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NCP Ineffective Coping

 To reduce anxiety and 1. Monitor vital signs hallucinations 2. Monitor for side effects of medications 3. Monitor for risk of harming self or others Evaluation: Short Term: 1. Vital signs - Stable vital signs 2. Level of anxiety - Reduced anxiety 3. Risk assessment - No risk of harming self or others Long Term: - Improved coping mechanism - Better insight of the illness - Compliance with treatment plan - Fewer relapses

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Aqua Rento
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2K views

NCP Ineffective Coping

 To reduce anxiety and 1. Monitor vital signs hallucinations 2. Monitor for side effects of medications 3. Monitor for risk of harming self or others Evaluation: Short Term: 1. Vital signs - Stable vital signs 2. Level of anxiety - Reduced anxiety 3. Risk assessment - No risk of harming self or others Long Term: - Improved coping mechanism - Better insight of the illness - Compliance with treatment plan - Fewer relapses

Uploaded by

Aqua Rento
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Date Formulate: June 20, 2019

Problem 1: Disturbed auditory sensory perception related to excessive environmental stimuli as evidence by hallucination
Level of Prioritization: High

Cause Analysis: Bipolar disorder, or manic depression, is a brain chemistry disorder. It’s a chronic illness that causes alternating mood
episodes. These mood swings range from depression to mania. Hallucinations are more likely to be auditory than visual in people with bipolar
disorder. You’re more likely to have hallucinations if you experience severe mood swings.

Cues Desired outcomes Interventions Rationale Evaluation


Subjective: Short Term: Independent: Short Term:
1. Determine the patient  This information
“Naa koy gaka dungog nga At the end of 2 days in understands of the provides a foundation At the end of 2 days of
tingog nga saba kayo, ug providing nursing stressful situation. for planning care and providing nursing
usahay mag dikta nako.” intervention the patient choosing relevant intervention the patient
as patient verbalized will be able to focuses on interventions. was able to focuses on the
the present. present.
2. Observe for strengths  It is necessary to
such as the ability to verbally praise them
relate the facts and to for their strength and
acknowledge the to use those strengths
source of stressors to aid functioning

3. Monitor risk of  A patient with


Objective: Long Term: harming self or others hopelessness and an
and intervene inability to problem Long Term:
- restlessness At the end of 1 week in appropriately. solve often runs the
- providing nursing risk of self injury At the end of 1 week of
intervention the patient providing nursing
- suddenly shut up will be able to verbalize 4. Assist patient set  Involving patient in intervention the goal was
better feelings related to realistic goals and decision making helps met and the patient
- sleep disturbances
emotional state. identify personal skills them to move toward verbalized better feelings
- poor concentration and knowledge independence related to emotional state
evidence by
5. Assist patients with  It can be helpful for
accurately evaluating the patient to
the situation and their recognize that he or
own accomplishments she has the skills and
reserves of strength to
effectively manage the
situation.

6. Encourage patient to  To let him/her live


focus in the present today and forget the
pain from the past

7. Provide a chance to  To develop a close


express concerns fears relationship to gain
and expectations the trust of the client
for him to share
perceived or actual
threats and it helps to
reduce anxiety.

 Aerobic exercise
8. Encourage moderate
improves one’s ability
aerobic exercise.
to cope with acute
stress.
Collaborative/Dependent:  Tranquilliser substance
1. Administer that induces sedation
sedatives as by reducing irritability
necessarily or excitement.
ordered

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