Catanduanes State University

College of Health Sciences

A.Y. 2021-2022

Justin Lance T. Silva NCM 117 May 9, 2022

A woman has been visiting the pharmacy for the past 3 months to collect a prescription for her son, aged 17 years*. In the past, the
patient has collected his own medicine. Today the patient has presented with his mother; he looks disheveled, preoccupied and does not speak
to anyone in the pharmacy.

His mother beckons you to the side and expresses her concern for her son, explaining “I often hear him talking to someone who is not
there. She adds that he is spending a lot of time in his room by himself and has accused her of tampering with his things. She is not sure what
she should do and asks for advice.

Assessment Diagnosis Planning Intervention Evaluation

Subjective- Impaired verbal  Patient will  Identify the duration of • Patient expresses
“I often hear him communication as express thoughts the psychotic thoughts and feelings in a
talking to someone evidenced by difficulty and feelings in a medication of the coherent, logical, goal-
who is not there” as in communicating coherent, logical, client. directed manner.
verbalized by the goal-directed  Plan short, frequent • Patient has
mother Disturbed Sensory manner. periods with a client demonstrated reality-
perception as evidenced  Patient will throughout the day. based thought processes
Objective- by the patient talking to demonstrate  Use clear or simple in verbal communication.
-Disheveled himself reality-based words, and keep • Patient has
-Preoccupied and thought directions simple as improved social
doesn’t talk to anyone Impaired Social processes in well. interaction with family,
interaction as evidenced verbal  When you do not friends, and neighbors.
by patient’s isolation communication. understand a client, let • Patient uses
 Patient will him/her know you are appropriate social skills in
improve social having difficulty interactions.
interaction with understanding. • Patient has
family, friends,  If client is learned the ways to
and neighbors. delusional/hallucinating refrain from responding
 Patient will use or is having trouble to hallucinations.
appropriate social concentrating at this  Patient has
skills in time, provide very demonstrated
interactions. simple concrete techniques that
 Patient will learn activities with client help distract him
ways to refrain  Provide opportunities or her from the
from responding for the client to learn voices.
to hallucinations. adaptive social skills in
 Patient will a non-threatening
demonstrate environment. Initial
techniques that social skills training
help distract him could include basic
or her from the social behaviors
voices.  Accept the fact that the
voices are real to the
client, but explain that
you do not hear the
voices. Refer to the
voices as “your voices”
or “voices that you
hear”.
 Help the client to
identify the needs that
might underlie the
hallucination. What
other ways can these
needs be met?
 Decrease
environmental stimuli
when possible