Nursing Diagnosis for Schizophrenia : Risk for Self or Other- Directed Violence
Goal: The patient can control violent behavior,
with the following criteria:
- Bright face, smiling.
- Want to get acquainted and there is eye contact.
- Willing to tell the feeling.
- Telling cause irritation / anger.
- Can identify signs of violent behavior.
- Can identify, form of violence that is done.
- Can be identified as a result of violent behavior.
- Able to practice taught how to control anger.
- Able to engage in group activity therapy.
- Can taking medication with minimal assistance.
- Clients can continue the relationship in accordance with the responsibilities of the role.
Interventions
Client Intervention
- Perform a trusting relationship.
- Identify the causes of violent behavior.
- Identify the signs and symptoms of violent behavior.
- Identification form of violence that is ever done.
- Identification due to violent behavior.
- Teach how to control violent behavior, among others:
- Physically (relaxation, activities and sports)
- Verbally (sharing / telling others)
- Spiritually (pray).
- Help the patient to practice healthy ways to express the way to control the violent behavior that has been taught.
- Suggest to choose how to control violent behavior accordingly.
- Suggest to include ways to control violent behavior that have been to the daily activity schedule.
- Help the patient to plan the schedule of daily activities.
- Explain to patients on oral medication (type, dose, time drinking, benefits and side effects of drugs)
Give appropriate medication treatment program. - Monitor the effectiveness of the treatment and its side effects (vital signs and physical examination of the other).
- Involve patients in group therapy, cognitive therapy, and in the day-to-day activities in the room.
- Keep the patient environment at low stimulus levels (low irradiation, little people, the decor is simple and low noise level).
- Strict observation of behavior and signs of angry patient every 15 minutes.
- Remove objects that can harm the environment around the patient.
- If necessary, do fixation or restrain and observation every 15 minutes.
Family Interventions
- Discuss family perceived problems in patient care violent behavior.
- Provide health education on understanding the signs and symptoms of violent behavior occurrence of violent behavior.
- Explain how to care for patients with violent behavior.
- Teach and practice how to involve the family in caring for patients with violent behavior directly in hospital (constructive manner, Follow-up)
