- Allow pt to stand for a few min in group
- Provide a safe environment
- Provide activities that do not require fine motor skills
Immobility Patients - Minimize circulatory problem
- Provide adequate diet, exercise, and rest
- Prevent victimization
Nursing interventions - Medication compliance- 40-60% noncompliance
- Avoid reinforcing hallucinations & delusion
- Maintain orientation
- Use touch minimally and judiciously
- Avoid easily misinterpreted behavior
- Reinforce positive behaviors
- Avoid competitive activities,
- Allow & encourage expression of feelings
- clear & realistic limits; consistency;
- Supportive environment – structured, predictable
- reduced stimulation
- early intervention for escalating behavior
- safety for the pt and others
- opportunity for nonthreatening social interaction
- remotivating and resocializing group
- Communication skills
Nursing interventions – Family therapy - Involve the family – use appropriate community resources
- Educate the family – chr. dis, S/S of relapse, med compliance,
- Provide an outlet for the family – discuss feelings, explore alternative effective coping skills.
Psychotherapy - Individual Th – supportive therapy
- Group Th – interpersonal skills, family problems, community support
- Family Th – expand social network, problem-solving capacity, lower the emotional overinvolvement of families
Case Management - Limited hospital stay, 3rd party payment
- Discharge planning – transitional care
- Partial hospitalization, halfway houses, day treatment programs
- Community resources – NAMI, Schizophrenics Anonymous, …
- Myth - tends to be violent – perhaps perpetuated by the media
- Fact- more likely to be victims than perpetrators of violence
- Violence in this population may be r/t homicidal delusion
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