Assessment Diagnosis Psychodynamic Planning Intervention Rationale Evaluation

Objective: Sustained The client’s ego After 3 days of Independent: After the nursing
-Flashbacks or maladaptive has experienced nursing -Encourage the -Identification intervention the
re-experiencing response to a a severe trauma, intervention the client to express and expression client had
the traumatic traumatic, often perceived client will have his or her of feelings are minimized the
event(s) overwhelming as a threat to minimized feelings through central to dissociative
-Nightmares or event. physical integrity dissociative talking, writing, grieving process. episodes or
recurrent dreams or self-concept. episodes or crying, or other flashbacks
of the event or This results in flashbacks ways in which through
other trauma severe anxiety, through the client is grounding
event which is not grounding comfortable. techniques and
-Sleep controlled techniques and -Encourage the -Retelling the reality
disturbances adequately by reality client to talk experience can orientation.
-depression the ego and is orientation. about his or her help the client to
-denial of manifested in experience(s); be identify the reality
feelings or symptomatic accepting and of what has
emotional behavior. nonjudgemental happened and
numbness Because the ego of the client’s help to identify
-projection of is vulnerable, the accounts and and work through
feelings superego may perception. related feelings.
-difficulty in become punitive -Encourage the -Integrating
expressing and cause the client to make traumatic
feelings individual to realistic plans for experiences and
-anger assume guilt for future, integrating making future
-guilt or remorse traumatic his or her plans are
-low self-esteem occurrence; the traumatic important
-frustration and id may assume experience. resolution steps
irritability dominance, in the grief
-anxiety, panic, resulting in process.
or separation impulsive, Collaborative:
anxiety uncontrollable -Teach the client -Knowledge
-fear behavior. and the family or about
-decreased significant others posttraumatic
concentration about behavior may
-difficulty posttraumatic help alleviate
expressing love behavior and anxiety or guilt
or empathy treatment. and may
-difficulty increase hope for
experiencing recovery.
pleasure -Help the client -The client’s
-difficulty with learn and traumatic
interpersonal practice stress experience may
relationship, management and have resulted in
marital problems, relaxation a loss of or
and divorce techniques, decrease in self-
-abuse in assertiveness or confidence,
relationships self defense sense of safety,
-sexual problems training, or other or ability to deal
-substance use skills as with stress.
-employment appropriate.
problems -As tolerated, -The client needs
-physical encourage the to know that his
symptoms client to share his or her feelings
or her feelings are acceptable to
and experiences others and can
in group therapy, be shared. Peer
in a support or support
group related to groups can offer
posttrauma, or understanding,
with other clients support, and the
informally. opportunity for
sharing
experience.