Care plan- Mental health
Concept Map Care Plan
E.T/49yr. old female, white
Date of Admission: 08/01/11/Date of Care: 08/05/11
Attempted Suicide/Bipolar Disorder
Depression/Alcoholism/Herniated Disc
Nrsg Dx #1 (Psycho social)
Supporting Data:
(Include subjective, objective, lab, diagnostic, pharmacologic and other data which supports your use of this diagnosis.)
Long Term Goal:
Short-term goals:
Nursing Interventions:
Evaluation:
Summary of patient progress:
Risk for Suicide related to suicide attempt
Patient attempted suicide 4x in the last 3 years. Patient states she wants help, wants to be sober. Patient identified stressors (death of brother, abusive father, mother enabler, sister an addict) and uses alcohol binging as coping mechanism. Patient currently prescribed Depakote 1500mg/day, Celaxa 40mg PO am. Patient also stated she takes vicodin for pain due to herniated disc.
Patient will recover from suicidal episode. Patient will describe available resources for crisis intervention and management. Patient will voice improvement in self-worth.
Patient will be med compliant.
Patient will refrain from harming self. Patient will identify alternate coping strategies. Patient will find AA program and recovery site.
Administer meds, assess suicide ideation, assess moods. Make short-term contract with patient to refrain from harming self. Monitor behavior. Identify alternate coping strategies for patient, identify community resources to help patient.
Goal met: Patient states no thoughts of suicide ideation. Patient identifies crisis prevention resources. Patient expresess positive feelings about self. Plan to be continued.
Prognosis is good. Patient has identified Star of Hope halfway house where she can live and attend AA treatment & group milieu therapy.
Risk for Ineffective Coping
E.T/49yr. old female, white
Date of Admission: 08/01/11/Date of Care: 08/05/11
Attempted Suicide/Bipolar Disorder
Depression/Alcoholism/Herniated Disc
Nrsg Dx #1 (Psycho social)
Supporting Data:
(Include subjective, objective, lab, diagnostic, pharmacologic and other data which supports your use of this diagnosis.)
Long Term Goal:
Short-term goals:
Nursing Interventions:
Evaluation:
Summary of patient progress:
Risk for Suicide related to suicide attempt
Patient attempted suicide 4x in the last 3 years. Patient states she wants help, wants to be sober. Patient identified stressors (death of brother, abusive father, mother enabler, sister an addict) and uses alcohol binging as coping mechanism. Patient currently prescribed Depakote 1500mg/day, Celaxa 40mg PO am. Patient also stated she takes vicodin for pain due to herniated disc.
Patient will recover from suicidal episode. Patient will describe available resources for crisis intervention and management. Patient will voice improvement in self-worth.
Patient will be med compliant.
Patient will refrain from harming self. Patient will identify alternate coping strategies. Patient will find AA program and recovery site.
Administer meds, assess suicide ideation, assess moods. Make short-term contract with patient to refrain from harming self. Monitor behavior. Identify alternate coping strategies for patient, identify community resources to help patient.
Goal met: Patient states no thoughts of suicide ideation. Patient identifies crisis prevention resources. Patient expresess positive feelings about self. Plan to be continued.
Prognosis is good. Patient has identified Star of Hope halfway house where she can live and attend AA treatment & group milieu therapy.
Risk for Ineffective Coping