How to write a nursing care plan solved
The patient will demonstrate a desire to interact with others and will seek social engagement within four weeks.
| Assessment | Diagnosis | Planning | Interventions | Rationale | Implementation | Evaluation |
| The patient is withdrawn.
Patient is uncommunicative Sophia does not trust the male healthcare provider.
|
Social isolation related to past experiences of difficulty in interacting with others secondary to traumatic events that cause psychological pain, as evidenced by the patient being uncommunicative, withdrawn, and inability to trust a male healthcare provider. | Goal
· The patient will demonstrate a desire to interact with others and will seek social engagement within four weeks. · The patient will express the desire to learn social and communication skills to improve relationships within eight months. Outcomes · The patient will be communicative. · The patient will be able to interact with other people · The patient will have the ability to trust male healthcare providers |
· The nurse should offer themselves as a non-judgmental listener by conveying an acceptable and positive attitude by initiating brief repeated contact with the patient (Ackley et al., 2019).
· The patient should be referred for therapy services due to her whole extended family being tortured. |
· Patients isolated may be reluctant to open up (Andrews et al., 2020). Building a therapeutic relationship encourages trust and provides the patient with a secure environment to discuss delicate issues.
· Traumatic experiences such as significant family losses trigger PTSD and depression hence the need for psychotherapy to help the patient deal with the loss. |
Therapeutic relations established with the patient by nurse XXXXX
Referral of patient for therapy done by nurse XXXXX |
The patient verbalizes the ability to interact with other people, ability to trust male healthcare providers, and carry out communications without difficulties. The goals are, therefore, fully met.
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| Torture and death of patient’s whole extended family due to a decade of genocide.
Reluctance to adhere to treatment. Changes in physical and emotional behaviors, including poor physical functioning.
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Post-trauma syndrome is related to a decade of genocide, as evidenced by the torture and death of all her extended family members, reluctance to adhere to recommended treatment regime and poor physical functioning. | Goal
The patient will demonstrate cognitive coping strategies that improve their sense of control within three weeks. The patient will exhibit acknowledgment of the traumatic event and start to work with the trauma within six months. Outcomes · The patient will demonstrate adherence to the treatment regime · The patient will verbalize the traumatic events that happened to her and the extended family.
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· Health education to the patient and significant others on PTSD and depression clinical manifestations.
· Encourage the patient to utilize cognitive coping strategies, including meditation and breathing exercises (Ackley et al., 2019). Also, exposure therapy can be used. |
· Health education will allow the patient and significant others to the signs and symptoms experienced, including hopelessness, persistent sadness, loss of pleasure in pleasurable activities, and guilt (Andrews et al., 2020). This will enable seeking healthcare services early hence promoting prompt treatment.
· Breathing exercises and relaxation enhance relaxation and enable the patient to have increased self-control over destructive feelings and responses (Ackley et al., 2019). In addition, exposure therapy aids the patient in safely confronting circumstances that terrify them and their memories, allowing them to cope positively. |
Health education to the patient and significant others done by nurse XXXXX
Cognitive coping strategies taught by nurse XXXXX |
The patient was able to engage in meditation, breathing exercises, and exposure therapy to enhance relaxation and positive coping.
The patient was able to engage in talks about the traumatic events and their impact on her. Goals have been fully met. |
References
Ackley, B. J., Ladwig, G. B., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care. In Google Books. Elsevier Health Sciences. https://books.google.co.ke/books?hl=en&lr=&id=GyOJDwAAQBAJ&oi=fnd&pg=PR1&dq=post+traumatic+syndrome+nursing+diagnosis&ots=I9k7B9HxmJ&sig=XqyZhjiPDQ_pLRUKaxbaXZp3QRQ&redir_esc=y#v=onepage&q=post%20traumatic%20syndrome%20nursing%20diagnosis&f=false
Andrews, M. M., Boyle, J. S., & collins, J. W. (2020). transcultural concepts in nursing. https://books.google.co.ke/books?hl=en&lr=&id=rdEnV1HWrvgC&oi=fnd&pg=PA3&dq=transcultural+concepts+in+nursing&ots=GCU-V7Yi6M&sig=9-I1eWg-WRxRgcmPCQsrwBPVQVE&redir_esc=y#v=onepage&q=transcultural%20concepts%20in%20nursing&f=false
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