the end of 4 hours of nurse - patient interaction, patient will be able to verbalized awareness of own coping and problem solving abilities. Long Term: At the end of our 4 days duty, patient will be able to demonstrate abilities to solve problems and develop new effective coping strategies. NURSING INTERVENTIONS Established a tursting relationship with the client. Used active listening and acceptance to help client express emotions such as sadness, anger and others. Used empathetic communication and encouraged the client and family to verbalize fears, express emotions and set goals. Provided with mental and physical activities within the clients ability (ex. Doing crafts, exercises) Encouraged to join and participate in the therapies and other scheduled activities. COLLABORATIVE:

RATIONALE OF THE NURSING INTERVENTION -build trust and cooperation which help in the effective implementation of the care plans. -Provide an opportunity for the client to address all aspects of the impact of a health status change on their lives. -A nurses holistic presence with client is considered to be vital. Connectedness to others helps with coping.

EVALUATION After the implementation of our nursing care plan, goal was partially met. Although patient was not able to develop/demonstrate abilities how to solve problems and also in identifying some of her personal strengths since she was still in her recovery stage at her illness, but she was able to develop some effective coping skills like taking things thats happening positively, demonstrating positive outlook by continuing her life despite of what happened and not to commit suicide and still trying to go back to her normal life.

-Activities that decrease stress and/or increase self-efficacy promote a positive approach to received stressors. -Active involvement in coping plans increases the possibility of a positive adjustment.

Administer medications

-helps in managing symptoms of

as ordered: Haloperidol 5 mg 1 tab BID, P.O. Chlorpromazine 100 mg 1 cap, P.O.

psychotic disorders.

NURSING CARE PLAN

CUES SUBJECTIVE OBJECTIVE NURSING DIAGNOSIS GOALS/ OBJECTIVES NURSING INTERVENTIONS

RATIONALE OF THE NURSING INTERVENTION

EVALUATION

No Cues

>participates in activities but does not want to mingle with others >sometimes hesitant to open up topics >observed to be a loner and wants to stay at the corner inside the sell >always silent although she was able to answer some questions during the interaction >doesnt show willingness to engage in personal relationships

Impaired social interaction related to inability to engage in satisfying personal relationships secondary to alterations of mental status.

Short Term: At the end of 4 -5 hours of nurse - client interaction, patient will be able to participate in activities to initiate interaction with others. Long Term: At the end of our 4 days duty, patient will be able to show comfort in social interactions and develop effective communication skills.

Social interaction promoted by encouraging the patient to join and participate in therapies and other activities. Used of active listening and support the expression of feelings.

-helps in decreasing patients depressive symptoms and social isolation.

-increases communication and self expression which helps the patient feel the sense of belongingness, acceptance and social involvement. -touch helps to foster social relationships

After the implementaion of our nursing care plan, goal was met. Patient was able to participate in the activities as well as able to interact with others especially during therapies and even in NPIs, she showed comfort. She was also able to demonstrate improved communication skills although not that same as a normal individual would and coherently answers questions.

Encouraged physical closeness (e.g. use of therapeutic touch) as possible. Used of therapeutic communications with the use of open ended questions. Provided with realistic feedbacks and was given recognition to every task accomplished. Let the patient feel accepted in a group by letting her express her emotions and accept/ consider her ideas especially during group activities.

-facilitates expression of clients feeling and emotions.

-enhances self esteem and helps in establishing a good relationship with the client.

-helps the patient feel the sense of belongingness, acceptance and social involvement.

COLLABORATIVE: Administer medications as prescribed.

NURSING CARE PLAN8

CUES SUBJECTIVE OBJECTIVE NURSING DIAGNOSIS GOALS/ OBJECTIVES NURSING INTERVENTIONS

RATIONALE OF THE NURSING INTERVENTION

EVALUATION

No Cues

observed to be a loner hesitant to open up a topic doesnt want to engage in group relationships although was able to participate in activities doesnt show willingness to mingle with others especially when shes inside the cell lack of persons to rely on

Situational Low Self Esteem related to social stigma and post traumatic experience

Short Term: At the end of 4-5 hours of patient interaction, patient will be able to verbalize realistic views and positive acceptance of self as well as to identify existing strengths and views self as a capable individual. Long Term: At the end of our 4 days of duty, patient will be able to demonstrate adaptation to changes or events that occurred and accept the situation she was into by showing positive attitudes and participate in the therapies or engage in personal/ interpersonal relationships.

Independent:

Encouraged verbalization of feelings, accepting what is said. Used of active listening and acceptance to help client express emotions such as sadness, anger and others. Provided with non threatening environment, listen and pa Provided with mental and physical activities within clients ability (e.g. doing crafts, exercises) Encouraged to join and participate in the therapies and other scheduled activities.

- Helps patient begin to adapt to change and reduces anxiety about the current situation she was in. - Provides an opportunity for the client to address all aspects of the impact of a health status change on their lives - A nurses holistic presence with client is considered to be vital because it helps in coping.

After the implementaion of nursing care plan, the goal is partially met. Patient was able to participate in the therapies and other activities as well as demonstrate improved personal strength but was not able to verbalize her role as an individual personally and socially.

- Activities which decreases stress and/or increase self-efficacy that promote appositive approach to stressors. - Active involvement in coping plans increases the possibility of a positive adjustment. -helps in managing symptoms of psychotic disorders

COLLABORATIVE:

Administer medications as ordered. Haloperidol 5mg 1 tab BID,PO Chlorpromazine 100mg 1cap, PO

NURSING CARE PLAN

CUES SUBJECTIVE OBJECTIVE >observed to be a loner >hesitant to open up a topic >doesnt want to engage in group relationship although was able to participate in activities >doesnt show willingness to mingle with others especially when shes inside the cell >lack of persons to rely on >was not able to identify personal strengths or the things shes capable of doing(lack of self worh) NURSING DIAGNOSIS Ineffective Coping related to inadequate Coping skills and inability to use coping mechanisms. GOALS/OBJECTIV ES Short Term: At the end of 4 hours of nurse - patient interaction, patient will be able to verbalized awareness of own coping and problem solving abilities. Long Term: At the end of our 4 days duty, patient will be able to demonstrate abilities to solve problems and develop new effective coping strategies. NURSING INTERVENTIONS Established a tursting relationship with the client. Used active listening and acceptance to help client express emotions such as sadness, anger and others. Used empathetic communication and encouraged the client and family to verbalize fears, express emotions and set goals. Provided with mental and physical activities within the clients ability (ex. Doing crafts, excercises) Encouraged to join and paticipate in the therapies and other scheduled activities. COLLABORATIVE:

RATIONALE OF THE NURSING INTERVENTION -build trust and cooperation which help in the effective implementation of the care plans. -Provide an opportunity for the client to address all aspects of the impact of a health status change on their lives. -A nurses holistic presence with client is considered to be vital. Connectedness to others helps with coping.

EVALUATION After the implementation of our nursing care plan, goal was partially met. Although patient was not able to develop/demonstrate abilities how to solve problems and also in identifying some of her personal strengths since she was still in her recovery stage at her illness, but she was able to develop some effective coping skills like taking things thats happening positively, demonstrating positive outlook by continuing her life despite of what happened and not to commit suicide and still trying to go back to her normal life.

-Activities that decrease stress and/or increase self-efficacy promote a positive approach to received stressors. -Active involvement in coping plans increases the possibility of a positive adjustment.

Administer medications as ordered: Haloperidol 5 mg 1 tab BID, P.O. Chlorpromazine 100 mg 1 cap, P.O.

-helps in managing symptoms of psychotic disorders.

NURSING CARE PLAN

CUES SUBJECTIVE No Cues OBJECTIVE >participates in activities but does not want to mingle with others >sometimes hesitant to open up topics >observed to be a loner and wants to stay at the corner inside the sell >always silent although she was able to answer some questions during the interaction >doesnt show willingness to engage in personal relationships NURSING DIAGNOSIS Impaired social interaction related to inability to engage in satisfying personal relationships secondary to alterations of mental status. GOALS/ OBJECTIVES Short Term: At the end of 4 -5 hours of nurse - client interaction, patient will be able to participate in activities to initiate interaction with others. Long Term: At the end of our 4 days duty, patient will be able to show comfort in social interactions and develop effective communication skills. NURSING INTERVENTIONS Social interaction promoted by encouraging the patient to join and participate in therapies and other activities. Used of active listening and support the expression of feelings.

RATIONALE OF THE NURSING INTERVENTION -helps in decreasing patients depressive symptoms and social isolation.

EVALUATION After the implementaion of our nursing care plan, goal was met. Patient was able to participate in the activities as well as able to interact with others especially during therapies and even in NPIs, she showed comfort. She was also able to demonstrate improved communication skills although not that same as a normal individual would and coherently answers questions.

-increases communication and self expression which helps the patient feel the sense of belongingness, acceptance and social involvement. -touch helps to foster social relationships

Encouraged physical closeness (e.g. use of therapeutic touch) as possible. Used of therapeutic communications with the use of open ended questions. Provided with realistic feedbacks and was given recognition to every task accomplished. Let the patient feel accepted in a group by letting her express her emotions and accept/ consider her ideas especially during group activities.

-facilitates expression of clients feeling and emotions.

-enhances self esteem and helps in establishing a good relationship with the client.

-helps the patient feel the sense of belongingness, acceptance and social involvement.

COLLABORATIVE: Administer medications as prescribed.