Disturbed Thought Processes Nursing Diagnosis

schizophrenia nursing care plan

Schizophrenia– is composed of a broad drove of symptoms from all domains of mental function. The term schizophrenia literally means "split listen" it is oft dislocated with a split or multiple personalities. Individuals affected with such syndrome may evidence a broad range of disruptions in their ability to see, hear, and otherwise process information from the world around them. They may likewise feel a disruption in their normal thought processes, as well as their emotions and behaviors.

This basic aspect of disturbance in a patient can event in a lifetime disability, periodic hospitalization, and failure, and social relationships. These relationships are frequently disrupted as a direct consequence of the affected individual'south withdrawal and inability to communicate, which may be alternating with bouts of confusing behavior. Family with schizophrenia can exacerbate the strain of caring for a mentally sick relative and the stigma of mental illness.

Because the disorder is then severe, and many people will be afflicted sometime in their life. Schizophrenia is now recognized every bit major public health concern.

Nursing Diagnosis: Disturbed Thought Processes

Possible Etiologies
(Related to)

Inability to trust
Panic level of anxiety
Depression cocky-esteem
Inadequate back up systems
Negative role model
Repressed fears
Underdeveloped ego
Possible hereditary gene

Defining Characteristics
(Evidenced by)

Suspiciousness of others, resulting in

Alteration in societal participation
Inability to meet bones needs
Inappropriate use of defense mechanisms

Hypervigilance Distractibility Inappropriate non–reality-based thinking Inaccurate interpretation of the environment

Goals/Objectives

Curt-Term Goal

Customer will develop trust in at least ane staff member within 1 week.

Long-Term Goal

Customer will demonstrate the utilise of more than adaptive coping skills, as evidenced by the ceremoniousness of interactions and willingness to participate in the therapeutic community.

Outcome Criteria

Client is able to appraise situations realistically and to refrain from projecting their own feelings onto the environment.
Client is able to recognize and clarify possible misinterpretations of the behaviors and verbalizations of others.
Client eats food from a tray and takes medications without bear witness of mistrust.
Client appropriately interacts and cooperates with staff and peers in the therapeutic community setting.

Schizophrenia Nursing Care Plan

Nursing actions	Rationale
Encourage same staff to work with client equally much every bit possible	To promote the development of trusting human relationship
Avoid physical contact.	Suspicious clients may perceive touch equally a threatening gesture.
Avoid laughing, whispering, or talking quietly where customer can come across but non hear what is being said.	Suspicious clients often believe others are discussing them, and secretive behaviors reinforce the paranoid feelings.
Be honest and keep all promises.	Honesty and dependability promote a trusting relationship.
A artistic approach may have to be used to encourage food intake (e.thousand., canned nutrient and client's own can opener or family unit-mode meals).	Suspicious clients may believe they are beingness poisoned and refuse to consume nutrient from the individually prepared tray.
Rima oris checks may be necessary after medication administration	To verify that client is swallowing the tablets or capsules. Suspicious clients may believe they are beingness poisoned with their medication and attempt to discard the pills.
Activities should never include anything competitive. Activities that encourage a one-to-one relationship with the nurse or therapist are best.	Competitive activities are very threatening to suspicious clients.
Encourage customer to verbalize true feelings. The nurse should avoid becoming defensive when aroused feelings are directed at him or her.	Verbalization of feelings in a nonthreatening surround may help client come to terms with long-unresolved issues.
An assertive, thing-of-fact, yet genuine approach is the least threatening to the suspicious person.	The suspicious client does not have the capacity to chronicle to an overly friendly, overly cheerful attitude.

References

Psychiatric/Mental Health Nursing: Concepts of Care 4th edition of Townsend, M.C. (2003) Schizophrenia third edition past Oxford University Printing 2011