Help with mental health care plan

Nursing Students General Students

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I have a pt that is diagnosis with MDD related to depression and anger management can someone help me with the implentation or intervention. thank you

Specializes in Peds, PICU, Home health, Dialysis.

First off, I absolutely despise my mental health rotation. I came in with an open mind thinking I was going to love the psychiatric setting... I was wrong. I despise every second of it. That being said, my response is not coming from my head but rather my care plan book. :)

Nursing Diagnosis: Chronic low self-esteem R/T ineffective or inadequate coping skills AEB feelings of helplessness

Interventions: Assess for presence of ruminations, negative thoughts, and feelings of inadequacy. Assist the patient in identifying and reviewing negative self-perceptions. Identify the patient's postive beliefs and characteristics. Encourage the patient to be actively involved in all treatment planning. Assit the patient to identify self-limiting behaviors and mental health promotion behaviors.

Nursing Diagnosis: Social isolation R/T maladaptive social behavior, inadequate resources AEB feelings of rejection, sad and dull affect.

Interventions: Assess mood. Assess thoughts. Assess behaviors. Assess interactions with others. Assist the patient in determining socially adaptive behaviors. Encourage positive interactions with the patient by spending time with him or her and providing supportive contact. Acknowledge the patient's involvmeent in activities of daily living. Enoucrage participation in group activities as tolerated. Assist the patient in identifying life interests and people who have meaning to him/her. Provide positive support for the patient's self-esteem.

Nursing Diagnosis: Risk for self-directed violence R/T depressed mood, hoplessness AEB patient verbalizes suicidal thoughts and feelings.

Interventions: Assess the patient's potential for self-directed violence. Assess for evidence of risk factors that may increase the potential for a suicide attempt. Provide for a safe environment. Provide close patient supervision by maintaining awarenss of the aptient's activities at all times. Develop a verbal or written contract stating that the patient will disclose suicidal impulses. Review and develop new contracts as needed. Encourage recognition of verbalization of negative feelings within appropriate limits. Spend time with the patient and listen.

** Obviously you would need to personalize these to your patients. Hope those give you some idea where you need to begin.

Specializes in med/surg, telemetry, IV therapy, mgmt.

Implementation is the 4th step of the nursing process. Does that mean that you have already written the majority of the care plan? Don't understand why you'd be asking for help with this. Just tell the nursing staff to do the nursing interventions that you've written. Implementation is putting the written care plan into action.

In order to help you with nursing interventions you need to tell us what your patient's nursing diagnoses and symptoms are.

Thank you for your help. What book you suggest to get help with care plans. I have done the diagnosis and outcome but the intervention part that I had an problem with. But I thank you again for your help. I do not like all the writing you have to do for this class. I have to do process recording and it have to be 5 pages long. get luck to myself lol

Specializes in med/surg, telemetry, IV therapy, mgmt.
thank you for your help. what book you suggest to get help with care plans. i have done the diagnosis and outcome but the intervention part that i had an problem with. but i thank you again for your help. i do not like all the writing you have to do for this class. i have to do process recording and it have to be 5 pages long. get luck to myself lol

most of the care plan books on the market address medical diseases, this is a psychiatric problem and you are not likely to find it addressed in any of the popular care plan books that i know of on the market. my recommendation instead has generally been

nursing diagnosis handbook: a guide to planning care by betty j. ackley and gail b. ladwig. it includes a section that lists suggestions for nursing diagnoses for medical diseases and conditions and listings for mdd and depression are in there because i just checked. each of the nursing diagnoses contains the nanda information, noc and nic suggestions and listings of nursing interventions with evidence based rationales.

you are really confused about how to write a careplan. outcomes are the predicted results of the nursing interventions that will be performed, so the outcomes and nursing interventions are intimately linked. both the nursing diagnosis and the nursing interventions are based on the symptoms the patient has.

one of the reasons you are having to learn to write care plans is because they are required documentation of the nursing problem solving process that must be included in every hospital and nursing home patient's chart by federal law. your nursing program would be short changing you if they didn't teach you about care plans. nursing school is also preparing you to work at a job as a nurse. so, this care plan writing business isn't going to go away. for students, however, the care plans are also a way to help you learn about medical diseases, their treatment and pathophysiology as well. in addition to the actual writing of the care plan you should also be looking up information about the symptoms, pathophysiology and medical treatment of mdd and depression.

save yourself a lot of future grief with careplan writing for school and decision making for future employment and read (and follow) the information on this thread:

i am always willing to help students put their care plans together, but you also have to be willing to participate in the process.

Specializes in ICU, Med-Surg, Post-op, Same-Day Surgery.

We use Psychiatric Nursing Care Plans by Fortinash. It breaks the care plans down by disorder, and gives a short background of each disorder before detailing the nursing process. It has worked very well for my rotation, and has been very easy to use.

http://www.amazon.com/Psychiatric-Nursing-Care-Plans-Fortinash/dp/0323039812/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1206468786&sr=8-1

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