Professional Documents
Culture Documents
Evaluation of Interventions
BEFORE AFTER
R.L was reserved in sharing information and He is comfortable around student nurses
usually mumbles during conversation. The and is open with his expressions. His
conversation solely relied on the nurses. mumbling had stopped.
.
March 5, 2018 March 12, 2018
R.L was easily distracted on environmental R.L is no longer distracted on environmental
stimuli. stimuli and is attentive during interaction.
R.L was wearing the same clothes he was R.L. was observed to wear different clothes
wearing the day before. than yesterday.
R.L does not want to wander too far from his R.L. decides to choose a befitting place for
current position when making decisions for a place not only him but for the student nurses as well
for nurse-patient interaction. for the nurse-patient interaction
I. Recommendations or Discharge Plans- Medical and Nursing
Management
1. Medical Management
Drug Therapy
ANTIPSYCHOTIC AGENTS
CONVENTIONAL/TYPICAL ANTIPSYCHOTICS
Haloperidol 20mg/tab, 1/4 tab HS
Tell patient/SO (s) to take tablets with a full glass of water, with or
without food.
Instruct patient/SO (s) to not get oral cocentration on skin or clothes
because contact dermatitis may occur.
Use caution in hot weather, patient is at risk for heat stroke. Keep up
fluid intake and do not over exercise in hot climate.
Inform client/SO (s) to that he may experience the following side effects:
drowsiness, (avoid driving or operating machinery, activities requiring
energy), sensitivity to the sun (avoid prolonged sun eposure), pink or
reddish brown urine, faintness, dizziness ( change position slowly)
Patient or the patient’s guardian should be advised about possibility of
tardive dyskinesia
Advice not to drink with alcohol
As appropriate, review all significant and life-threatening adverse
reactions and reactions, especially those related to drugs or behaviours.
Chlorpromazine 200mg/tab HS
Tell patient/SO (s) to take tablets with a full glass of water, with or
without food.
Instruct patient/SO (s) to not get oral cocentration on skin or clothes
because contact dermatitis may occur.
Use caution in hot weather, patient is at risk for heat stroke. Keep up
fluid intake and do not over exercise in hot climate.
Inform client/SO (s) to that he may experience the following side effects:
drowsiness, (avoid driving or operating machinery, activities requiring
energy), sensitivity to the sun (avoid prolonged sun eposure), pink or
reddish brown urine, faintness, dizziness ( change position slowly)
Patient or the patient’s guardian should be advised about possibility of
tardive dyskinesia
Advice not to drink with alcohol
As appropriate, review all significant and life-threatening adverse
reactions and reactions, especially those related to drugs or behaviours.
Fluphenazine-Typical
ANTIPARKINSONIAN MEDICATION
Biperiden HCL 2g HS
Tell significant others not to abruptly stop the drug to prevent withdrawal
symptoms (insomnia, involuntary movements, anxiety and tachycardia)
Caution significant others to let patient rise from sitting or recumbent
position slowly to prevent orthostatic hypoten
Inform significant others to teach patient to chew gum, or hard candy
and frequent sips of water to relieve dry mouth.
Inform significant others to teach patient to avoid any hazardous
activites.
Instruct significant others that patient’s doses ahould not be doubled, but
missed doses may be taken up to 2 hours b
OLANZAPINE (TYPICAL)
• Atypical Antipsychotics
2. Nursing Management
- Establish trust by consistently meeting the elements of the plan and engaging
in open and honest communication.
-If the student nurse is anxious or frightened, the patient will be anxious or
frightened too.
-SN should be patient, shows acceptance, and use an active listening skills.
Give Information
-Provide feedback regarding the patient’s general coping responses and activities
of daily living.
-Help patient prioritize goals and categorize them as short term or long term.
-Ensure that these small steps are achievable by the patient and are congruent
with culture and values.
-Active listening
-Clarify feelings and statements when speech and thoughts are confused, unclear
or in doubt.
-Nurse must maintain nonverbal communication when verbal one is not effective.
Family Support
Stress Management
Sensitivity, support and the provision of emotional space for reflection are crucial
when nursing people who are recovering.
-Encourage relaxation techniques to help patient cope with stress and improve
frame of mind.
-Encourage patient to keep active. Experts say that keeping yourself occupied
helps you become distracted from stressful thinking. Many people find this useful
and preferable to being at home all the time where they may simply dwell on
their problems. In addition physical activities such as gardening or conservation
work in the open air will help you to relax and improve your sleep pattern.
XIV. Bibliography
Shives, L.R. and Isaacs, A. (2002), Basic Concepts of Psychiatric-Mental Health Nursing.
(5th Edition). Philippines: Lippincott Williams and Wilkins.
Doenges et. al. (2008). Nurse's Pocket Guide: Diagnoses, Prioritized Interventions, and
Rationales (11th Edition). Philadelphia: Lippincott Williams and Wilkins