NURSING CARE PLAN
Need: Psychological
Date of Client Care: 7/25/21
Date Paper Submitted: 7/25/21
Nursing Diagnoses:
P → Non-compliance
E → related to lack of education
S → As evidenced by impulsivity, irritability, racing thoughts, flights of ideas, and agitation
EXPECTED OUTCOMES
Short Term Expected Outcomes
1. Patient will establish
therapeutic communication
within the healthcare team.
2. Patient will achieve adequate
fluid intake within 24 hours.
Long Term Expected Outcomes
1. Patient will demonstrate
compliance with the
therapeutic plan within 48
hours.
2. Patient will continue with
follow up care after
hospitalization.
INTERVENTIONS
1. Assess the patient's urine
level and risk for
dehydration.
2. Determine patients'
understanding of bipolar
disorder.
3. Determine reasons for non
compliance in the past.
4. Therapeutic communication
will be established between
the patient and the nurse.
1. Educate patient on benefits
of medication
2. Educate patient on support
groups and follow up with a
therapist.
Student’s Name: Jhane F.
Admitting Diagnosis: Bipolar Disorder
RATIONALE
1. Compliance increases when
there is a trusting
relationship and consistent
caregiver.
2. Determining what the
patient thinks about their
disorder can help elevate
any misconceptions as well
as providing a basis for
planning future care.
3. Following up with a
therapist/community groups
to have a better
understanding and benefits
of the treatment
EVALUATION
1. Goal met within 24 hours
demonstrated by
understanding of education
provided.
2. Goal met within 24 hours as
evidence of drinking fluid
regularly.
3. Goal met within 48 hours as
evidence by patients ability
to comply with treatment
regimen.
4. Goal met within 48 hours as
evidenced by participation
in health care decisions and
scheduling appointments in
psychiatric centers.