FOCUS DIAGNOSIS ACTION RESPONSE

Patient will have

SUBJECTIVE: DX.
Risk for Self- a behavioral
Directed
“I used to drink 12  Identified the level manifestation of
Violence related to
feelings of tablets of of suicide precautions absent depression. The
helplessness, paracetamol and needed patient will have
loneliness, or drink a few glasses
of wine because I  Checked for the
satisfaction with social
hopelessness
secondary to wanted to go to availability of required circumstances and
Depression sleep and not wake supply of medications achievements of life
up” needed goals therefore patient
DEFINITION
 Observed/ listened for will not inflict any harm
Defined as behaviors OBJECTIVE: cues distress/ increasing to self or others, and
by an individual that anxiety the patient will identify
can be physically  Patient
looks support and support
harmful to either the
self or others. Related disturbed TX groups with he/she is
factors include in contact within one
antisocial character,  Patient  Assisted in identifying month. Patient will
catatonic excitement, looks thoughts, feelings, and
panic states, rage exhausted behavior that leads up state that he/she
reactions, organic brain and distant to the patient wanting to wants to live.
syndrome, and toxic commit suicide.
reactions to drugs.  Tries to
maintain  Maintained straight
eye contact communication
but remains
agitated  Promoted sense of trust
allowing the patient to
 Isolates self discuss feelings apathy
when
possible
EDX
 Sleep
deprived  Encourage clients to
express feelings (anger,
sadness, guilt) and come
up with alternative ways
to handle feelings of
anger and frustration.

 Educated the patient on

understanding that self-
harm is a choice, not
something uncontrollable
 at discharge.

 Encourage and listen to

the patient about the
reasons why she wants to
harm herself