Wednesday, November 30, 2011

Nursing Interventions for Hallucinations or Delusions

A hallucination, in the broadest sense of the word, is a perception in the absence of a stimulus. In a stricter sense, hallucinations are defined as Perceptions in a conscious and awake state in the absence of external stimuli the which have qualities of real perception, in That They are vivid, substantial, and located in external objective space. The latter definition distinguishes hallucinations from the related phenomena of dreaming, the which does not involve wakefulness; illusion, the which involves distorted or misinterpreted real perception; imagery, the which does not mimic real perception and is under voluntary control; and pseudohallucination, the which does not mimic real perception, but is not under voluntary control. [1Hallucinations also differ from "delusional Perceptions", in the which entered correctly sensed and interpreted a stimulus (ie a real perception) is given some additional (and typically bizarre) significance.


Nursing Interventions for Hallucinations or Delusions

Do not focus on hallucinations or delusions. Do interruption to the client by initiating interaction hallucinations one-on-one based on reality.

Tell them that you do not agree with the perception of the client, but the validation that you believe that the hallucinations are real to the client.

Do not argue with the client about the hallucinations or delusions.

Respond to the feelings that the client communicated at the time he was having hallucinations or delusions.

Divert and focus the client on a structured activity or task-based reality.

Move the client to a more quiet, less stimulating.

Wait until the client does not have hallucinations or delusions before starting the counseling session about it.

Explain that hallucinations or delusions are symptoms of psychiatric disorders.
Say that the anxiety or increased stimulus from the environment, can stimulate the onset of hallucinations.

Help clients control the hallucinations by focusing on the reality and take medication as prescribed.

If hallucinations persist, Help clients to ignore it and keep acting remedy properly despite an hallucination.

Teach a variety of cognitive strategies and tell the client to use conversations themselves ("the voices that makes no sense") and the cessation of mind ("I will not think about it").

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