The nursing care plan addresses a patient at risk for self-harm due to psychotic symptomatology. The goals are to relieve the patient's anxiety after 20 minutes of interaction and enable proper coping after a series of interactions. The nurse will frequently assess for signs of increased agitation and hyperactivity. Interventions include decreasing environmental stimuli and maintaining consistent expectations and a structured environment. This aims to prevent self-harm and decrease the need for seclusion through early detection and intervention of escalating mania.
The nursing care plan addresses a patient at risk for self-harm due to psychotic symptomatology. The goals are to relieve the patient's anxiety after 20 minutes of interaction and enable proper coping after a series of interactions. The nurse will frequently assess for signs of increased agitation and hyperactivity. Interventions include decreasing environmental stimuli and maintaining consistent expectations and a structured environment. This aims to prevent self-harm and decrease the need for seclusion through early detection and intervention of escalating mania.
The nursing care plan addresses a patient at risk for self-harm due to psychotic symptomatology. The goals are to relieve the patient's anxiety after 20 minutes of interaction and enable proper coping after a series of interactions. The nurse will frequently assess for signs of increased agitation and hyperactivity. Interventions include decreasing environmental stimuli and maintaining consistent expectations and a structured environment. This aims to prevent self-harm and decrease the need for seclusion through early detection and intervention of escalating mania.
The nursing care plan addresses a patient at risk for self-harm due to psychotic symptomatology. The goals are to relieve the patient's anxiety after 20 minutes of interaction and enable proper coping after a series of interactions. The nurse will frequently assess for signs of increased agitation and hyperactivity. Interventions include decreasing environmental stimuli and maintaining consistent expectations and a structured environment. This aims to prevent self-harm and decrease the need for seclusion through early detection and intervention of escalating mania.
Evaluation Criteria Interventions for the Interventions Patient verbalized Risk for self-harm Risk for self-directed violence: At After 20 mins of Frequently assess Early detection and After 20 mins of nurse “Dati di ko related psychotic risk for behaviors in which an nurse patient client ’ s behavior for intervention of patient interaction, the macontrol yung symptomatology individual demonstrates that he/she interaction. The signs of increased escalating mania will patient was able to be patient would be agitation and prevent the sarili ko can be physically, emotionally, relieved of his anxiety. relieved of his anxiety hyperactivity. possibility of harm to nasasaktan ko and/or sexually harmful to self. regarding his self- self or others, and sarili ko” harm decrease the need After series of nurse patient for seclusions. interaction the patient was After series of nurse able to cope properly. patient interaction the patient would be able to cope properly with Decrease Helps decrease his tendencies. environmental stimuli escalation of anxiety (e.g., by providing a and manic calming environment symptoms. or assigning a private room)
Maintain a consistent Clear and consistent
approach, employ limits and consistent expectations expectations, and minimize potential for provide a structured client’s manipulation environment. of staff.