The patient’s safety, as addressed in the nursing diagnosis of: risk for self-directed violence, related to past suicide attempts and request for police to shoot him; secondary to schizoaffective disorder and bipolar type, must be of the nurses’ upmost concern. The following table is an example of a simple nursing care plan established for this specific nursing diagnosis as well as patient:
OUTCOME
INTERVENTION
RATIONALE
EVALUATION
Based on the aforementioned nursing diagnosis, the nurse should strive towards promoting the goal of patient safety throughout his hospitalization.
The nursing intervention of frequent patient rounding has been associated with increased patient safety. Therefore, the nursing staff …show more content…
The nursing staff may promote the aim of the aforementioned goal through the discussion and introduction of tactics that have the ability to reduce violent provoking emotions, three times each shift, while in the milieu and group settings. While educating the patient about frequently used coping skills the nurse may discuss guided imagery, taking time away from stimuli, the importance of seeking out a staff member to talk to, music therapy, attending groups, reading aloud to self, the benefits of replacing irrational thoughts with rational statements, meditation, and the positive effects of diaphragmatic breathing.
Mindful implementation of patient-centered educating regarding coping skills is needed, “as stress is universal and of relevance to all, a more thorough understanding of stress management techniques is essential for preventing stress related disease and enhancing health overall” (Liza, p. 80, …show more content…
While at Acadia Hospital between the hours of 1300-1930, the nursing student will gather the name of all of the patient’s prescribed medications and call local pharmacies to ensure the patient’s access to affordable medications
“Because the problem of non-adherence is often multifactorial, effective programs to improve medication adherence need to adopt comprehensive approaches, often involving several proven strategies” (Zullig, Peterson & Bosworth, 2013). Ensuring the patient access to affordable medications is merely one way nursing staff can promote medication compliance following discharge.
The information gathered by the student nurse, regarding co-payments and medication costs via phone conversations with local pharmacies, did not indicate that finances will be a risk for non-compliance. However, future research regarding the costs of newly prescribed medication will need to be continuously conducted by nursing staff periodically, as well as when new medications are ordered or modified. Frequent monitoring of these costs may be completed by case management following