Care Plan Psych - lecture notes PDF

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Nursing Care Plan Student Initials_____DW________________________________________________________________________________________________ Medical Diagnoses: Homicidal Idealizations, Bipolar I, depression, severe depression with psychosis, post partum depression Concerns

1.) Safety of patient and others (visitors, staff, other patients)

Nursing Diagnosis (NANDA Diagnostic Statement) Analysis of Cues

1.) Risk for Violence Towards Self or Others related to post-partum depression.

Nursing Interventions (Strategies/Actions) Take Actions

Rationale for Interventions (Include Source and Page Numbers)

1.) Helps decrease symptoms of anxiety and mania. 1.) Decrease environmental stimuli by having a Allows the patient time to think before acting and to quiet place for the patient to go when they learn to calm themselves at home. Intervening prevents experience distress and be ready to intervene at the patient from getting too escalated and harming or first sign of agitation. escalating others. 2.) Provide frequent rest and solitary activities when necessary. Search rooms for unsafe objects and monitor the patient for unsafe thoughts and behaviors.

2.) Allows the client the time that they need to decompress to decrease anxiety and agitation. Searching for unsafe objects and behaviors allows the nurse to prevent and be more prepared for potentially unsafe situations. Citation: Martin, P. B. (2019, April 11). 6 Bipolar Disorders Nursing Care Plans. Nurselabs. https://nurseslabs.com/bipolar-disorders-nursing-careplans/2/

2.) Patient Hygiene and self-care

2.) Risk for self care deficit related to chronic depression and bipolar disorder.

1.) Monitor intake and output. Encourage the patient to eat and drink as appropriate. Encourage healthy lifestyle as much as possible. Monitor weight. 2.) Encourage Hygiene routines and encourage the patient to stay out of bed during the day. Provide positive reinforcement when the patient initiates these things on their own.

1.) As the Nurse it is important to ensure that the patient is getting the right nutrition. Often when people are dealing with mental health issues they forget to eat and drink and take care of themselves. Monitoring this will help to identify any issues. 2.) Being cleaned and well groomed can help with mood and self esteem. Helping the patient to find a morning routine is something that they can do themselves at home that will help them feel better.

Citation: Martin, P. B. (2019b, November 4). 9 Major Depression Nursing Care Plans. Nurseslabs.

3.) Patient is experiencing intrusive thoughts about hurting or killing her husband and family.

3.) Patient has a disturbed thought process related to bipolar disorder and postpartum depression and psychosis as evidenced by patient expressing intrusive thoughts about hurting or killing her husband and children.

1.) Help the client to identify negative thoughts and to reframe them in a more positive manner. 2.) Help client and family structure an environment that can help re-establish set schedules and predictable routines during severe depressions

https://nurseslabs.com/major-depression-nursing-careplans/6/ 1.) Negative ruminations add to feelings of hopelessness and are part of a depressed person’s faulty thought processes. Intervening in this process helps in healthier and more useful outlook in life. This also helps to avoid a potentially dangerous situation.

2.) A fairly and non-demanding repetitive routine is easier to both follow and remember. This makes it easier for the patient to continue self care routines when they are struggling.

Citation: Martin, P. B. (2019c, November 4). 9 Major Depression Nursing Care Plans: Disturbed Thought Processes. Nurselabs. https://nurseslabs.com/majordepression-nursing-care-plans/5/

4.) Patient’s coping skills

4.) Ready for enhanced Coping Skills as evidenced by patient’s ability to identify stressors and then be able to walk away from the stressful thing or environment or able to find a way to decrease stress. Pt has expressed interest in improving coping skills and improving her emotional response to certain situations.

1.) Assist the patient to set realistic goals and discover her strengths. Also help them to accurately interpret the situation. 2.) Consider mental and physical activities within the patient’s ability (e.g., reading, television, outings, movies, radio, crafts, exercise, sports, games, dinners out, and social gatherings).

1.) Involving patients in decision making helps them move toward independence. Setting goals allows them to determine what they want and need to focus on and how they can get there.

2.) Interventions that improve body awareness such as exercise, proper nutrition, and muscular relaxation may be helpful for treating anxiety and depression. Citation: Wayne, G. B. (2017, September 23). Ineffective Coping Nursing Care Plan. Nurselabs. https://nurseslabs.com/ineffective-coping...