Nursing Diagnosis : Disturbed Sensory Perception: Hallucinations related to Social Withdrawal
Goal : The client is able to control the hallucinations .
Outcomes :
- Patients can and want to shake hands .
- Patients want to mention names , would call out the name of the nurse and want to sit together .
- Patients can mention the cause of the client withdrew .
- Patients want to connect with other people .
- After a home visit to a client in touch with family gradually
- Construct a trusting relationship .
- Make a contract with the client .
- Perform introductions .
- A name calling .
- Invite a conversation with a patient friendly .
- Assess the client's knowledge about the behavior of withdrawn and the signs
- and give the client a chance to express feelings cause the patient does not want to hang out / withdrawal.
- Explain to the client about withdrawn behavior , and signs that may be the cause .
- Give praise to the client's ability to express feelings .
- Discuss about the advantages of touch .
- Slowly and with the patient in the room activity through defined stages .
- Give credit for the success that has been achieved .
- Instruct the patient to independently evaluate the benefits of touch .
- Discuss daily schedule to do the patient to fill his time .
- Motivation patient in following activity room .
- Give credit for participation in the activity room .
- Perform kungjungan home , building a trusting relationship with the family .
- Discuss with your family withdrawn behavior , and the causes of a family facing car .
- Encourage family members to communicate .
- Instruct patient's family members routinely visit patients at least once a week .
