1. Risk for Self-Mutilation and Other
2. Depression
Nursing Interventions for Depression
- The general objective: There was no violence for Self-Directed or Other-Directed
- Specific objectives
- Clients can build a trusting relationship
Action:
- Introduce yourself to the patient
- Do interactions with patients as often as possible with empathy
- Listen to the notice of the patient with empathy and patient attitude more use non-verbal language. For example: a touch, a nod.
- Note the patient talks and give a response in accordance with her wishes
- Speak with a low tone of voice, clear, concise, simple and easy to understand
- Accept the patient is without comparing with others.
- Clients can use adaptive coping
Action:
- Give encouragement to express feelings and say that nurses understand what patients perceived.
- Ask the patient the usual way to overcome feeling sad / painful
- Discuss with patients the benefits of commonly used coping
- Together with patients looking for alternatives, coping.
- Give encouragement to the patient to choose the most appropriate coping and acceptable
- Give encouragement to patients to try coping that have been selected
- Instruct the patient to try other alternatives in solving problems.
- Clients are protected from violent behavior to self and others.
Action:
- Monitor carefully the risk of suicide / violence themselves.
- Keep and store the tools that can be used by patients for violent behavior, self / others, in a safe place and locked.
- Keep materials that endanger the patient's appliance.
- Supervise and place the patient in the room that easily monitored by peramat / officer.
- Clients can improve self-esteem Action:
- Help to understand that the client can overcome despair.
- Assess and mobilize internal resources of individuals.
- Help identify sources of hope (eg, peer relationships, beliefs, things to be resolved).
- Clients can use the social support
Action:
- Review and make use of individual external sources (the people closest to, the health care team, support groups, religion).
- Assess support system beliefs (values, past experiences, religious activities, religious beliefs).
- Make referrals as indicated (eg, counseling, religious leaders).
- Clients can use the drug correctly and precisely
Action:
- Discuss about the drug (name, dosage, frequency, effect and side effects of taking medication).
- Help using the drug with the principle of 5 correct (right patient, medication, dose, manner, time).
- Encourage talking about effects and side effects are felt.
- Give positive reinforcement when using the drug properly.
- Clients can build a trusting relationship
