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Question. . .how did you get from depression to the patient's low self esteem? Is this why she is depressed? Is there a situation(s) pointing to her depression? Are there other clues to why she is depressed? Just asking. You're the one who has been with her and assessed her, so I can't know.
If you are going to focus on the patient's positive strengths or accomplishments, then I would specifically make outcomes for her that require her to do some thinking and "homework" like this:
These lists then become the focus for a therapeutic conversation you would have with her the next day.
Achoo!, LPN
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I am writing up a care plan, and my patients main concern is her depression. I used chronic low self esteem as her dx, but need a goal that I can acheive, and I am only there one more day- does this sound okay?
Client will verbalize one positive strength, accomplishment, or value by end of shift?