A.
ASSESSMENT
1.
The identity of the
patient
a.
Name: Bro. S
b.
Age: 21 years
c.
Gender: male
d.
Address: Lor Pesurungan
RT 7/3, Margadana, Tegal
e.
Occupation: Not working
f.
Education: SD
g.
Medical diagnosis: 20.0
F (Paranoid Schizophrenia)
Identity Penaggung
replied:
a.
Name: Mr.. S
b.
Age: 40 years
h.
Address: Lor Pesurungan
RT 7/3, Margadana, Tegal
c.
Occupation: -
d.
Relationship: Brother
Ward: XII (Madrim)
Log Date: 18 November 2011
Assessment dated: 19 November 2011
2.
Reason entry
Bro. S often
talking to himself and wandering and 2 days ago breaking things in the house.
3.
Predisposing factors and
precipitation
a.
Factors predisposing
2.
Families said about 4
years ago never taken to the doctor with complaints of the same nerve.
3.
Family says Br. S
had never experienced physical and sexual abuse, rejection, family violence and
criminal activity.
4.
Family say no other
family members who experience mental illness.
b.
Factors precipitation
2.
Bro. S said
irritated and angry as eager to have a boyfriend and get married.
4.
Physical Assessment
a.
Vital signs
BP: 120/80 mmHg
HR: 88 x / min
RR: 20 x / min
Temperature: 36 ° C
b.
Size:
TB: 165 cm
BB: 50 kg
c.
Bro. S said no
complaints of any illness that is felt for clients treated in RSJD Amino
Gondohutomo.
d.
Physical examination (head
to toe):
Head: Short hair, black color, looks clean,
Eyes: The conjunctiva was not anemic, not jaundiced sclera.
Nose: Clean, symmetrical right and left, there was no injury and
discharge from the nose.
Mouth: Clean and no injury.
Thorax: Development of symmetrical chest ka = ki, palpation:
symmetrical chest expansion ka = ki, percussion: resonant and breath sounds
vesicular
Heart: ICTUS cordis invisible, S1 and S2 sound pure.
Abdomen: no tenderness and no period
Genetalia: not terkaji
Upper extremities: There is no muscle kelemahan.Kekuatan: 5/5 and
5/5, Capilary refill = <2 seconds.
Lower extremities: There is no muscle kelemahan.Kekuatan: 5/5 and
5/5, Capilary refill = <2 seconds.
Integument: no lesion elsewhere, skin turgor <2 seconds and
clammy skin.
Description: Bro. S
is a man last child of 5 siblings. Bro. 1 S stay home with her
father. Care system in your household. S is done with a democratic
system, namely decision-making by all members of the family.
b. The concept of self-
1. Body image: Br. S
said he was mediocre and like all parts of his body.
2. Identity: Br. S is
a man who is not married, the child to 5 of five children who would love to
have a boyfriend.
3. The role of self: Br. S
role as a child cottage, after leaving the hut Br. S only at home alone.
4. Ideal self: Br. S
hopes to have a boyfriend, then work. Bro. S says it wants a speedy
recovery and return home soon
5.
Self-esteem: Before Bro. S
entry in hospital, Br. S never lived at boarding school. Bro. S
said people in the cottage was difficult to make friends. Bro. S said
minder if his friends and felt tacky until finally he drank dextro so he does
not feel tacky when with his friends.
MK: Low self-esteem.
c.
Social relations:
3.
People nearby: Family
says Br. S has not had a close friend who became a place to moan and groan
over no problem. Family says if Br. S there is a problem he tends to
internalize it and rarely told by another friend. Bro. S said if I
have a problem I do not want to talk with other people because I feel reluctant
and uncomfortable and prefer to keep quiet and dreamy.
2.
Participation in group
activities / community: Family says after Br. S ill (± 2 weeks ago) Br. S
be the aloof, dreamy, rarely talking to anyone else.
3.
Barriers in dealing with
others: Br. S is a private person to get in touch with others.
MK: Social isolation: withdrawal.
The risk of
hallucinations.
d.
Spiritual
4.
Values and beliefs:
Br. S Bergama Islam.
2.
Worship: family said
during mental began to fail Br. S is routine to practice prayer 5 times a
day and night. Bro. S said during a routine at the hospital is still
in the running time 5 daily prayers.
6.
Mental status
a.
Appearance: Br. S
looks well groomed, neat ramput.
b.
Discussion: fast and
hard.
c.
Motor activity: Br. S
looked tense, anxious and compulsive where Br. S ± 5 times daily bath.
MK: The risk of injuring oneself, others and
the environment.
d.
Natural feeling: Br. S
told me not to worry why discharged from hospital due to Br. S was already
healthy.
e.
Afek: unstable as
indicated by the client when spoken rapidly changing emotions.
f.
Interaction during the
interview: Br. S cooperative, able to maintain eye contact.
g.
Perception: Br. S
said if it is itself often hear a voice - a voice that told him to be angry and
hurt. Sounds like the voice of the devil, the sound usually comes
indeterminate, sometimes 2 times a day. If Br. S heard the voice, he
always closes his ears.
MK: Hallucinations hear
h.
The process of thought:
Sirkumstasional that if asked Br. S always convoluted conversation but
arrive at the destination.
i.
The contents of thought:
well, Bro. S is able to think clearly and not found data that indicate the
presence of delusions.
j.
Level of consciousness:
Br. S is able to orient people, time and place well. For example,
being able to know if he was in the hospital.
k.
Memory: the client is
able to recall with good long-term memory, short-term memory is able to
remember well.
l.
The level of
concentration and arithmetic: the client is able to concentrate well
demonstrated when Bro. S asked 10 + 12-5 = 17.
m.
Ability assessment: no
distractions. Clients are able to make short-term decisions well as a bath
before eating.
n.
Power look yourself:
deny client's illness, that he was not ill and physically and mentally healthy.
7.
Preparation needs home
a.
Eating: the client is
able to eat independently with frequency 3x / day.
b.
BAK / CHAPTER: the
client is able to urinate 5x, 1x day and bowel movements / day with
independently.
c.
Bath: the client is able
to bathe 5x / day independently.
d.
Dressed / decorated: the
client is able to dress and adorn independently
e.
Rest and sleep: the
client is able to rest enough nap from 13:00 to 14:00 hours, sleep late
afternoon after hours of eating, and slept the night till morning.
f.
The use of drugs: the
client is able to take medication independently in accordance with the
provisions.
g.
Health Maintenance: ± 5
days ago been brought to doker nerve with the same complaint.
h.
Activity in the house:
Since the hospital, the client just sit at home, do not want to do the
activity. Leisure time is used to daydream and sleep.
i.
Activities outside the
home: before entering the hospital, Br. S often wander.
8.
Coping mechanisms:
maladaptive, ie a client when she heard the whisperings unreal he prefers to be
alone.
9.
Psychosocial and
environmental problems: Br. S wanted to have a girlfriend and friend, Bro. S
considers himself a plebeian so it does not have any friends.
10.
Less Knowledge of: Br. S
does not know about her illness.
11.
Medical Aspects
a.
Medical diagnosis: 20.0
F (Paranoid Schizophrenia).
b.
Medical therapy:
Medical therapy
|
indication
|
contra indications
|
|
19/11/2011
|
Olandoz 2x5 mg
|
·
Olandoz
/ zyprexa: resistant chronic schizophrenia
·
Stelazine:
mild mental and emotional disorders, conditions neurotic / psychosomatic,
nausea and vomiting, psychosis schizophrenia
|
·
Olandoz
/ zypreza: somnolence, weight increased, increase prolactin levels,
dizziness, akathisia (subjective feelings of tension to the muscles which
results in the patient becoming fidgeting), increased appetite
·
Stelazine:
drowsiness, dizziness, skin reactions, dry mouth, blurred vision, amenorrhea,
lactation, muscle weakness, extrapyramidal symptoms at high doses, diskenisia
dyskinesia.
|
20/11/2011
|
Olandoz 2x5 mg
|
||
21/11/2011
|
Olandoz 2x5 mg, Zyprexa
Injection (evening)
|
||
22/11/2011
|
Olandoz 2x5 mg, Zyprexa
Injection (evening)
|
||
23/11/2011
|
Olandoz 2x5 mg, Zyprexa
Injection (evening)
|
||
24/11/2011
|
Olandoz 2x5 mg
|
||
25/11/2011
|
Olandoz 2x5 mg
|
||
26/11/2011
|
Olandoz 2x5 mg
|
||
27/11/2011
|
Olandoz 2x5 mg
|
||
28/11/2011
|
Olandoz 2x5 mg
|
||
29/11/2011
|
Olandoz 2x5 mg
|
||
30/11/2011
|
Olandoz 1x10 mg, 2x5 mg Stelazine
|
12.
Investigations:
a.
Clinical laboratory: on
18 November 2011
Result
|
Normal Value
|
|
WBC
|
9.5 x 10 ^ 3 / uL
|
4.8 to 10.8
|
RBC
|
4.7 x10 ^ 3 / uL
|
4.2 to 5.4
|
HGB
|
13.5 g / dl
|
12-16
|
HCT
|
38.6%
|
37-47
|
MCV
|
82.7 fL
|
79-99
|
MCH
|
28.9 pg
|
27-31
|
MCHC
|
35 g / dl
|
33-37
|
PLT
|
329 10 ^ 3 / uL
|
150-450
|
PDW
|
10.1 fL
|
9-13
|
MPV
|
8.6 fL
|
7.2 to 11.1
|
P-LCR
|
14.9 fL
|
15-25
|
LYM%
|
24.6%
|
19-48
|
MXD%
|
9.3%
|
8-16
|
Neut%
|
66.1%
|
40-74
|
LYM #
|
2.3 x10 ^ 3 / uL
|
1 to 3.7
|
MXD #
|
0.9 x10 ^ 3 / uL
|
0 to 1.2
|
Neut #
|
6.3 x10 ^ 3 / uL
|
1.5 to 7
|
RDW-CW
|
12.4%
|
11.5 to 14.5
|
Urea
|
19.79 mg / dl
|
10-50
|
GOT
|
13.03 IU / I
|
0-37
|
Creatinine
|
0.92 mg / dl
|
0.9-1.3
|
GPT
|
9.095 IU / I
|
0-41
|
Cholesterol
|
173.2 mg / dl
|
140-220
|
Glucose during
|
145.3 mg / dl
|
70-105
|
B.
DATA
ANALYSIS
Data
|
Problem
|
TTD
|
|
1.
|
Subjective Data:
·
Families
say two days ago Bro. S damage of goods in the house.
·
Bro. S
said irritated and angry as eager to have a boyfriend and get married.
Objective Data:
·
Bro. S
looked tense and nervous during the interview process.
|
Risk injuring yourself, others and
the environment
|
Zuli
|
2.
|
Subjective Data:
·
Bro. S
said if it is itself often hear a voice - a voice that told him to be angry
and hurt. The voice sounds like the voice of the devil usually comes
indeterminate, sometimes daily 2 kali.Klien cover his ears when hearing the
sound.
·
Bro. S
said that when he heard the whisper-whisper unreal he prefers to be alone.
Objective Data:
·
Talks
Br. S: fast and hard.
·
Bro. S
perform activities repeatedly (compulsive) is ± 5 times daily bath.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S is Sirkumstasional that if asked Br. S always
convoluted conversation but arrive at the destination.
|
Impaired sensory perception:
hallucinations heard
|
Zuli
|
3.
|
Subjective Data:
·
Family
says Br. S has not had a close friend who became a place to moan and
groan over no problem. Family says if Br. S there is a problem he
tends to internalize it and rarely told by another friend.
·
Family
says after Br. S ill (± 2 weeks ago) Br. S be the aloof, dreamy,
rarely talking to anyone else.
·
Bro. S
said if I have a problem I do not want to talk with other people because I
feel reluctant and uncomfortable and prefer to keep quiet and dreamy.
·
Bro. S
said minder if his friends and felt tacky until finally he drank dextro so he
does not feel tacky when with his friends.
Objective Data:
·
Bro. S
looks often daydream.
|
Social isolation: Pull Away
|
Zuli
|
C.
PROBLEM
LIST OF NURSING
1.
Risk injuring yourself,
others and the environment
2.
Impaired sensory
perception: hallucinations heard
3.
Low Self-Esteem
D.
TREE
PROBLEM
Behavioral
risk injuring yourself, others and the environment
Core Problem
Social
Isolation: Withdrew
E.
Nursing
Diagnosis
1.
Impaired sensory
perception: hallucinations heard.
2.
Social isolation:
withdrawal.
F.
ACTION
PLAN NURSING
Nursing Diagnosis
|
Destination
|
Action Plan
|
Rational
|
||
Criteria for evaluation
|
Nursing actions
|
||||
19/11/2011
|
Impaired sensory perception: hallucinations heard
|
TUM:
Clients can recognize
hallucinations, hallucinations control and follow the optimal treatment
TUK:
1.
Clients
can build a trusting relationship
2.
Clients
can recognize hallucinations
3.
Clients
can control the hallucinations
|
After 4X client interaction shows
signs of believing terhadapa nurse:
·
Facial
expressions are friends
·
Shows
pleasure
·
There is
eye contact
·
Want to
shake hands
·
Want to
name
·
Want to
reply regards
·
Want to
co-exist with nurses
·
Being
able to express the problems faced
After 3x client interaction can
recognize hallucinations, include:
·
Fill
hallucinations
·
Time
occurrence of hallucinations
·
The
frequency of occurrence of hallucinations
·
Situations
arise that cause hallucinations
After 5x client interaction can
control hallucinations, in particular by:
·
Rebuked
hallucinations
·
Conversing
with others
·
Scheduled
activities
After 2x client interaction can
take medicine regularly
·
The
benefits of taking medication
·
Losses
are not taking medication
·
Name,
color, dosage, therapeutic effects and side effects of drugs
|
Construct a trusting relationship
with the therapeutic use of the principles of communication:
·
Sapa
client with verbal and non-verbal
·
Introduce
yourself to the polite
·
Ask your
full name and the name of the client preferred call
·
Explain
the purpose of the interaction
·
Show
empathy and receives the client what it is
·
Pay
attention to the basic needs of the client kliendan note
1.
Assess
the client's content hallucinations
2.
Assess
the timing of the hallucinations
3.
Assess
the frequency of occurrence of hallucinations
4.
Assess
the situation arises that causes hallucinations
5.
Give the
client a chance to mengungkapakan feeling
1.
Explain
how rebuked hallucinations
2.
Demonstrate
how to rebuke hallucinations
3.
Ask the
patient to demonstrate the re-
4.
Monitor
the implementation of this method, strengthen client behavior
1.
Encourage
clients to frequently converse with other clients
2.
Give positive reinforcement to
the successes achieved
1.
Assess
the activities undertaken daily client
2.
Explain
the importance of regular activity to cope with hallucinations
3.
Discuss
the activities that can be done by the client
4.
Train
the client to perform activities
5.
Motivation
clients to create a regular schedule start until the evening for one
week
6.
Give positive reinforcement for
the ability of carrying out routine activities of daily
7.
Monitor
implementation of the daily activity schedule
1.
Discuss
with clients about the benefits and disadvantages of not taking the
medication, name, color, dosage, method, therapeutic effects, and side
effects of drug use
2.
Monitor
the client's current medication use
3.
Give
credit if the client is using medications properly
4.
Discuss
due to stop taking the medication without consulting a physician
5.
Encourage
clients to consult your doctor / nurse if things happen that are not
desirable
|
Trusting relationship is the main
foundation for further related
Giving clients the opportunity to
mengungkapakan feelings about the experience hallucinations.
To reduce the risk of
hallucinations by way busy with regular activities
By mentioning the benefits, losses
do not take medication, name, color, dosage, method, therapeutic effects, and
side effects of drug use then the client will know what to do after taking
the drug and is expected to carry out treatment programs on a regular
basis
|
19/11/2011
|
Social isolation: withdrawal
|
TUM:
Clients can interact with others
so as to avoid withdrawing behavior
TUK:
1.
Clients
can build a trusting relationship
2.
Clients
can mention the cause to withdraw.
3.
Clients
can mention the advantages relateto others and loss when not associated with
other people.
4.
Clients
can perform social relations gradually
5.
Clients
can mengungkapakan feelings after dealing with others
6.
Clients
can empower support system or family in expanding social relationships
|
After 4X client interaction shows
signs of believing terhadapa nurse:
·
Facial
expressions are friends
·
Shows
pleasure
·
There is
eye contact
·
Want to
shake hands
·
Want to
name
·
Want to
reply regards
·
Want to
co-exist with nurses
·
Being
able to express the problems encountered.
After 4X client interaction can
mention at least one cause withdraws from:
·
Yourself
·
Other
·
Environment
After 4X client interaction can
mention the advantages relate toothers, for example:
·
There is
a place to vent
·
Have
lots of friends
·
Creating
happy
After 4X client interaction can
not mention a loss when dealing with other people, for example:
·
Deserted
·
Less
socially
·
There is
no place to vent
After the client interaction 4X
can carry out social relations gradually by:
·
Nurse
·
Another
nurse
·
Other
clients
·
Group
After 4X client interactions can
reveal social perasaannnya after dealing with:
·
Yourself
·
Other
After 4X family interactions can
explain about:
·
Understanding
the behavior of withdrawn
·
Cause
withdraw
·
Behavioral
signs of pulling away
·
As a
result of withdrawing
·
How to
care for a client withdraws
|
Construct a trusting relationship
with the therapeutic use of the principles of communication:
·
Sapa
client with verbal and non-verbal
·
Introduce
yourself to the polite
·
Ask your
full name and the name of the client preferred call
·
Explain
the purpose of the interaction
·
Show
empathy and receives the client what it is
1.
Assess
the client's knowledge about the withdrawal and the signs
2.
Give the
client a chance to cause a feeling mengungkapakan withdraw / do not want to
hang out
3.
Discuss
with the client about withdrawn behavior, the signs and causes of emerging
4.
Give
praise to the client's ability to express his feelings
1.
Assess
the client's knowledge about the advantages relate to others and loss
when not associated with other people
2.
Give the
client a chance to express feelings about the advantages relate to others and
loss when not associated with other people
3.
Discuss
with the client about the advantages relate to others and loss when not
associated with other people
4.
Give
positive reinforcement of the ability to express feelings about the
advantages relate to others and loss when not associated with other
people
1.
Assess
the client's ability to build relationships with others
2.
Encourage
and Assist clients to connect with others in stages: the nurse-client,
client-other nurses, nurse-client-other clients, client-nurse-group
3.
Give
positive reinforcement to the successes achieved
4.
Help
clients to evaluate the benefits of dealing with others
5.
Discuss
daily schedule is done with the client in their spare time
6.
Client's
motivation to participate in the room
1. Encourage the client to express
his feelings after dealing with others
2. Give positive reinforcement for
the ability of the client to express his feelings after dealing with others
Discuss with family members on:
·
Understanding
the behavior of withdrawn
·
Cause
withdrawn behavior
·
Behavioral
signs of pulling away
·
As a
result of what happens when withdrawing behavior is not addressed
·
How to
cope with the behavior of the family withdrew at home
|
Trusting relationship is the main
foundation for the next touch.
Giving clients the opportunity to
mengungkapakan feelings, can help reduce stress and causes feelings withdraw
To know about the advantagesrelate
to others and loss when not associated with other people
Explore the client's feelings
toward withdrawing behaviors are wont to do. To find out how to withdraw
behaviors performed with the help of a nurse and can distinguish constructive
and destructive behavior
Helping therapy treatment for
clients who experience social isolation
Helping therapy treatment for
clients who experience social isolation
|
G.
NOTE
NURSING
|
Hour
|
Nursing Diagnosis
|
Implementation
|
Evaluation
|
19/11/201 1
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Introduce
yourself politely
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: member a chance to speak
Clients can recognize
hallucinations:
·
Fill
hallucinations
·
Time
occurrence of hallucinations
·
The
frequency of occurrence of hallucinations
·
Situations
arise that cause hallucinations
Teach you how to control his
hallucinations:
Method 1: rebuke hallucinations,
namely:
·
Explain
how rebuked hallucinations
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
|
S:
"My name is S, from
Tegal, my school to elementary, my feeling bad gag, pingin ya home"
"Ma'am, I was hearing
voices that told me to get angry and hurt yourself."
O:
·
Bro. S
looked tense and nervous during the interview process. Talks Br. S:
fast and hard.
·
Bro. S
perform activities repeatedly (compulsive) is ± 5 times daily bath.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S always
convoluted conversation but arrive at the destination.
A:
SP 1 P: the client is able to
recognize hallucinations: hallucinations contents.
P:
Nurse: repeat SP 1 P:
validation experience hallucinations about the content, timing occurs, the
frequency and circumstances. Teach how to control hallucinations by way
of rebuke
Client: Encourage clients conversing
with his friend when the nurse or hallucinations come.
|
21/11/2011
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk.
SP 1P Hallucinations:
Clients can recognize
hallucinations (ask again experience hallucinations):
·
Fill
hallucinations
·
Time
occurrence of hallucinations
·
The
frequency of occurrence of hallucinations
·
Situations
arise that cause hallucinations
Teach you how to control his
hallucinations:
Method 1: rebuke hallucinations,
namely:
·
Explain
how rebuked hallucinations
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
|
S:
Bro. S said forget the
name of the nurse. Bro.S said to hear voices that no one wants to
strangle him. Bro. S says hallucinations arise from our own. Bro. S
said the sounds were coming from ± 2 times a day.
O:
·
Bro. S
looked nervous during the interview process.
·
Cooperative,
pretty good eye contact.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S always
convoluted conversation but arrive at the destination.
A:
1P SP hallucinations:
the client is able to
recognize hallucination: content, timing, frequency but the client has not
been able to demonstrate how to rebuke hallucinations.
P:
SP 1P Hallucinations:
Nurse: 1P SP repeat every day to
validate the client's experience hallucinations and encourage the client
to control hallucinations: hallucinations rebuke way.
Client: Encourage clients
conversing with his friend when the nurse or hallucinations come.
|
22/11/201 1
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: member a chance to speak
Validating back implementation and
control hallucinations hallucinations recognize the way first: exercise
rebuke hallucinations.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
|
S:
Clients say forget the name of the
nurse.Clients say know the name of the nurse to read the name on the
name tag.
client said he wanted to go
home and learn more at cottage. Clients say've rarely heard noises
bother her.
O:
·
Bro. S
appeared calm during the interview process.
·
Cooperative,
pretty good eye contact.
·
Bro
thought process. S isSirkumstasional that if asked Br. S always
convoluted conversation but arrive at the destination.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
A:
the client is able to
demonstrate how to rebuke hallucinations go by having annoying noises that
without his form was.
P:
SP 1P: Hallucinations
Nurse: 1P SP repeat every day to
validate the client's experience hallucinations and encourage the client to
control hallucinations: hallucinations rebuke way.
Client: Encourage clients to
control hallucinations by way of rebuke and chatted with her friend when
the nurse or hallucinations come.
|
23/11/201 1
|
Impaired sensory perception: hallucinations heard
|
SP 1P: Hallucinations
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Teach second way to control
hallucinations: a conversation with another person / friend that is by:
·
Explain
clients about ways to control hallucinations in conversing with others.
·
Teach
clients to control hallucinations in two ways: a conversation with others.
·
Give an
example of how to start a conversation with other people and how to express
the experience hallucinations.
·
Giving
the chances of the client to practice how to converse with others.
|
S:
Clients say they remember the
name of the nurse, which zulaikhah. The client said it was able to
rebuke if hearing voices that no form.The client said he wanted to go home.
O:
·
Bro. S
appeared calm during the interview process.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S always
convoluted conversation but arrive at the destination.
·
Bro. S
seemed to be a conversation with another nurse.
A:
1P and 2P SP hallucinations:
The client is able to
demonstrate how to rebuke hallucinations go by having a voice / non-tangible
form. Clients are able to chat with others either by nurses or with
friends.
P:
1P and 2P SP: Hallucinations
Nurse: SP repeat 1P, 2P SP
every day to validate the client's experience hallucinations, encourages
clients to control hallucinations hallucinations by way of rebuke, encourage
clients to carry on a conversation with another person when the
hallucinations come.
Client: Encourage clients to
control hallucinations by way of rebuke and chatted with her friend when
the nurse or hallucinations come.
|
24/11/201 1
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance withhis favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
second way to control hallucinations: a conversation with another person /
friend that is by:
·
Explain
clients about ways to control hallucinations in conversing with others.
·
Teach
clients to control hallucinations in two ways: a conversation with others.
·
Give an
example of how to start a conversation with other people and how to express
the experience hallucinations.
·
Giving
the chances of the client to practice how to converse with others.
|
S:
Bro. S said that when I go
home ya?.
Bro. S said it was not
hearing voices that are not real.
O:
·
Bro. S
appeared calm during the interview process.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
A:
SP 1P, 2P and 3P hallucinations:
The client is able to
demonstrate how to rebuke hallucinations go by having a voice / non-tangible
form. Clients are able to chat with others either by nurses or with
friends.
P:
1P and 2P SP: Hallucinations
Nurse: SP repeat 1P, 2P SP every
day to validate the client's experience hallucinations, encourages clients to
control hallucinations hallucinations by way of rebuke, encourage clients to
carry on a conversation with another person at least two people in a day.
Client: Encourage clients to
control hallucinations by way of rebuke and conversing with his nurse or
hallucinations when it comes,teaches how to create a schedule of daily
activities.
Client: Encourage clients to
control hallucinations by way of rebuke and chatted with her friend when
the nurse or hallucinations come.
|
25/11/201 1
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: member a chance to speak
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
Validating a second way to control
hallucinations: a conversation with another person / friend that is by:
·
Explain
clients about ways to control hallucinations in conversing with others.
·
Teach
clients to control hallucinations in two ways: a conversation with others.
·
Give an
example of how to start a conversation with other people and how to express
the experience hallucinations.
·
Giving
the chances of the client to practice how to converse with others.
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that m emberikan
the chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Teach you how to create a schedule
of daily activities:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity of waking up in the morning and
bedtime, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement of
positive patient behaviors.
|
S:
Bro. S said today the situation
is fine and wanted to go home. I've learned how to control
hallucinations ya.
O:
·
Bro. S
appeared calm during the interview process.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
·
Eye
contact is good enough, cooperative.
A:
SP 1P, 2P and 3P hallucinations:
Clients are able to recognize the
hallucinations and the client is able to demonstrate how hallucinations by
way of rebuke sent away when he heard a voice that is not real. Clients
of the manner in conversing with others but have not demonstrated how
smoothly while conversing with friends or nurse.
P:
SP 1P, 2P and 3P: Hallucinations
Nurse: SP 1P, 2P SP every day
to validate the client's experience hallucinations and train clients to
implement ways rebuke hallucinations, conversing. Teach made a
schedule of daily activities are scheduled.
Client: Encourage clients to
control hallucinations by way of rebuke and conversing with his nurse or
hallucinations came when, following the scheduled daily activities.
|
26/11/201 1
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
Validating a second way to control
hallucinations: a conversation with another person / friend that is by:
·
Explain
clients about ways to control hallucinations in conversing with others.
·
Teach
clients to control hallucinations in two ways: a conversation with
someoneelse.
·
Give an
example of how to start a conversation with other people and how to express
the experience hallucinations.
·
Giving
the chances of the client to practice how to converse with others.
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that gives the
chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement .
|
S :
Bro. S told ya when I can go
home?
O:
·
Bro. S
looks calm, cooperative and good enough eye contact during the interview
process.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
A:
SP 1P, 2P and 3P hallucinations:
Clients are able to recognize the
hallucinations and the client is able to demonstrate how to rebuke
hallucinations by having to go to the sound that is not real. Clients of
the manner in conversing with others.
P:
SP 1P, 2P, 3P: Hallucinations
Nurse: SP repeat 1P, 2P, 3P every
day to validate the client's experience hallucinations and train clients to
implement ways menghardik hallucinations, chatting. Advise the client to
run a daily schedule that has been made.
Client: Encourage clients to
run a daily schedule that has been made ..
|
28/11/2011
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that gives the
chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement.
|
S :
Bro. S said today fine and
happy.
O:
·
Bro. S
appeared calm and cooperative during the interview process.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
A:
SP 1P, 2P and 3P hallucinations:
Clients are able to recognize the
hallucinations and the client is able to demonstrate how to rebuke
hallucinations by having to go to the sound that is not real. The client is
able to converse with others when it comes hallucinations. The client is
able to perform daily activities scheduled.
P:
SP 1P, 2P, 3P: Hallucinations
Nurse: SP repeat 1P, 2P, 3P every
day to validate the client's experience hallucinations and train clients to
implement ways rebuke hallucinations, chatting. Advise the client to run
a daily schedule that has been made.
Client: invite discussion
about the types, benefits, losses and taking medication schedule.
|
29/11/2011
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that gives the
chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain the
importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement.
SP 4P: Hallucinations
Discuss about the types, benefits,
losses and taking medication schedule, namely:
·
Discuss with
clients about the benefits and disadvantages of not taking the medication,
name, color, dosage, method, therapeutic effects, and side effects of drug
use
·
Monitor
the client's current medication use
·
Give
credit if the client is using medications properly
·
Discuss
due to stop taking the medication without consulting a physician
·
Encourage
clients to consult your doctor / nurse if things happen that are not
desirable .
|
S :
Bro. S said today it was
fine, not sleep well last night. Bro. S also said that when I get
picked up by a family to go home?
O:
·
Bro. S
appeared calm and cooperative during the interview process.
·
Natural
feeling: Br. S worried why not discharged from the hospital.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
A:
SP 1P, 2P and 3P hallucinations:
Clients are able to recognize the
hallucinations and the client is able to demonstrate how tocontrol
hallucinations with hallucinations rebuked by having to go to the sound that
is not real, how to converse with others. The client is able to perform
daily activities scheduled.
P:
SP 1P, 2P, 3P: Hallucinations
Nurse: SP repeat 1P, 2P, 3P every
day to validate the client's experience hallucinations and train clients to
implement ways rebuke hallucinations, chatting. Advise the client to run
a daily schedule that has been made.
Client: invite discussion about
the types, benefits, losses and taking medication schedule.
|
30/11/2011
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that gives the
chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement.
SP 4P: Hallucinations
Discuss about the types, benefits,
losses and taking medication schedule, namely:
·
Discuss with
clients about the benefits and disadvantages of not taking the medication,
name, color, dosage, method, therapeutic effects, and side effects of drug
use
·
Monitor
the client's current medication use
·
Give
credit if the client is using the drugcorrectly
·
Discuss
due to stop taking the medication without consulting a physician
·
Encourage
clients to consult your doctor / nurse if things happen that are not
desirable .
|
S :
Bro. S clicking Atakan
today fine.
O:
·
Bro. S
appeared calm and cooperative during the interview process.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
·
Natural feelings: Bro. S
worried why a long time in the hospital and did not come home.
A:
SP 1P, 2P, 3P and 4P
hallucinations:
Clients are able to recognize the
client is able to demonstrate his hallucinations and hallucinations
caramengontrol with hallucinations rebuked by having to go to the sound that
is not real, how to converse with others. The client is able to perform
daily activities scheduled. Clients can name 5 right medication.
P:
SP 1P, 2P, 3P , 4P:
Hallucinations
Nurse: SP repeat 1P, 2P, 3P ,
4P every day to validate the client's experience hallucinations and train
clients to implement ways rebuke hallucinations, chatting. Advise the
client to run a daily schedule that has been made.Encourage clients to take
medication on a regular basis.
Client: invited back to discuss
about the types, benefits, losses and taking medication schedule.
|
1/12/2011
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
implementation ofconversing with other people / friends that gives the
chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement.
SP 4P: Hallucinations
validate the implementation of the
types, benefits, losses and taking medication schedule, namely:
·
Discuss with
clients about the benefits and disadvantages of not taking the medication,
name, color, dosage, method, therapeutic effects, and side effects of drug
use
·
Monitor
the client's current medication use
·
Give
credit if the client is using medications properly
·
Discuss
due to stop taking the medication without consulting a physician
·
Encourage
clients to consult your doctor / nurse if things happen that are not
desirable .
|
S :
Bro. S said happy having
just dijenguk parents and clerics.
O:
·
Bro. S
appeared calm and cooperative during the interview process.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
·
Eye
contact is maintained.
A:
SP 1P, 2P, 3P, 4P
hallucinations:
Clients are able to recognize the
client is able to demonstrate his hallucinations and hallucinations
caramengontrol with hallucinations rebuked by having to go to the sound that
is not real, how to converse with others. The client is able to perform
daily activities scheduled. Clients can name 5 right medication.
P:
SP 1P, 2P, 3P , 4P:
Hallucinations
Nurse: SP repeat 1P, 2P, 3P ,
4P every day to validate the client's experience hallucinations and train
clients to implement ways rebuke hallucinations, chatting. Advise the
client to run a daily schedule that has been made.Encourage clients to take
medication regularly in hospital or at home.
Client: invited back to discuss
about the types, benefits, losses and taking medication schedule.
|
2/12/2011
|
Impaired sensory perception: hallucinations heard
|
SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that gives the
chances of the client to practice how to converse withothers.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement.
SP 4P: Hallucinations
validate the implementation of the
types, benefits, losses and taking medication schedule, namely:
·
Discuss with
clients about the benefits and disadvantages of not taking the medication,
name, color, dosage, method, therapeutic effects, and side effects of drug
use
·
Monitor
the client's current medication use
·
Give
credit if the client is using medications properly
·
Discuss
due to stop taking the medication without consulting a physician
·
Encourage
clients to consult your doctor / nurse if things happen that are not
desirable
|
S :
Bro. S said today I was
fine, when I go home ya?.
O:
·
Bro. S
appeared calm and cooperative during the interview process.
·
Eye
contact is maintained.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
A:
SP 1P, 2P, 3 P, 4P
hallucinations:
Clients are able to recognize the
client is able to demonstrate his hallucinations and hallucinations
caramengontrol with hallucinations rebuked by having to go to the sound that
is not real, how to converse with others. The client is able to perform
daily activities scheduled. Clients can name 5 right medication.
P:
SP 1P, 2P, 3P , 4P:
Hallucinations
Nurse: SP repeat 1P, 2P, 3P ,
4P every day to validate the client's experience hallucinations and train
clients to implement ways rebuke hallucinations, chatting. Advise the
client to run a daily schedule that has been made.Encourage clients to take
medication regularly in hospital or at home.
Client: invited back to discuss
about the types, benefits, losses and taking medication schedule.
|
3/12/2011
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Impaired sensory perception: hallucinations heard
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SP 1P
Fostering a trusting relationship:
·
Greets
therapeutic
·
Sapa
client with verbal and non-verbal
·
Recalls
the name of the nurse
·
Calling
the name of the client in accordance with his favorite
·
Explaining
the purpose of the interaction
·
Create a
peaceful environment
·
Making
an appointment with a clear agreement about the topic, place, time
·
Giving
attention and awards: accompany clients though not answer
·
Listening
with empathy: memberikesempatan talk
SP 2P: Hallucinations:
Validating back control of the
implementation in a way that the first hallucinations: hallucinations rebuke
exercise.
·
Demonstrate
how to rebuke hallucinations
·
Ask the
patient to demonstrate the re-
·
Monitor
the implementation of this method, strengthen client behavior
SP 2P: Hallucinations
Validate the implementation of the
implementation of conversing with other people / friends that gives the
chances of the client to practice how to converse with others.
SP 3P: Hallucinations
Validate the implementation of daily
activity schedule:
·
Explain
the importance of regular activity to cope with hallucinations.
·
Discuss
the activities performed by the patient's usual
·
Train
the patient to perform activities
·
Arrange
schedule of daily activities in accordance with the activities that have been
trained. Strive patients had activity from morning wake up tid ur
night, 7 days a week.
·
Monitor
the implementation schedule of activities; provide reinforcement.
SP 4P: Hallucinations
validate the implementation of the
types, benefits, losses and taking medication schedule, namely:
·
Discuss with
clients about the benefits and disadvantages of not taking the medication,
name, color, dosage, method, therapeutic effects, and side effects of drug
use
·
Monitor
the client's current medication use
·
Give
credit if the client is using medications properly
·
Discuss
due to stop taking the medication without consulting a physician
·
Encourage
clients to consult your doctor / nurse if things happen that are not
desirable
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S :
Bro. S said last night
can sleep soundly.
O:
·
Bro. S
appeared calm and cooperative during the interview process.
·
Bro
thought process. S isSirkumstasional that if asked Br. S is a
convoluted but until the conversation destination.
A:
SP 1P, 2P, 3P, 4P
hallucinations:
Clients are able to recognize the
client is able to demonstrate his hallucinations and hallucinations
caramengontrol with hallucinations rebuked by having to go to the sound that
is not real, how to converse with others. The client is able to perform
daily activities scheduled. Clients can name 5 right medication.
P:
SP 1P, 2P, 3P , 4P:
Hallucinations
Nurse: SP repeat 1P, 2P, 3P, 4P every
day to validate the client's experience hallucinations and train clients to
implement ways rebuke hallucinations, chatting. Advise the client to run
a daily schedule that has been made.Encourage clients to take medication
regularly in hospital or at home.
Client: invited back to discuss
about the types, benefits, losses and taking medication schedule.
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