[Does not correlate physical symptoms with psychological DefiGoals/ObjectivesSleep disturbanceInadequate problem-solvingPossible Etiologies (“related to”)[Severe level of anxiety, repressed][Low self-esteem][Unmet dependency needs][History of self or loved one having experienced a serious Inability to meet role expectations[Regression to, or fiInability to meet basic needs[Retarded ego development][Inadequate coping skills]^182 [Refuses to attend therapeutic activities][Numerous physical complaints verbalized, in the absence of [Demanding behaviors][Total focus on the self and physical symptoms][History of doctor shopping]Short-term Goalany pathophysiological evidence]problems]illness or disease]^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION xation in, an earlier level of development]
2506_Ch09_176-190.indd Sec1:182 2506 Ch 09 176 - 190 .indBy time of discharge from treatment, client will demonstrate 2. Recognize and accept that the physical complaint is indeed real tion between physical symptoms and psychological problems.Within 2 weeks, client will verbalize understanding of correla- 1. Monitor physician’s ongoing assessments, laboratory reports, Long-term Goalwith physical symptoms.Interventions with ability to cope with stress by means other than preoccupation 3. Identify gains that the physical symptom is providing for d Spathology is clearly ruled out.fito the individual, even though no organic cause can be identi-for the provision of adequate and appropriate client care.terferes with establishment of a trusting relationship.other problems. and other data to maintain assurance that possibility of organic used in assisting the client with problem resolution. the client: increased dependency, attention, distraction from e ed. c 1 : 182 Denial of the client’s feelings is nontherapeutic and in-These are important assessment data to be Selected Rationales Knowledge of these data is vital 1 10/1/10 9:35:18 AM 0 / 1 / 10 9 : 35 : 18 AM
