Monday, November 14, 2011

Depression Nursing Diagnosis and Interventions

Risk for Violence: Self-Directed or Other-Directed


Nursing Interventions for Depression

  1. The general objective: There was no violence for Self-Directed or Other-Directed
  2. Specific objectives
    • Clients can build a trusting relationship

      Action:

      • Introduce yourself to the patient
      • Do interactions with patients as often as possible with empathy
      • Listen to the notice of the patient with empathy and patient attitude more use non-verbal language. For example: a touch, a nod.
      • Note the patient talks and give a response in accordance with her wishes
      • Speak with a low tone of voice, clear, concise, simple and easy to understand
      • Accept the patient is without comparing with others.
    • Clients can use adaptive coping

      Action:

      • Give encouragement to express feelings and say that nurses understand what patients perceived.
      • Ask the patient the usual way to overcome feeling sad / painful
      • Discuss with patients the benefits of commonly used coping
      • Together with patients looking for alternatives, coping.
      • Give encouragement to the patient to choose the most appropriate coping and acceptable
      • Give encouragement to patients to try coping that have been selected
      • Instruct the patient to try other alternatives in solving problems.
    • Clients are protected from violent behavior to self and others.

      Action:

      • Monitor carefully the risk of suicide / violence themselves.
      • Keep and store the tools that can be used by patients for violent behavior, self / others, in a safe place and locked.
      • Keep materials that endanger the patient's appliance.
      • Supervise and place the patient in the room that easily monitored by peramat / officer.
    • Clients can improve self-esteem
    • Action:
      • Help to understand that the client can overcome despair.
      • Assess and mobilize internal resources of individuals.
      • Help identify sources of hope (eg, peer relationships, beliefs, things to be resolved).
    • Clients can use the social support

      Action:

      • Review and make use of individual external sources (the people closest to, the health care team, support groups, religion).
      • Assess support system beliefs (values, past experiences, religious activities, religious beliefs).
      • Make referrals as indicated (eg, counseling, religious leaders).
    • Clients can use the drug correctly and precisely

      Action:

      • Discuss about the drug (name, dosage, frequency, effect and side effects of taking medication).
      • Help using the drug with the principle of 5 correct (right patient, medication, dose, manner, time).
      • Encourage talking about effects and side effects are felt.
      • Give positive reinforcement when using the drug properly.

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