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NURSING CARE PLAN

General Objectives: To identify and accept interrelatedness of emotions and organic illness.
CUES NURSING
DIAGNOSIS
RATIONALE SPECIFIC
OBJECTIVES
NURSING INTERVENTION RATIONALE EVALUATION
Subjective:
meron akong
nakikita na hindi
ninyo alam.
gusto mo turuan
kita ng
telekinesis?
alam ko kasi ang
lahat.
gusto ko nang
umuwi, sabihin
mo sa kanila.


Objective:
Easily get
irritated
Delusion of
Grandeur
Magical thinking
Labile
Angry
Flight of ideas
Impaired
judgement r/t
paranoid thinking
2 Paranoid
Schizophrenia.
Paranoid
schizophrenia is the
most common type
of schizophrenia in
most parts of the
world. The clinical
picture is dominated
by relatively stable,
often paranoid,
delusions, usually
accompanied by
hallucinations,
particularly of the
auditory variety, and
perceptual
disturbances.
Disturbances of
affect, volition, and
speech, and
catatonic symptoms,
are not prominent.

SOURCE:
http://www.schizoph
renia.com/szparanoi
d.htm
Within 72 hours
of rendering
nursing care at
NCMH Pavilion 6,
1W, I will be able
to:
1. Promote
appropriate
interaction
between client
and
environment.
2. Enhance
health
maintenance.
3. Ensure safety
needs.
4.Strengthen
differentiation
5. Direct to
reality.
Independent:

Use simple and clear
language when speaking with
the patient

Explain all procedures, test
and activities to patient
before starting them

Encourage patient to talk
about feelings in the context
of a trusting, supportive
relationship

Respond neutrally to his
condescending remarks.


Use supportive, emphatic
approach to focus on
patients feelings about
troubling events or conflicts.


Provide opportunities for
socialization and encourage
participation in group
activities.


In order to be understood by the
client and not to facilitate any
paranoid thinking.

To gain cooperation and full
participation without any hesitations
and paranoid thinking.

This will aid in ventilation of anger
and so denial will resolve. Also, to
establish rapport.


This will facilitate self-awareness and
self-acceptance that the client is
missing to have.

This will establish rapport and client
will be able to identify his problems
in order to be stimuli for a problem-
solving of his preoccupations.

This will aid in socialization so that
client will know that there are people
with the same problem as with his.
Also, he could seek solutions with
them and learn how to do deal with



Monitor patient for
behaviors that indicate
increased anxiety and
agitation.

Dependent:
Antipsychotic medication



Collaborative:
Laboratory Test


Counseling


his problems.

Through this, I will be able to know
what the stimuli of his behaviors.




This will reduce signs and symptoms
of psychoes and will also optimize to
curing the illness.


This will monitor for any physiologic
changes manifesting by the client.

This will help the client to adapt of
his present situation and to solve is
appropriately.

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