Key problem #1 Diagnosis: Ineffective Coping Goals: Patient will not show signs and symptoms of ineffective coping. Desired outcome: Patient will verbalize awareness of own coping abilities for the duration this shift. Patient will meet basic psychological needs and demonstrate appropriate expression of feeling for the duration of this shift. Interventions: Response: 1. Set short term goal and provide psychological support. 2. Encourage patient to express feeling (e.g. depression, anger) 3. Provide behavior support to increase participation rehabilitation activities 1. Patient states “Psychological support helps to increase my coping ability.” 2. Patient demonstrates improved expression of feeling about body image. 3. Patient …show more content…
Provide self-help device (e.g. zipper pull, dressing stick, button hook, long handle shoehorn, etc.) 1. Patient states “I learn batter with sufficient time dressing and undressing myself.” 2. Patient achieved maximum learning performance and able demonstrate activity independently. 3. Patient is able to perform activities and reduced reliance on others for meeting own needs. Evaluation: Patient performs self-care activities within physical limitation at the end of the shift. Key Problem # 4 Diagnosis: Disturbed Sensory Perception Goal: Patient will maintain level of consciousness and perceptual function. Desired outcome: Patient will exhibit relaxed body movement and facial expression for the duration of this shift. Patient will remain free from harm resulting from reduced tactile sensation for the duration of this shift. Interventions: Response: 1. Assess sensory awareness (e.g. cold from hot, dull from sharp, body part and joint sensation). 2. Determine patient perception to environment, staff, and procedures. 3. Give patient object to touch and hold. 1. Patient identifies cold from hot, dull from sharp. 2. Patient has perception to environment, staff, and procedures. 3. Patient states have stimuli to sense of
i. Is it time to change the patient’s position (left to right, ambulate, etc…) the changing of position frequently will assist in the prevention of pressure ulcers.
2.1. What is effective about these strategies for coping with stress, and why did they work?
- Taking into account the patient physical, social, psychological and spiritual health allow for allow for a more competent and effective patient care.
Furthermore, if a shift assessment is done poorly the data will display it and make it seem like there is a problem. Alarm fatigue is caused by poor data collection making patients seem to be crashing when they are fine (2017, p. 219). Using this weakness as a chance to reflect on how our facility is documenting is going to help with patient safety in the long run. It may be an issue now, however, if we wish for our patients to be falsely represented in the Paratrend we will become more careful with what we place on the chart. Within one month I have already seen two common errors in my charting, using this system I will improve my documentation overall. Using our small window of time effectively we have been working towards helping staff use this program to help with their day instead of pushing them to use
Mental State the interdisciplinary team must ascertain if the patient is in a state of confusion, cannot answer at least simple questions or follow instruction or if he feels anger or fear towards anyone in the family (Felong, 2008). If he is confused, unable to answer even simple questions or follow instruction or harbors resentment or fear towards someone in the family, he may not be ready for placement. Housing the structure of the patient's residence is important. Is it a one-storey house or are there stairs he must climb? Issues that must be dealt with include the closeness of his bedroom to the bathroom; if he will share the bedroom with others; handle his own laundry, meals or shopping. Education it is important to know if the patient or his caregiver needs to learn diet, special diabetic diet, crutch training or other forms of therapy. The team must also determine if the patient is interested or not to capable of learning. It is also important to find out if the patient can learn the skills relevant to his condition (Felong).
The assigned nurse explained to the patient about pain management/ pain scale after surgery and how he will be waking up in the Intensive Care Unit where he was going to have chest tubes to remove the extra fluid from the chest cavity; he confirmed understanding and was ready to move on with the procedure.
Patient will demonstrate ability to use adaptive device for feeding for the duration of this shift.
The good news is also that the increasing societal awareness and research has developed effective treatment options that can be implemented into a school setting. Cognitive-behavioral therapy provides the basis for most of these intervention style treatments, based on the assumption that “dysfunctional thinking can be changed and, in turn, lead to symptomatic relief and improvement in functioning” (Craske, 2010, p. 49). Cognitive-behavioral therapy focuses on overriding the automatic mal-adaptive pathways of depressed thought, or “functions at the conscious level to effect changes in the preconscious level” (Craske, 2010, p. 49). Essentially, it gives the depressed person strategies to counter the initial processing of the depressed brain
Equally important to remember is that the patient has neuropathy which will affect his balance and further increase his fall risk so guarding closely is crucial. In addition, completing positional changes slowly will be critical with the majority of his medications have side effects of dizziness/lightheadedness. Increased risk of bleeding and decreased ability to clot is imperative to realize especially if the patient falls or gets cut during an
Working in the field of mental health, I have come to realize that mental and behavioral illness is common and almost everyone is affected in the United States. Caregivers offer service to people who are not capable of performing or going through their daily routines or activities because of their physical disabilities or an illness (Gouin, Estrela, Desmarais, & Barker, 2016). A coping system for dealing with mentally ill patients vary from one family to another for different of reasons.
identifies the things that are going smoothly, as well as the barriers to providing excellent care. And where appropriate, it makes
Brennan, the problem-focused strategy has also helped me plan out my weekly schedule, which has helped with a lot of my stress. Stress gets the best of people, and I believe to much stress will bring some people to there breaking point. Also, emotional-focused coping skills have a very strange way of helping us cope with certain situations. Us as humans, we try to deny and avoid hurting individuals and ourself with hurtful circumstances. So, these coping skills are rather important in difficult times.
In order to find the patients baseline an assessment of functionality is needed for comparison. When assessing a patient it is important to pay attention to the abilities of activities of daily living regularly. An assumption of Orem’s Self-Care Deficit Theory is that a person’s knowledge of potential health problems is needed for promoting self- care behaviors (Nursingtheory.org, 2013).
Hardiness/resilience is a personality characteristic originally identified by Suzanne Kobasa (1979) and redefined in further studies by Kobasa, Maddi, and Kahn (1982), and many others, as cited in (Schafer, 2000; Morris & Maisto, 2005). It was established in these studies, that participants who displayed the