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Fdar Psyche 3

The patient was experiencing disturbed thought processes, severe anxiety, and depressed mood as evidenced by memory problems and impaired ability to grasp ideas. They reported feeling confused and overwhelmed by life stresses. Restlessness and frequent crying spells were noted, and the patient seemed irritable with disordered thought sequencing. The nurse assessed the patient's cognition, ability to communicate, and previous functioning to develop a care plan that included safety measures, a calm environment, simple language, minimized responsibilities, adequate rest, and reality orientation. Education focused on thought stopping techniques and reducing negative stimuli. By the end of the shift, the patient showed improved mood and organized thinking.

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Aziil Liiza
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299 views1 page

Fdar Psyche 3

The patient was experiencing disturbed thought processes, severe anxiety, and depressed mood as evidenced by memory problems and impaired ability to grasp ideas. They reported feeling confused and overwhelmed by life stresses. Restlessness and frequent crying spells were noted, and the patient seemed irritable with disordered thought sequencing. The nurse assessed the patient's cognition, ability to communicate, and previous functioning to develop a care plan that included safety measures, a calm environment, simple language, minimized responsibilities, adequate rest, and reality orientation. Education focused on thought stopping techniques and reducing negative stimuli. By the end of the shift, the patient showed improved mood and organized thinking.

Uploaded by

Aziil Liiza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Time Chart

7:00-3:00 pm F> Disturbed thought process related to severe anxiety or depressed


mood as evidenced by memory problems and impaired abiltity to
grasp ideas or orders thoughts
D> Received lying on bed; “ Hindi ko na alam kung anong uunahin
kong ayusin, gulung gulo na ako.”; with reported life stress,
depressed and being anxious; restlessness noted; with constant
episodes of crying spells; irritable; with disordered thought
sequencing noted
A> Assessed attention span/ distractibility and ability to make
decisions or problem solve to determine ability to participate in
planning and executing care; assessed ability to receive, send and
appropriately interpret communications to assess degree of
impairment; determined previous level of cognitive functioning from
his family, or past medical records to evaluate for his progress;
provided safety measures such as side rails, padding as necessary and
close supervision as indicated; maintained a pleasant, quiet
environment and approach him in a slow, calm manner; minimized
words which she cannot comprehend instead use simple and concrete
words as to not impair comprehension; minimized his responsibility
especially when severely depressed to decrease feelings of guilt,
anxiety and pressure; maintained adequate rest periods to provide
stimulation while reducing fatigue; performed periodic neurologic
assessment as indicated; maintained reality oriented relationship and
environment; encouraged to verbalize true feelings to help in
resolving issues; educated her to intervene using thought stopping
techniques, when irrational or negative thoughts prevail; encouraged
her to reduce provocative stimuli, negative criticisms, arguments to
avoid triggering fight and fight responses; educated her to reframe or
refute negative thoughts to reduce depression
R> The patient was able to show improved mood and exhibits
organized thought process

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