
Care Plan for mental Health patients
Outline
Nursing process aims at individualized care to the patient and the care is adapted to patient’s unique needs. Nursing process the following steps;
Individualized care begins with a detailed assessment as soon as the patient is admitted. In the Assessment phase, information is obtained the patient in a direct and structured manner through observation, interviews and examination. Initial interview includes an evaluation of mental status. In such cases, where the patient is too ill to participate in or complete the interview, the behaviour the patient exhibits to be recorded and reports from family members if possible, can obtained. Even when the initial assessment is complete, each encounter with the patient involves a continuing assessment .The ongoing assessment involves what patient is saying or doing at that moment. HEALTH HISTORY AND PHYSICAL ASSESSMENT
When the nurse investigates a patient’s specific behaviour, it is valuable to explore the following,
If the nurse has to interview the patient she should select a private place, free from noise and distraction and interview should be goal directed. Although the patient is a regarded as a source of validation, the nurse should also be prepared to consult with family members or other people knowledgeable about the patient. This is particularly important when the patient is unable to provide reliable information because the symptoms of the psychiatric illness. She should gather Information from other information sources, including health care records, nursing rounds, change- of shifts, nursing care plans and evaluation of other health care professionals.
A nursing diagnostic statement consists of three parts:
The defining characteristics are helpful because they reflect the behaviour that are the target of nursing intervention .They also provide specific indicators for evaluating the outcome of psychiatric nursing interventions and for determining whether the expected goals of the nursing care were met. Example:
The psychiatric mental health nurse identifies expected outcomes individualised to the patient. Within the context of providing nursing care, the ultimate goal is to influence health outcomes and improve the patient’s health status. Outcomes should be mutually identified with the patient, and should be identified as clearly as clearly and determine the effectiveness and efficiency of their interventions. Before defining expected outcomes, the nurse must realize that patient often seek treatment with goals of their own. These goals may be expressed as relieving symptoms or improving functional ability. The nurse must understand the patient’s coping response and the factors that influence them. Some of these difficulties in defining goals are as follows-
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