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    Care Plan For Schizoaffective Disorder Bipolar Type

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    Alrick Asentista
    This patient has been diagnosed with schizoaffective disorder, bipolar type and a history of systemic lupus erythematosus. Diagnostic tests show abnormal red blood cell, white blood cell, and protein levels. The patient has limited family support and struggles with medication compliance, substance abuse, employment, and anger management. Their treatment plan involves medication management, education on medications, hygiene, coping skills, and group therapy. Nursing diagnoses address ineffective therapeutic management, knowledge deficits, coping skills, health maintenance, and participation in group therapy. Goals are set for improved medication compliance, hygiene, coping, and participation in therapy activities and care.

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    Care Plan For Schizoaffective Disorder Bipolar Type

    Uploaded by

    Alrick Asentista
    3K views4 pages
    This patient has been diagnosed with schizoaffective disorder, bipolar type and a history of systemic lupus erythematosus. Diagnostic tests show abnormal red blood cell, white blood cell, and protein levels. The patient has limited family support and struggles with medication compliance, substance abuse, employment, and anger management. Their treatment plan involves medication management, education on medications, hygiene, coping skills, and group therapy. Nursing diagnoses address ineffective therapeutic management, knowledge deficits, coping skills, health maintenance, and participation in group therapy. Goals are set for improved medication compliance, hygiene, coping, and participation in therapy activities and care.

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    Care Plan for Schizoaffective Disorder Bipolar Type

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    This patient has been diagnosed with schizoaffective disorder, bipolar type and a history of systemic lupus erythematosus. Diagnostic tests show abnormal red blood cell, white blood cell, and protein levels. The patient has limited family support and struggles with medication compliance, substance abuse, employment, and anger management. Their treatment plan involves medication management, education on medications, hygiene, coping skills, and group therapy. Nursing diagnoses address ineffective therapeutic management, knowledge deficits, coping skills, health maintenance, and participation in group therapy. Goals are set for improved medication compliance, hygiene, coping, and participation in therapy activities and care.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    3K views4 pages

    Care Plan For Schizoaffective Disorder Bipolar Type

    Uploaded by

    Alrick Asentista
    This patient has been diagnosed with schizoaffective disorder, bipolar type and a history of systemic lupus erythematosus. Diagnostic tests show abnormal red blood cell, white blood cell, and protein levels. The patient has limited family support and struggles with medication compliance, substance abuse, employment, and anger management. Their treatment plan involves medication management, education on medications, hygiene, coping skills, and group therapy. Nursing diagnoses address ineffective therapeutic management, knowledge deficits, coping skills, health maintenance, and participation in group therapy. Goals are set for improved medication compliance, hygiene, coping, and participation in therapy activities and care.

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    CONCEPT MAP N140

    DSM-IV-TR DIAGNOSIS
    Axis I - _Schizoaffective Disorder, Bipolar Type_______
    Axis II - _Deffered_________________________________
    Axis III - _History of Systemic Lupus Erythematosus___

    DIAGNOSTIC TEST & RESULTS


    ECG- probably normal variant, sinus rhythm, RSR in V1
    High: RBC 9.7 (limits 4.0-10.5)
    Low: WBC 3.72 (limits 3.80 -5.10)
    High: MCV 102 lt (limit 80-98)
    High: MCH 3.5 lt (limits 27.0-34.0)
    Low: Protein Total serum 5.9L (limits 6.0-8.5)

    Axis IV - _Problem with primary support group, problems r/t social


    environment, housing problems____________________
    Axis V - _GAF=30_________________________________
    BIOPSYCHOSOCIAL ASSESSMENT:
    Eriksons (see short assessment)
    Maslow (see short assessment)
    Limited to no family support
    Non-compliance with Medication and follow-up care
    Chemical dependencies
    No job skills

    CURRENT MEDICATIONS/TREATMENTS:

    See Medication sheets

    TEACHING NEEDS:
    1-Medication
    2- Hygiene
    3-Anger Management
    4- Coping Skills
    D/C PLANNING:
    Discuss with Lisa plans for group home placement

    PATIENT STRENGTHS:
    Can communicate, Motivated, Positive self-image, Supportive
    boyfriend/common law husband

    NURSING DIAGNOSIS / PROBLEM

    NURSING CARE

    OUTCOME

    1)
    Therapeutic Regimen Management,
    ineffective related to lack of relief of
    symptoms of Schizophrenia and Bipolar
    Disease as evidenced by labile mood,
    pressured speech, disorganized
    thoughts

    Interventions: Assess for Medicine


    effectiveness
    Report any noted untoward side effects
    or APRs to MD for further orders
    Coordinate any Lab work or diagnostic
    test ordered

    Demonstrates the ability to organize


    small tasks without assistance or
    conflict within one month
    Demonstrates more stable moods
    starting in 6 weeks or within
    medications therapeutic range
    Communicates ability to organize
    thoughts and verbalize needs within 6
    wks or within medications therapeutic
    range

    2) Knowledge deficient, ineffective


    related to Medication Regimen as
    evidenced by demanding certain
    medications and refusing the
    medications ordered

    Interventions:
    Educate Lisa regarding medications,
    uses, dosages, as well as any side
    effects or ADRLs to report
    Document progress in Patients report

    Demonstrate compliance with


    medications by taking the medications
    daily without complaints 50% of the time
    Demonstrate compliance with
    medications by taking the medications
    daily without complaints 65% of the time
    Communicates understanding of the
    new drug regimen by less focus on old
    medication regimen 50% of the time

    3) Therapeutic Regimen Management,


    ineffective related to Group Therapy as
    evidenced by disruptive and demanding
    behavior

    Encourage Lisa to Participate in all


    groups and activities
    Teach Lisa stress relieving techniques
    such as taking a deep breath before
    interrupting another patient or group
    leader

    Patient will participate in groups without


    being disruptive 50% of the time
    Patient will participate in groups without
    being disruptive 65% of the time
    Patient will participate without
    interrupting speakers 50% of the time

    NURSING DIAGNOSIS / PROBLEM

    NURSING CARE

    OUTCOME

    4)
    Ineffective Coping/decisional Conflict
    related to mental illness, memory loss,
    impaired adaptive and social behaviors
    and problem-solving skills as evidenced
    by inability to perform daily hygiene,
    inability to understand extent of illness,
    inability to perform self-care

    Educate Lisa on personal hygiene, such


    as washing hair instead of applying
    lotions and wearing appropriate fitting
    and clean clothes
    Educate Lisa on why she has been
    institutionalized and the behaviors that
    will allow her to be accepted into a less
    restricted mileu

    Demonstrates the ability to perform


    hygiene (ADLs) without assistance or
    conflict 1 x a week
    Demonstrates the ability to perform
    hygiene such as brushing teeth and
    washing hair 3 x a week
    Communicates what she needs to do to
    be released to a less restrictive
    environment 50% of the time she is
    asked.

    5)Health Maintenance, ineffective related


    to patients medical diagnoses of SLE,
    COPD, Asthma, Chronic Bronchitis,
    History of DVT, History of
    Hypothyroidism, as evidenced by
    continuing to smoke, resistance to
    taking medications, and remaining
    immobile for long periods of time

    Observe for symptoms of medical


    problems and report to MD for treatment
    orders
    Educate Lisa regarding environmental
    allergies to avoid
    Educate Lisa regarding hazards of
    cigarette smoking as related to COPD
    Educated Lisa regarding symptoms of
    DVT and techniques to avoid developing
    it.
    Assess for presence of s/s of COPD,
    SLE & DVT

    Patient reports to RN/MD any known


    symptoms of her medical problems
    which may exacerbate in a normal tone
    50% of the time
    Patient demonstrates compliance with
    medications by taking her medications
    every day without complaints as ordered
    Demonstrates compliance with all
    medical appointments starting
    immediately after teaching
    Demonstrates an understanding of the
    dangers of cigarette smoking and shows
    an attempt to cut down within one week

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