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Schizophrenia - Coggle Diagram

- - - - Outcomes
        
        Patient will avoid high-risk environments and situations
        
        Patient will interact with others appropriately
        
        Patient will maintain medical compliance
        
        Patient will identify one action that helps client feel more in control of his or her life
        
        Patient will demonstrate two newly learned constructive ways to deal with stress and feeling of powerlessness
        
        Patient will demonstrate learn the ability to remove himself or herself from situations when anxiety begins to increase with the aid of medications and nursing interventions
        
        Patient will demonstrate decreased suspicious behaviors regarding with the interaction with others
        
        Patient will be able to apply a variety of stress/anxiety-reducing techniques on their own
        
        Patient will acknowledge that medications will lower suspiciousness
      - Explain to patient what you are going to do before you do it
      - Assess and observe clients regularly for signs of increasing anxiety and hostility
      - Use a nonjudgemental, respectful, and neutral approach with the client
      - Use clear and simple language when communicating with a suspicious client
      - Diffuse angry verbal attacks with a non defensive stand
      - Set limits in a clear matter-of-fact way, using a calm tone
      - Be honest and consistent with client regarding expectations and enforcing rules
- - - - Outcomes
        
        Patient will attend one structured group activity within 5-7 days
        
        Patient will seek out supportive social contacts
        
        Patient will improve social interaction with family, friends, and neighbors
        
        Patient will use appropriate social skills in interactions
        
        Patient will engage in one activity with a nurse by the end of the day
        
        Patient will maintain an interaction with another client while doing an activity
        
        Patient will demonstrate interest to start coping skills training when ready for learning
        
        Patient will engage in one or two activities with minimal encouragement from nurse or family members
        
        Patient will use appropriate skills to initiate and maintain an interaction
      - Assess if the medication has reached therapeutic levels
      - Identify with client symptoms he experiences when he or she begins to feel anxious around others
      - Keep client in an environment as free of stimuli (loud noises, crowding) as possible
      - Structure activities that work at the patients pace and activity
      - Structure times each day to include planned times for brief interactions and activities with the patient on one-on-one basis
      - Useful coping skills that client will need including conversational and assertiveness skills
      - Provide opportunities for the client to learn adaptive social skills in a non-threatening environment
- - - - Accept fact voices are real to patient but explain that you do not hear the voices
      - Be alert for signs of increasing fear, anxiety, or agitation
      - Explore how hallucinations are experienced by patient
      - Help patient identify times hallucinations are most prevalent
      - Decrease environmental stimuli
      - Engage patient in reality based activities
      - Monitor medication effectiveness and side effects
      - Outcomes
        
        Patient will learn ways to refrain from responding to hallucinations
        
        Patient will state three symptoms they recognize when their stress levels are high
        
        Patient will state that the voices are no longer threatening, nor do they interfere with his or her life.
        
        Patient will maintain social relationships.
        
        Patient will identify two stressful events that trigger hallucinations
        
        Patient will demonstrate techniques that help distract him or her from the voices
- - - - Attempt to understand the significance of these beliefs to the client at the time of their presentation.
      - Recognizes the client’s delusions as the client’s perception of the environment
      - Identify feelings related to delusions
      - Encourage healthy habits to optimize functioning
        
        Maintain medication regimen.
        
        Maintain regular sleep pattern.
        
        Maintain self-care.
        
        Reduce alcohol and drug intake.
      - Show empathy regarding the client’s feelings; reassure the client of your presence and acceptance
      - Teach client coping skills that minimize “worrying” thoughts. Coping skills include:
        
        going to a gym
        
        calling a close friend
        
        listening to music
        
        phoning a helpline
      - Outcomes
        
        Patient will verbalize recognition of delusional thoughts if they persist
        
        Patient will perceive the environment correctly
        
        Patient will demonstrate satisfying relationships with real people
        
        Patient will demonstrate decrease anxiety level
        
        Patient will refrain from acting on delusional thinking
        
        Patient will develop trust in at least one staff member within 1 week
        
        Patient will sustain attention and concentration to complete task or activities
        
        Patient will state that the “thoughts” are less intense and less frequent with the help of the medications and nursing interventions
        
        Patient will demonstrate two effective coping skills that minimize delusional thoughts