Schizophrenia Discharge Care Plan – Assignment 1 Solution

NURS 142 BEHAVIORAL HEALTH CARE PLAN FORM

Abnormal:

Age: 28

Gender: Male

Admit Date: 02/16/2022

Precautions : Fall Risk, Risk for Others-Directed Violence

Level/Privileges: 3

Ethnicity: unknown

Reason for Admission: Police brought David into the hospital after becoming aggressive and throwing a table at his mother.

Psychiatric History: 10-year history of schizophrenia and was previously stable on his medications until discontinuation.

FEB 23

FEB 23

FEB 23

FEB 23

HCO3-

Na+

K+

Creatinine

24

140

3.9

0.7

Normal

Normal

Normal

Normal

GI irritation and acidity

Hydration status, risks of constipation or impaction, risks of Na deficiency

Risk of Hypokalemia due to possible nutritional deficiency

Kidney functioning

Schizophrenia is a mental disorder that affects how a person thinks, feels and behaves. Patients often have difficulty distinguishing between reality and imagination and have difficulty communicating with others. Schizophrenia tends to run in families but most frequently appears to be related to an imbalance of neurotransmitters (dopamine, glutamate and serotonin) that change the brain’s reactions to stimuli. Patients are not normally violent but may react defensively to even the most well-intended gestures or stimuli.

Document the patient’s behaviors, including hallucinations or delusions. Record medication given and any adverse reactions. Document teaching provided to the patient and family (if applicable), their understanding of that teaching, and any need for follow-up teaching.

Impaired thought process

   Related to: paranoid delusions.

  As evidenced by: the perception that he needs to check if his food at home is poisoned

(List only 1 )

       Patient maintains reality orientation and recognizes changes in thinking or behavior pattern. Patient demonstrate decreased anxiety level and satisfying relationships with real people.

1. Attempt to understand the significance of the patient’s delusional belief.

2. Recognize the patient’s delusions as to his perception of the intention of people around him.

3. Identify feelings related to delusions, such as fear of harm or thought control.

(for each intervention)

1. Nurse can identify important cues to underlying fears or issues from the illogical delusions.

2. Nurse can recognize the patient’s perception, which can help understand his feelings and experience around other people.

3. Patient will feel understood, lessening his anxiety level.

Impaired verbal communication

Related to: trouble conversing, altered perception, and disturbance in cognitive associations

As evidenced by: vacillated between being withdrawn and agitated, showing difficulty communicating thoughts verbally

(List only 1 )

         Patient communicates clearly with others.

Patient will express thoughts and feelings coherently, logically, and in a goal-directed manner. Patient will demonstrate reality-based thought processes in verbal communication. Patient will differentiate between withdrawal and agitation feelings verbally and more logically.

1. Keep the environment as calm, quiet, and free of stimuli as possible.

2. Use clear or simple words, and keep directions simple.

3. Use simple, concrete, and literal explanations.

(for each intervention)

1. Prevents anxiety from escalating and heightening confusion and delusions.

2. Patient has difficulty processing information, including simple sentences.

3. They minimize misunderstandings and integrate the misunderstandings into delusional systems.

(Describe if and how expected outcome/goal was met or not met, and which interventions were effective in meeting the goal)

Goal Met  Yes:___ No:___  In process:____

(Describe if and how expected outcome/goal was met or not met, and which interventions were effective in meeting the goal)

Goal Met  Yes:___ No:___  In process:____

ROUTE, FREQUENCY

SIDE EFFECTS