Nanda Books

Nursing Diagnosis for Depression Risk for Self-Harm

General Purpose: Clients do not injure yourself.

Specific Purpose:

1. Clients can build a trusting relationship
Nursing Interventions:

• Introduce yourself to the client.
• Perform frequent interaction with patients with empathy.
• Listen to the patient's statement of patience and empathy to use more non-verbal language. For example: a touch, a nod.
• Note the patient talks and give responses according to her wishes.
• Speak with a low tone of voice, clear, concise, simple and easy to understand.
• Accept the patient is without comparing with others.

2. Clients can use adaptive coping
Nursing Interventions:

• Give encouragement to express his feelings and said that nurses understand what the patient feels.
• Ask the patient the usual way to overcome feeling sad / painful.
• Discuss with patients the benefits of coping used.
• With patients looking for alternatives coping.
• Encourage the patient to choose the most appropriate coping and acceptable.
• Encourage the patient to try to coping have been.
• Instruct the patient to try other alternatives in solving the problem.

3. Clients are protected from self injuring behavior
Nursing Interventions:

• Monitor carefully the risk of suicide / self-mutilation.
• Keep and store the tools that can be used for patients olch injure himself / others, in a safe and locked.
• Keep the tool material harm to the patient.
• Supervise and place the patient in a room that is easily monitored by peramat / officer.

4. Clients can increase self-esteem
Nursing Interventions:

• Help to understand that the client can overcome despair.
• Assess and internal sources mobilized individuals.
• Bantu identify sources of expectations (eg, interpersonal relationships, beliefs, things to be resolved).

5. Clients can use social support
Nursing Interventions:

• Assess and use individual external sources (those closest to the team of health care, support groups, religious affiliation).
• Assess support systems beliefs (values​​, past experiences, religious activities, religious beliefs).
• Make referrals as indicated (eg, counseling, religious leaders).

6. Clients can use the medication correctly and appropriately
Nursing Interventions:

• Discuss medications (name, frequency, effects and side effects of medication).
• Bantu using drugs with the principles of a true 5 (right patient, medication, method, time).
• Encourage talking about the effects and side effects are felt.
• Give positive reinforcement when using the drug properly.

Nursing Care Plan for Depression