mental health

Care Plan

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Care Plan

This paper presents a care plan for a 41-year Hispanic male patient diagnosed with schizophrenia, persistent constipation, overactive bladder, and anxiety.

1. One 3 Part NANDA Nursing Diagnosis

Impaired thought process related to altered perception of the surroundings secondary to schizophrenia as evidenced by delusions and hallucination that greatly affect patient’s thought process. Observe the Inaccurate interpretation of environment in addition to observing attention span/distractibility and ability to make decisions or problem solve.

2. One short-term goal

Patient will talk about concrete happenings in the environment without talking about delusions for 5 minutes.

3. One long-term goal

Patient will be free from delusions or demonstrate the ability to function without responding to persistent delusional thoughts.

4. Two Interventions for a short-term goal

1. Present reality concisely and briefly and do not challenge illogical thinking. Avoid vague or evasive remarks.

2. Recognize and support the patient’s accomplishments (concrete talking).

Two interventions for long-term goals

1. Assist patient and to develop plan of care to overcome delusion.

2. Engage the patient in one-to-one activities at first, then activities in small groups, and gradually activities in larger groups.

5. Medication Active Learning Template for one medication that the patient is on related to diagnosis

References

Irvine, L. M. (2018). A person-centred care plan – or a plan for patient care? International Journal of Integrated Care, 16(6), 289. https://doi.org/10.5334/ijic.2837