Nursing Diagnosis
1. Risk for suicide r/t major depressive disorder aeb suicidal ideations (Ackley & Ladwig, 2014). This is the priority one because client has been having constant suicidal thoughts and has a plan, since he got here. He has the resources to do it because he just needs to be outside. He is under a voluntary stay and wants to be here, but he can leave anytime he pleases to. He has been in psychiatric unit many times in the span of his lifetime.
2. Anxiety r/t to unconscious conflict about essential goals of life aeb expressed concerns due to change in life events, worried, awareness of physiological symptoms, and blocking of thought (Ackley & Ladwig, 2014). This diagnosis is a concern, but not the top one. He is uncertain where his anxiety is coming from, and doesn’t know why he is having suicidal ideations. Fawcett, a MD, states that: …show more content…
The assessment part was collected by gathering subjective and objective data from the patient. The diagnosis, outcome, planning, and implementation part was done by creating a nursing care of plan specifically for this patient with measurable time specific short and long term goals that he could achieve. The evaluation part was done by reassessing the patient and seeing if he was able to meet his short and long term goals.
My interview with this patient went better than I expected. He was willing to share his honest feelings and thoughts with me. I was good at using therapeutic communication without even realizing it. However, there were moments where I felt lost at what to contribute to the conversation. At times I said things that were most likely nontherapeutic. This interaction with the patient was not perfect, but I think it was good for my first try. Now I feel like I could do it again with other patients on another psychiatric
1. Risk for suicide r/t major depressive disorder aeb suicidal ideations (Ackley & Ladwig, 2014). This is the priority one because client has been having constant suicidal thoughts and has a plan, since he got here. He has the resources to do it because he just needs to be outside. He is under a voluntary stay and wants to be here, but he can leave anytime he pleases to. He has been in psychiatric unit many times in the span of his lifetime.
2. Anxiety r/t to unconscious conflict about essential goals of life aeb expressed concerns due to change in life events, worried, awareness of physiological symptoms, and blocking of thought (Ackley & Ladwig, 2014). This diagnosis is a concern, but not the top one. He is uncertain where his anxiety is coming from, and doesn’t know why he is having suicidal ideations. Fawcett, a MD, states that: …show more content…
The assessment part was collected by gathering subjective and objective data from the patient. The diagnosis, outcome, planning, and implementation part was done by creating a nursing care of plan specifically for this patient with measurable time specific short and long term goals that he could achieve. The evaluation part was done by reassessing the patient and seeing if he was able to meet his short and long term goals.
My interview with this patient went better than I expected. He was willing to share his honest feelings and thoughts with me. I was good at using therapeutic communication without even realizing it. However, there were moments where I felt lost at what to contribute to the conversation. At times I said things that were most likely nontherapeutic. This interaction with the patient was not perfect, but I think it was good for my first try. Now I feel like I could do it again with other patients on another psychiatric