Nursing Diagnosis Interventions for Risk for Violence - Schizophrenia

Nursing Interventions for Risk for Violence - Schizophrenia

Schizophrenia is a kind of mental disorder that makes it difficult to differentiate between the real and unreal experiences, to think rationally, to have normal emotional management and to be sociable to others.

Types of schizophrenia:

- Paranoid schizophrenia
- Catatonic schizophrenia
- Disorganized schizophrenias

People who have this brain disorder have an altered reality perception. They may able to hear and see things that do not exist, speak in weird or unclear ways, and believe that someone is trying to hurt them, or even feel like someone is constantly watching them. However, this condition can be manageably treated and cured.


Nursing Diagnosis Risk for Violence: Self-Directed or Other-Directed

related to:

1. Lack of trust: distrust of others
2. Panic
3. Stimulation of catatonic
4. The reaction of anger
5. Instructions of hallucinatory
6. Mind delusions
7. Walking back and forth
8. Jaw stiffness; clenched his fists, rigid posture
9. Aggressive action: direct purpose of destroying objects that are in the surrounding environment
10. Active self-destructive behavior; aggressive suicide
11. The words of a threatening, hostile; act of bragging to the psychological torment of others
12. Increased motor activity, footsteps, excitement, irritability, restlessness.
13. Perceive the environment as a threat.
14. Receive a "messenger" through hearing or sight as a threat.

Long-term goals:
Patients will not endanger themselves and others over at the Hospital.

Short term goals:
Within 2 weeks the patient can recognize the signs of increased anxiety and restlessness, and report to the nurse agaar given intervention as needed.


Nursing Interventions for Schizophrenia : Risk for Violence

(A) Keep the patient's environment at low stimulus levels (low lighting, a few, simple decor, low noise level).
Rational:
Anxiety levels will increase in an environment full of stimulus.Individu-existing individuals may be perceived as a threat because of suspicious, and eventually make the patient agitation.

(B) Observe closely the behavior of the patient (every 15 minutes). Do this as a routine activity for the patient to avoid any suspicion in the patient.
Rational:
Close observation is important, because then appropriate interventions can be provided immediately and to always ensure that patients are safe.

(C) Remove all objects that can harm the environment around the patient
Rational:
If the patient is in a state of anxiety, confusion, patients will not use these objects to endanger yourself or others.

(D) Try to channel your self-destructive behavior to the physical kegiatn to reduce patient anxiety (eg, hitting sandbags).
Rational:
Physical exercise is a safe way to menghilaangkan efektf latent tensions.

(E) Staff must maintain a calm passage and display behavior towards patients.
Rational:
Anxiety is contagious and can be transferred from nurses to patients.

(F) Have a staff strong enough physically to help secure the patient if necessary.
Rational:
It is necessary to control the situation and also provide physical security to the staff.

(G) Provide appropriate medication therapy treatment program. Monitor the effectiveness of drugs and their side effects.
Rational:
How to achieve "alternative batasaan least" should be selected when planning interventions for psychiatry.

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Nursing Interventions for Schizophrenia

Nursing Interventions for Schizophrenia

Goal:

1. Set realistic goals with clients.
2. Set the desired outcomes for clients with schizophrenia.
3. Set the desired criteria for the families that have family members with schizophrenia.

Nursing Interventions for Schizophrenia

1. Clients who withdrew and isolation

• Use a self-therapeutic.
• Perform a planned interaction, brief, frequent, and not demanding.
• Plan simple activities one-on-one.
• Maintain consistency and honesty in interactions.
• Gradually encourage clients to interact with their peers in a non-threatening situation
• Provide social skills training.
• Perform a variety of actions to improve self-esteem.

2. Clients show regressive behavior or unfair

• Do approach, it is strange behavior (do not reinforce this behavior).
• Treat the client as an adult, even though the client regresses.
• Monitor the client's diet, and give support and assistance when necessary.
• Assist the client in terms of hygiene and dress up, only when the client can not do it alone.
• Be careful with the touch because it can be considered a threat
• Create a regular schedule of activities of daily living.
• Give a simple choice of two things for clients who experience ambivalence.

3. Clients with no clear pattern of communication

• Keep your own communication to keep it clear and unambiguous.
• Maintain consistency of your verbal and nonverbal communication.
• Clarification of any meaning ambiguous or not clearly related to client communication

4. Clients who are suspicious and rude

• Form professional relationships; too friendly to bet the threat.
• Be careful with the touch because it can be considered a threat.
• Give as much control and autonomy to the client within the therapeutic limits.
• Create a sense of trust through brief interactions that communicate caring and respect.
• Describe any treatment, medication and laboratory tests before the start.
• Do not focus or strengthen the suspicion or delusional ideas.
• Identify and provide a response to the underlying emotional needs of suspicion or delusional
• Intervene when the client shows signs of increasing anxiety and potentially express an unconscious behavior.
• Be careful to not behave in a way that could be misinterpreted kilen.

5. Clients with hallucinations or delusions

• Do not focus on hallucinations or delusions. Perform an interrupt to initiate interaction with the client's hallucinatory 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 are communicated to the client when he was having hallucinations or delusions.
• Switch and the client focus 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, to stimulate the onset of hallucinations.
• Help clients to control hallucinations by focusing on reality and take medication as prescribed.
• If hallucinations persist, Bantu clients ignore it and continue acting remedy properly despite a hallucination.
• Teach a variety of cognitive strategies and tell the client to use self talk ("voices that makes no sense") and the cessation of the mind ("I will not think about it").

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