Assessment Diagnosis Background Planning Intervention Rationale Evaluation

knowledge
Subjective: Disturbed -Disturbed Thought After 3 weeks of Independent: After weeks of
The patient thought Processes describe nursing intervention, 1. Recognize the -can help you intervention, the
verbalized process r/t: s an individual with the patient will be client’s delusions understand the patient was able
” the poison psychological altered perception able to: as the client’s feelings he is to
that is disturbances and cognition that - demonstrate perception of the experiencing. They -cooperate with
making me as evidenced interferes with behavior/ environment. may feel understood the rehabilitation
sick”, “I can’t by delusion, daily living. Causes lifestyle Identify the signs and it might lessen activities given
do it. hallucination, are biochemical or changes related to their anxiety. by the
They don’t inability to psychological specially in delusion or healthcare
deserve to perform self- disturbances. maintaining hallucination provider.
die!” and care, and -Schizophrenia is a self-care. 2. Explain the When the client fully - demonstrate
“Do you want refusal to take serious mental - Complete procedures of the understands the improvement in
me to die? “ food, drinks disorder in which basic daily task or activities procedure, he is less maintaining self-
and people interpret task and you are trying to likely to feel tricked care
Objective: medication. reality abnormally. activities in provide. by the staff. - recognize
-the patient Symptoms of rehabilitation. delusions and
is wearing schizophrenia is - Respond to 3. Do not argue with It will only increase hallucinations
several layers hallucinations, reality-based the client’s client’s defensive -demonstrate
of heavy delusions, interactions beliefs. Always position. This will compliance with
clothing, catatonia, initiated by consider the result in patient the medications.
poor hygiene; withdrawal, etc. others therapeutic feeling even more
matted hair, - Demonstrate communication. misunderstood. Goal was met.
strong body compliance in
odor medication 4. Encourage These are all
-irregular given. healthy habits to important to keep the
sleeping - Verbalize optimize patient in remission.
pattern recognition of functioning such
-appears hallucinations as maintaining
guarded and if they persist self-care, regular
suspicious sleep pattern, and
- having cooperating to
delusions and medication
hallucinations regimen
- less social When the patient is
interaction 5. Teach coping ready, teach him
-refuses to skills that can strategies that he can
take food and minimize “bad” do alone
drinks thoughts. Their delusional
-refuses to thinking might dictate
take 6. Always utilize them to hurt himself
medication safety measure in or others. Safe
his environment. environment will also
Minimize lessen triggers.
provocative
stimuli.

To treat and avoid the

Dependent: progression/relapse
1.Administer of the illness.
antipsychotic drugs as
prescribed.
Cooperating with
other healthcare
Collaborative: providers about the
1. Assist in identifying treatment of the
ongoing treatment patient will lead to
needs/ rehabilitation higher chance of
program for the patient’s recovery.
individual