The patient was experiencing disturbed thought processes, severe anxiety, and depressed mood as evidenced by memory problems and impaired ability to grasp ideas. They reported feeling confused and overwhelmed by life stresses. Restlessness and frequent crying spells were noted, and the patient seemed irritable with disordered thought sequencing. The nurse assessed the patient's cognition, ability to communicate, and previous functioning to develop a care plan that included safety measures, a calm environment, simple language, minimized responsibilities, adequate rest, and reality orientation. Education focused on thought stopping techniques and reducing negative stimuli. By the end of the shift, the patient showed improved mood and organized thinking.
The patient was experiencing disturbed thought processes, severe anxiety, and depressed mood as evidenced by memory problems and impaired ability to grasp ideas. They reported feeling confused and overwhelmed by life stresses. Restlessness and frequent crying spells were noted, and the patient seemed irritable with disordered thought sequencing. The nurse assessed the patient's cognition, ability to communicate, and previous functioning to develop a care plan that included safety measures, a calm environment, simple language, minimized responsibilities, adequate rest, and reality orientation. Education focused on thought stopping techniques and reducing negative stimuli. By the end of the shift, the patient showed improved mood and organized thinking.
The patient was experiencing disturbed thought processes, severe anxiety, and depressed mood as evidenced by memory problems and impaired ability to grasp ideas. They reported feeling confused and overwhelmed by life stresses. Restlessness and frequent crying spells were noted, and the patient seemed irritable with disordered thought sequencing. The nurse assessed the patient's cognition, ability to communicate, and previous functioning to develop a care plan that included safety measures, a calm environment, simple language, minimized responsibilities, adequate rest, and reality orientation. Education focused on thought stopping techniques and reducing negative stimuli. By the end of the shift, the patient showed improved mood and organized thinking.
The patient was experiencing disturbed thought processes, severe anxiety, and depressed mood as evidenced by memory problems and impaired ability to grasp ideas. They reported feeling confused and overwhelmed by life stresses. Restlessness and frequent crying spells were noted, and the patient seemed irritable with disordered thought sequencing. The nurse assessed the patient's cognition, ability to communicate, and previous functioning to develop a care plan that included safety measures, a calm environment, simple language, minimized responsibilities, adequate rest, and reality orientation. Education focused on thought stopping techniques and reducing negative stimuli. By the end of the shift, the patient showed improved mood and organized thinking.
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Time Chart
7:00-3:00 pm F> Disturbed thought process related to severe anxiety or depressed
mood as evidenced by memory problems and impaired abiltity to grasp ideas or orders thoughts D> Received lying on bed; “ Hindi ko na alam kung anong uunahin kong ayusin, gulung gulo na ako.”; with reported life stress, depressed and being anxious; restlessness noted; with constant episodes of crying spells; irritable; with disordered thought sequencing noted A> Assessed attention span/ distractibility and ability to make decisions or problem solve to determine ability to participate in planning and executing care; assessed ability to receive, send and appropriately interpret communications to assess degree of impairment; determined previous level of cognitive functioning from his family, or past medical records to evaluate for his progress; provided safety measures such as side rails, padding as necessary and close supervision as indicated; maintained a pleasant, quiet environment and approach him in a slow, calm manner; minimized words which she cannot comprehend instead use simple and concrete words as to not impair comprehension; minimized his responsibility especially when severely depressed to decrease feelings of guilt, anxiety and pressure; maintained adequate rest periods to provide stimulation while reducing fatigue; performed periodic neurologic assessment as indicated; maintained reality oriented relationship and environment; encouraged to verbalize true feelings to help in resolving issues; educated her to intervene using thought stopping techniques, when irrational or negative thoughts prevail; encouraged her to reduce provocative stimuli, negative criticisms, arguments to avoid triggering fight and fight responses; educated her to reframe or refute negative thoughts to reduce depression R> The patient was able to show improved mood and exhibits organized thought process
