Sample Care Plan Psych

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PSYCHIATRIC NURSING MAJOR PLAN OF CARE ASSIGNMENT
Guidelines:
1. This assignment is much like a Case Study and is intended to be a comprehensive learning experience that synthesizes essential psychiatric and medical/surgical nursing theory. Your finished product will demonstrate mastery of principles needed for nurses working with mentally impaired patients.
2. It is similar to other Major Plans of Care with face sheet, lab sheets, TACTIS, assessment forms, and etc., but will be different in that it will incorporate elements of care plans you have already done, along with content you will develop using Nurse Squared, our new Electronic Medical Record software that you will be using. After having worked with this software over the summer, I think you will find it easier to use, in that it will prompt you to fill in every important section, and it will give you many choices to select when developing your nursing problems and interventions, so you won’t have to come up with them all on your own. You will, however, have to come up with rationales for each intervention and cite them, as you have in the past. A sample care plan will be provided for you to refer to.
3. It must address the needs of one MENTAL HEALTH patient that you select to work with. The patient should be on at least 2 psych meds. (Remember that you must establish rapport, gain trust, and initiate with the patient before you can move in to the “working” phase of the nurse-patient relationship. Use your verbal and non-verbal therapeutic communication skills).
4. Select a patient that is not working with another student for this assignment.
5. Try to select a patient that is likely to be hospitalized for several more days or weeks. Check with staff to ensure that there are no imminent discharge plans.
6. Spend some time interacting with your prospective patient before you spend a lot of time gather data from the chart. Some students have made the mistake of selecting a patient who they have not

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