Potential complications: Signs of complications: Interventions for complications: Michelle

-psychosis-induced -S:thirst,O:drinking (1) -monitor water intake,use small cups(1) White

polydipsia(1)
-anxiety disorder(2)
-suicide(3)
-depressive symptoms(4)
-nicotine dependence(5)
-substance abuse(6)
-social isolation(7)
-finical complications(8)
-S:anger,O:harm to self or -structure environment,simple creative 1-27-12
others(2) projects(2) Mental
-S:thoughts of suicide, -monitor suicidal thoughts,actions(3)
O:attempt suicide(3) -frequent reminders for ADL, incorporate
-S:depression,O:not favorite activity(4)
performing ADL(4) -avoid exposure to smoking, use of patch if
-S:craving nicotine,O: established(5)
smoking(5) -avoid exposure to alcohol/drugs, maintain
-S:craving prescribed medication regime(6)
alcohol/drugs,O:using(6) -joins in social activities, group/individual
-S:withdraw, 0:no interaction therapy(7)

Nursing
Nursing Diagnosis 1: Diagnosis 2:
Disturbed Sensory Disturbed
Perception: Thought
Symptoms: Schizophren auditory
-Positive, ia Assessment: Assessment:
hallucinations(s),delusions(o),disorganized
S: Hearing S: feel impending doom
speech(o),bizarre behavior(o)
voices others O: withdrawn stays
-negative, blunted affect(o),poor thought(o),loss
can not hear sitting on the side of
of
O: see patient
Definition: holding
Mental disorder Plan:
verbal Patient will walk to
characterized by the conversation
Psychopathology: breakdown of thought door and back to
-neurotransmitters, increase in bed by 1700 on the
Plan: third day of
dopamine&norepinephrine, decrease in
Patient will be hospital day
GABA
free from auditory
-unstable environment, increases stress
hallucinations Intervention:
results in anxiety and depression Risk factors~ By 1700 on day -Medications
-Genetic traits passed three of hospital given same
Rx therapy: -Environment: stay time each day
Clozaril pregnancy&birth -Orient to
complications, stress, street Intervention: surroundings
antipsychoti
drug use and alcohol use -medications given at every four
c
the same time each hours&documen
day
-monitor for voices
Rx interventions: being heard by the Evaluation:
-agranulocytosis, patient every four -at 1700 on day
Risk reduction strategies:
frequent WBC lab hours&document three patient
-genetic screening
draws walked from
-pregnancy&birth education Evaluation:
-monitor EPS bed to door and
-early intervention and -At 1700 on day
-monitor blood returned to side
preventions of underage three patient
sugar of bed.
drinking and drug use stated he no longer
heard voices in his
head.