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    NCP Tik

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    blancher er
    This nursing care plan is for a 75-year-old female patient diagnosed with schizophrenia who is experiencing delusional thoughts. The plan involves interventions to help the patient recognize her delusions, perceive reality accurately, and develop trust in her care providers. The short-term goals are for the patient to verbally recognize her delusions and perceive her environment correctly within 2-3 hours. The long-term goals are for the patient to create satisfying relationships, refrain from delusional thinking, and maintain attention from tasks within 2-4 days through nursing interventions like understanding, rephrasing delusions, and ensuring safety.

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    NCP Tik

    Uploaded by

    blancher er
    22 views4 pages
    This nursing care plan is for a 75-year-old female patient diagnosed with schizophrenia who is experiencing delusional thoughts. The plan involves interventions to help the patient recognize her delusions, perceive reality accurately, and develop trust in her care providers. The short-term goals are for the patient to verbally recognize her delusions and perceive her environment correctly within 2-3 hours. The long-term goals are for the patient to create satisfying relationships, refrain from delusional thinking, and maintain attention from tasks within 2-4 days through nursing interventions like understanding, rephrasing delusions, and ensuring safety.

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    NCP TIK

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    This nursing care plan is for a 75-year-old female patient diagnosed with schizophrenia who is experiencing delusional thoughts. The plan involves interventions to help the patient recognize her delusions, perceive reality accurately, and develop trust in her care providers. The short-term goals are for the patient to verbally recognize her delusions and perceive her environment correctly within 2-3 hours. The long-term goals are for the patient to create satisfying relationships, refrain from delusional thinking, and maintain attention from tasks within 2-4 days through nursing interventions like understanding, rephrasing delusions, and ensuring safety.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views4 pages

    NCP Tik

    Uploaded by

    blancher er
    This nursing care plan is for a 75-year-old female patient diagnosed with schizophrenia who is experiencing delusional thoughts. The plan involves interventions to help the patient recognize her delusions, perceive reality accurately, and develop trust in her care providers. The short-term goals are for the patient to verbally recognize her delusions and perceive her environment correctly within 2-3 hours. The long-term goals are for the patient to create satisfying relationships, refrain from delusional thinking, and maintain attention from tasks within 2-4 days through nursing interventions like understanding, rephrasing delusions, and ensuring safety.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    NURSING CARE PLAN

    Patient’s Initial: Age: 75 Gender: Female Case Scenario No:

    Medical Diagnosis: Schizoprenia Chief Complaint: “Lakad ng lakad, hindi mapakali” Clinical Area: Psych Ward

    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

    Subjective: Short Term Goal: Independent: Short Term


    Patient’s Verbalization: After 2- 3 hours of Evaluation:
    nursing intervention, 1. Understand the 1. Cues will be
    “Isa kami sa pinaka
    mayaman sa Pilipinas,
    the client will be able significance of the helpful in After 2 hours of
    May bahay kami sa to: existence of these said identifying possible nursing intervention,
    Beverly” events underlying fears or the client was be able
    Disturbed thought ● Verbalize issues that result in to:
    “Dati na akong patay, process related to recognition of illogical fantasies.
    nabuhay lang ako uli” abnormal brain activity
    delusional thoughts / MET
    evidenced by delusional
    “Lagi masakit ang ulo and non-realistic thinking __PARTIALLY MET
    ko” ● Perceive the __UNMENT
    environment 2. Change topic or 2. Even you are
    “May bumisita sa akin correctly refrain from letting the client evidenced by;
    ng alas dose ng delusional thinking express herself, ● Recognize the
    madaling araw” ● Develop trust in while having the presentation to delusional thoughts
    some or all of the conversation reality or changing
    Objective: care providers of courses should ● Perceived the reality
    -Flying of ideas
    be done to make of actual
    - Disturbed thought
    sure that the client environment
    process ● Talk without is being withdrawn ● Have a good
    -Unrealistic events delusional thinking to delusional relationship with
    -Delusional thinking and all about thinking. other health care
    -Visual illusions concrete team
    happenings in the 3. Don’t hastily touch the 3. This can trigger the ● Delusional thinking
    surroundings for 5 client, use gestures client’s anxiety, it did not exist for
    minutes straight most of the times may result into almost 10 minutes.
    triggering or being
    into traumatic
    shock and space of
    Long Term Goal: the mentally ill Long Term Evaluation:
    client should be
    After 2-4 days of maintained always. After 3 days of nursing
    nursing intervention intervention the client
    the client will be able 4. Don’t argue or neglect 4. Arguing will only was able to:
    to: the client’s thoughts increase the client’s
    instead, rephrase it defensive
    with reality-based mechanism. This / Met
    ● Create a satisfying information will result in the __ PARTIALLY MET
    relationship with client feeling even __ UNMET
    other people more isolated and
    misunderstood. Evidenced by;
    ● Create a fine
    ● Refrain from thinking
    5. Ensure maintenance 5. This will help the relationship with
    and acting from
    of the following: client’s treatment other patients and
    delusional thinking
    -Medication regimen. health provider
    -Sleep
    ● Sustained attention -ADL’s ● Delusional thinking
    from tasks and reality is not as persistent
    as before, with the
    help of medications
    ● Be Free and managed 6. Empathy and self- 6. This will show
    from delusional offering caring and
    thinking therapeutic
    relationship and ● Attention and focus
    concern. was vastly
    improved
    7. Making sure that the 7. If psychotic
    safety of the client and symptoms occur,
    other people around everyone’s safety is
    him is monitored a priority.

    DEPENDENT:
    1. Psychiatrist order of 1. These are all
    medication such as validated and
    RISPERIDONE initiated by the
    2. IV and TPN doctors and
    3. ISOLATION psychiatrist,
    making sure of
    their others before
    administration.

    COLABORATIVE
    1. Gradual and 1.This will at least
    maintained let the significant
    communication with others be updated
    the client’s significant during the
    others treatment.
    1.
    .

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