Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(Barré) #1

(^402) Risk Factors (“related to”)[Actual or perceived object loss (e.g., people, pets, possessions, job, status, home, ideals, parts and process of the body)]^ ●^ SPECIAL TOPICS IN PSYCHIATRIC


2 2506_Ch24_390-405.indd 0402 506 Ch 24 390 - 405 .indLong-term GoalClient will progress through the grief process in a healthful manner toward resolution.Interventions with [Denial of loss] 3. Client will verbalize own position in the grief process.Lack of social supportEmotional instabilityGoals/ObjectivesSources: Cheong, Herkov, and Goodman (2009); Corr, Nabe, and Corr (2008); [Interference with life functioning]May experience transient Short-term Goals[Reliving of past experiences with little or no reduction 1. Client will acknowledge awareness of the loss. 2. Client will express feelings about the loss. 1. Assess client’s stage in the grief process. dMay openly express angerAccepts comfort and support TNormal GriefRelates feelings of depression to Experiences a mixture of “good May express guilt feelings over Maintains feeling of hopeAble to experience moments of Self-esteem intact ABLE and Sadock and Sadock (2007). physical symptoms(diminishment) of intensity of the grief ] 0 and bad days”specififrom otherspleasuresome aspect of the lossdata are required to provide appropriate assistance. 40 2 4 – 1 2 c loss experiencedof Clinical DepressionNormal Grief Reactions versus Symptoms^ Selected RationalesExpresses chronic physical complaintsPersistent state of dysphoriaDoes not relate feelings to a particular Feelings of hopelessness prevailClinical DepressionDoes not respond to social interaction Anhedonia prevalentHas generalized feelings of guiltUsually does not directly express angerSelf-esteem disturbedand support from othersexperience Accurate baseline 1 10/1/10 9:38:48 AM 0 / 1 / 10 9 : 38 : 48 AM
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