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Schizoaffective Disorder, Bipolar Type I - Coggle Diagram

- - - - Interventions
        
        Assess the patient's level of agitation at least every 2 hours and as needed.
        
        Use calm, therapeutic communication and provide simple, clear directions.
        
        Administer prescribed PRN medications (chlorpromazine and diphenhydramine) as ordered for escalating agitation.
        
        Encourage the patient to identify and practice 2 coping strategies (such as deep breathing or requesting a time-out) before behaviors escalate.
  - - - Interventions
        
        Perform a mental status assessment every 2 hours and document changes in thought content.
        
        Avoid arguing with delusions; acknowledge the patient's feelings and gently present reality.
        
        Encourage the patient to report feelings of paranoia or anger to staff before acting on them.
        
        Collaborate with the psychiatrist to evaluate medication effectiveness and monitor the patient's response to any medication adjustments.