By discharge, client will exhibit increased feelings of self-worth, as evidenced by voluntary participation in own self-care and interaction with others.
Encourage client to express honest feelings in relation to loss of prior level of functioning. Acknowledge pain of loss. Support client through process of grieving.
Client may be fixed in anger stage of grieving process, which is turned inward onthe self, resulting in diminished self-esteem.
2.Devise methods for assisting client with memory deficit. Examples follow:a.Name sign on door identifying client's room. b.Identifying sign on outside of dining room door.c.Identifying sign on outside of restroom door.d.Large clock, with oversized numbers and hands, appropriately placed.e.Large calendar, indicating 1 day at a time, with month, day, and year identified in bold print.f.Printed, structured daily schedule, with one copy for client and one postedon unit wall.g."News board" on unit wall where current national and local events may be posted.
These aids may assist client to function more independently, thereby increasing self-esteem.
Encourage client's attempts to communicate. If verbalizations are notunderstandable, express to client what you think he or she intended to say. It may benecessary to reorient client frequently.
The ability to communicate effectively withothers may enhance self-esteem.
Encourage reminiscence and discussion of life review. Also discuss present-dayevents. Sharing picture albums, if possible, is especially good.
Reminiscence and life review help the client resume progression through the grief process associated with disappointing life events and increase self-esteem as successes are reviewed.
Encourage participation in group activities. Caregiver may need to accompanyclient at first, until he or she feels secure that the group members will be accepting,regardless of limitations in verbal communication.
Positive feedback from groupmembers will increase self-esteem.
6.Offer support and empathy when client expresses embarrassment at inability toremember people, events, and places. Focus on accomplishments to lift self-esteem.
Encourage client to be as independent as possible in self-care activities. Providewritten schedule of tasks to be performed. Intervene in areas where client requiresassistance.
The ability to perform independently preserves self-esteem.
1.Client initiates own self-care according to written schedule and willingly acceptsassistance as needed.