I'm a nursing student taking a psych. class. My book isn't given me enough information. Maybe someone can help. Please???
I have a pt who tryed to commite suicide (second time) & is hallucinating.
I want to use Disturbed sensory perception: visual, but I'm not sure the related to part:______ (the book has panic anxieity, extreme loneliness & withdrawal into the self) would just putting anxiety but correct??
evidence by: Pt states, "I see black eye on the walls, I I don't want to go back into that room because of all the eyes"
Think priorities. A "risk for injury" diagnosis trumps everything else if I were care planning for this patient. Safety would be first priorty. A care plan is a way of thinking. I really think the NANDA models should be a guide but not the be all end all. There is a primary assessment and a secondary assessment. This patient is critically ill and at risk for death. That's primary. Secondary assessments could address ineffective coping, nutrtional deficits, body image deficits, etc.
Let your diagnosis flow from the presentation.
Last edit by wonderbee on Nov 15, '08