High risk for violence related to suicidal tendency. | Protect the client from suicidal tendency and self-harm. | · Vigilant observation of the client for any clues (active or passive) and disturbed behavioral pattern or related activities, etc. is required. ·
Provide safe environment, pace the patient near to the nurses station to have constant monitoring and immediate care. Remove all potentially harmful objects in the client’s unit or near to the client’s a surroundings. ·
Administer the medications as prescribed. ·
Observe for side effects specifically extra pyramidal symptoms and if any. ·
Observed, report immediately. ·
Counsel the client, show concern, love, s care at the time of need, discuss in detail with the client, provide moral support ·
Never allow the client to be alone, if provision is there, permit the relative to stay near to the client or one-to-one observation may be needed. ·
Encourage the client to ventilate the feelings or emotions openly. ·
Emphasize positive attitude; needed observational skills, pros and cons pattern, related to suicidal plans. ·
Establish and maintain positive contracts, counsel the client frequently, provide guidance and support. ·
Assist the client in finding meaning to the real life situation and teach coping. | Reduce the mental pressure and decrease suicidal tendency. |
Alteration in mood pattern related to reduced self
esteem, self concept, guilty feelings. | Client will be able to express positive aspects of life and tries to
adopt new coping strategies to uplift him which will enhance the self esteem
and self concept. | ·
Accept the client as he is. ·
Spend some time leisurely with the client, express concern, support, well wishes, etc. Encourage the client to verbalize/ventilate his feelings openly, never pass any comments or disturb the process of ventilation. ·
Motivate the client to perform the activities in which he is confident, appreciate or give reward for his self-accomplishment, provide assistance whenever needed. ·
Emphasize the client to participate in group activities. ·
Inform the client about the progress made in accomplishing the activities, which enhances self confidence. ·
Involve the family members to provide support, concern and not to make the -client to undergo or experience difficulty in situations. ·
Assist the client to enjoy satisfaction and meaning to life. ·
Motivate the client to appreciate areas of change and provide needed guidance and assistance. | Increase self esteem |
Ego deficit related to lack of confidence,
repeated failure in achieving goals. | Raise the self- esteem, self confidence to
strengthen client’s ego processes. | ·
Permit the client to take decisions and perform the activities without any assistance effectively. ·
Provide related resources to gain confidence through interaction. ·
Discourage the client to have the thoughts which
hampers his growth and efficiency. ·
Provide conducive environment, repeated opportunities to expose themselves to stressors. | Increase confidence in the patient |
Variation in life style pattern due to defective coping
strategies or lack of control over any type of life tragedies or situations. | Develop adequate coping strategies to enjoy the life situations. | ·
Explain the reason for the changed situation. ·
Educate the client to utilize adoptive coping strategies, assertive techniques to enhance the ego strengthening. ·
According to the situation, use either positive or negative reinforcement techniques and other behavior modification techniques to face the reality. ·
Encourage the client to take decisions and set realistic goals and work for its achievement. ·
Motivate the client to express his inabilities. | Make patient mentally strong. |
