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    Schizophrenia NCP

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    Nicole cuencos
    The nursing care plan addresses a patient experiencing auditory and visual hallucinations. Short term goals include the patient being able to identify stress triggers and rate hallucination frequency/threat. Nursing interventions include exploring the hallucinations, assessing mental status, minimizing discussion of negatives, and intervening with PRN medication or seclusion as needed. Long term goals are for the patient to learn stress reduction, demonstrate distraction techniques, and maintain relationships. The plan involves collaborating with the health team to provide rehabilitative therapies and stimulating activities.

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    Schizophrenia NCP

    Uploaded by

    Nicole cuencos
    2K views2 pages
    The nursing care plan addresses a patient experiencing auditory and visual hallucinations. Short term goals include the patient being able to identify stress triggers and rate hallucination frequency/threat. Nursing interventions include exploring the hallucinations, assessing mental status, minimizing discussion of negatives, and intervening with PRN medication or seclusion as needed. Long term goals are for the patient to learn stress reduction, demonstrate distraction techniques, and maintain relationships. The plan involves collaborating with the health team to provide rehabilitative therapies and stimulating activities.

    Original Title

    SCHIZOPHRENIA-NCP

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    The nursing care plan addresses a patient experiencing auditory and visual hallucinations. Short term goals include the patient being able to identify stress triggers and rate hallucination frequency/threat. Nursing interventions include exploring the hallucinations, assessing mental status, minimizing discussion of negatives, and intervening with PRN medication or seclusion as needed. Long term goals are for the patient to learn stress reduction, demonstrate distraction techniques, and maintain relationships. The plan involves collaborating with the health team to provide rehabilitative therapies and stimulating activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views2 pages

    Schizophrenia NCP

    Uploaded by

    Nicole cuencos
    The nursing care plan addresses a patient experiencing auditory and visual hallucinations. Short term goals include the patient being able to identify stress triggers and rate hallucination frequency/threat. Nursing interventions include exploring the hallucinations, assessing mental status, minimizing discussion of negatives, and intervening with PRN medication or seclusion as needed. Long term goals are for the patient to learn stress reduction, demonstrate distraction techniques, and maintain relationships. The plan involves collaborating with the health team to provide rehabilitative therapies and stimulating activities.

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    © All Rights Reserved
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    of 2

    NURSING CARE PLAN

    ASSESSMENT NURSING PLANNING NURSING RATIONALE EVALUATION


    DIAGNOSIS INTERVENTION
    SUBJECTIVE CUES: Disturbed sensory Short term: 1.Explore how the 1.Exploring the Short term:
    “She has perception related After nursing 1-2 hallucinations are hallucinations and After nursing 1-2
    complained of to altered sensory hours of nursing experienced by the sharing the hours of nursing
    hearing voices and perception as intervention the client. experience can help intervention the
    seeing things for a evidence by patient will be able give the person a patient was able to:
    week’s telling her auditory and visual to: sense of power that - State two-three
    that she is ‘no good’ distortion - State two-three he or she might be symptoms they
    as verbalized by the symptoms they able to manage the recognized when
    patient. recognize when hallucinatory their stress levels
    their stress levels voices. are high.
    are high. -State, using a
    OBJECTIVE CUES: -State, using a 2.Assess ability to 2.To obtain an scale from 1 to 10,
    scale from 1 to 10, speak, hear, overview of client’s that “the voices” are
    that “the voices” are interpret, and mental and less frequent and
    less frequent and respond to simple cognitive status and threatening when
    threatening when commands ability to interpret aided by medication
    aided by medication stimuli. and nursing
    and nursing intervention
    intervention 3.Minimize 3.client may - Identified to
    - Identify to discussion of misinterpret and personal
    personal negatives (e.g. believe references interventions that
    interventions that client’s personal are to herself. decreases the
    decrease the problem) within intensity or
    intensity or client’s hearing frequency of
    frequency of hallucinations (e.g,
    hallucinations (e.g, 4. Intervene with 4. Intervene before listening to music,
    listening to music, one-on-one, anxiety begins to wearing
    wearing seclusion, or PRN escalate. If the headphones,
    headphones, medication (As client is already out reading out loud,
    reading out loud, ordered) when of control, use jogging,
    jogging, appropriate. chemical or socializing).
    socializing). physical restraints
    Long term: After 2-3 following unit Long term: After 2-3
    days of nursing protocols. days of nursing
    intervention the intervention the
    patient will be able 5. Work with the 5. If clients’ stress patient was able to:
    to: client to find which triggers - Learned ways to
    - Learn ways to activities help hallucinatory refrain from
    refrain from reduce anxiety and activity, they might responding to
    responding to distract the client be more motivated hallucinations.
    hallucinations. from a hallucinatory to find ways to -Demonstrate one
    -Demonstrate one material. Practice remove themselves stress reduction
    stress reduction new skills with from a stressful technique.
    technique. the client. environment or try - Demonstrate
    - Demonstrate distraction techniques that help
    techniques that help techniques. distract him or her
    distract him or her from the voices.
    from the voices. 6. Collaborate with 6.To achieve - Maintained social
    - Maintain social other health-team maximal gains in relationships.
    relationships. members in function and
    providing psychosocial well-
    rehabilitative being.
    therapies and
    stimulating
    modalities

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