Provide for a specific amount of uninterrupted time each day to engage patient in conversation. This time will allow the patient time for self-exploration.
When appropriate, institute suicide precaution according to protocol. Patient needs supervision until patient demonstrates adequate self-control to ensure own safety.- Provide patient with a simple structured daily routine. Structured activity limits the patient's anxious behavior.
- Spend time alone with patient listening to patient's problems that are important to him or her at this time. Have patient make a list of the three most critical issues currently in focus. Spending this time can allow the opportunity to help patient identify strengths and begin setting some realistic goals to build self-confidence.
- Encourage bathing, grooming, and other hygiene functions for patient every day as needed. Encourage patient to do as much as possible independently. Greater independence will help strengthen self-esteem.
Teach self-healing techniques to both patient and family, such as meditation, guided imagery, yoga, and prayer, to prevent anxiety and aid in keeping patient in a frame of mind to make positive decisions.- Teach patient how to incorporate the use of self-healing techniques in carrying out usual daily activities.
- Provide patient with concise information about decision-making skills. This will produce benefits that can reinforce health-seeking behaviors.
- Encourage patient to express feelings about self (past and present). Self-exploration encourages patient to consider future change.
- Provide patient with positive feedback for verbal reports or behaviors that indicate a return to positive self-appraisal. This gives patient feelings of significance, approval, and competence, which can help cope effectively with stressful situations.
- Encourage social interaction between patient and others. Disturbed interpersonal relationships are a direct expression of self-hate.
- Facilitate opportunities for spiritual nourishment and growth to address patient's holistic needs for maximal therapeutic environment.
- Encourage patient's cooperation as you continue with healing techniques, such as therapeutic touch.
- Provide emotional support to family by being available to answer questions. Accurate information will help family to cope with current situation.
Assist patient in mobilizing resources for assistance when discharged in order to help the patient replace maladaptive coping behaviors with more adaptive ones.- Schedule time to meet with family and patient to listen to ways in which they plan to enhance their coping skills in the present situation. Helping patient and/or family develop a realistic plan will better ensure success in meeting established goals.
- Refer family to community resources and support groups available to assist in managing patient's illness and providing emotional and financial assistance to caregivers.
Suggested NIC Interventions
Active Listening; Body Image Enhancement; Coping Enhancement; Decision-Making Support; Hope Instillation; Self-Esteem Enhancement; Spiritual Support; Support Group |