GOAL OF NSG

DATE CUES NSG DX. SCIENTIFIC RATIONALE OUTCOME EVALUATION

CARE INTERVENTION
BASIS CRITERIA
5/5/21 ASSESSMENT: Deliberate Short term: Independent: Patient will Short term:
Subjective: Self Mutilation self- Within 6 a. Establish rapport a. To develop a be able to: Within 6 hours
>“I don’t want to related to injurious hours of with the patient level of trust and a. Free of of nurse-
do that character behaviour nurse-patient understanding with self- patient
(suicide), I don’t disorder as causing interaction, the patient. inflicted interaction, the
want to go to evidenced by tissue the patient b. Assess for risk b. Identifying injury patient has
hell. If I go to superficial damage will be able factor of self patterns and b. Identify been able to:
hell I would slashes on with the to: mutilation, including circumstances triggers to - Have injuries
never see her the wrist . intent of - Have categories of surrounding self- self treated and
in heaven. My causing injuries psychiatric injury can help the mutilation assessed by
mother was a nonfatal treated disorder. Assess nurse plan c. Seek their physician
Saint you injury to - Refrain client’s history of interventions and help when -Have
know.” attain relief from further self mutilating teaching strategies having exhibited
Objectives: of tension. self injury behaviour. suitable to the urges to behavior
>Hiding left - Express Including types of client. self showing
wrist with feelings self mutilating mutilate coping
sleeve Long Term: behaviour, mechanism to
>Denial After 4 frequency and prevent self
>Crying weeks of stressors. mutilation
c. Identify feelings c. Feelings are a
>Patient keeps nurse- -Has opened
pre, during and guideline for future
to herself/ patient up to the
post act of self intervention. 
adamant to interaction: healthcare
share The patient mutilation. team regarding
d. Maintain ongoing d. To ensure
>Self inflicted will show no feelings of self
surveillance of the stability of the
horizontal cut new scars or mutilation
client and patient and
located at the wounds of Long Term:
environment. maintain constant
left wrist self infliction After 4 weeks
Monitor the client’s monitoring to
>Patient tried to Report of nurse-
behaviour using 15 prevent patient
jump off the continued patient
minute checks at from self
building to end attendance interaction the
irregular times so mutilation.
her life. to therapy patient has
>Patient and group that the patient been able to:
destroys glass counseling does not notice a - The patient
whenever an pattern. was able to
episode occurs e. Assess the e. This way the show no new
where she is patient’s ability to patient is scars or
angry. enter into a no encouraged to wounds of self
>Diagnosed suicide or no self take responsibility infliction
with Multiple harm contract. for healthier - Reported
Personality Secure a written or behavior. Talking continued
Disorder nonverbal contract to others and attendance to
from the patient to learning therapy and
notify the staff alternative coping group
when experiencing skills can reduce counseling
suicidal ideation or frequency and > showing
the desire to self severity until such positive signs
mutilate behavior ceases. of recovery
Dependent: > verbalized
a. Administer a. To provide new coping
prescribed drugs pharmacological mechanisms
intervention that
assists in
prevention of the
patient harming
one’s self and
Collaborative: others
a. Refer patient to a. To allow
physician fro physician to treat
treatment of deep self inflicted
injuries. wounds that may
b. Refer to mental need stitches.
health counseling. b. To find
Multiple therapeutic nonpharmacologic
modalities are al interventions
available for that may help the
treatment. patient.
c. Refer to group c. To allow the
therapies as a patient to interact
means to exchange with those who
information about have gone through
methods of coping the same illness or
with loneliness, self problems as hers
destructive and inquire
impulses, and insights of different
interpersonal coping strategies.
relationships as
well as housing,
employment, and
health care system
issues directly and
noninterpretively.