Nursing care of a client with Schizophrenia

2. Nursing care of a client with Schizophrenia 2

3. Self-care deficit • RELATED TO : Inability to trust,Withdrawal,Regression to earlier stage of development, perceptual cognitive impairment, dependency, panic anxiety • EVIDENCED BY: difficulty carrying out tasks associated with daily hygiene, dressing, grooming, eating, toileting

4. Outcome Criteria • Long Term Goal • The client will be able to perform activities of daily living (ADLs) in an independent manner by discharge. • Short Term Goals: • Client will verbalize a desire to perform ADLs by end of (time) • Client will carry ADLs with assistance by (time)

5. Nursing Intervention • Assess client’s ability to carry activities of self care and do for him\her what he\her is not able to do. • Provide assistance with self care needs as required. Client who are severely withdrawn may require total care by the nurse • Make sure of safety & security measure during the performance of ADLs • Develop a structured schedule in the unit for carrying ADLs & set limits to help client comply and maintain by the self care daily routine (morning care –bathing, cleaning face, brushing teeth, changing cloths, combing hair-, and before sleep care)

6. Nursing Interventions • Show the client how to perform activities with which he\she is having difficulty by giving concrete simple directions during performing self care • Use specific concrete communication with the client if he/she is suffering from concrete thinking, in order to show client what is expected, by providing step by step assistance in performing ADLs • Example: “Take your shirt off, put it in laundry, take this new shirt, put the shirt on, button the buttons , now take the comb and comb your hair”

7. Nursing Interventions • If the client is soiling self, establish routine schedule for toileting needs, by assisting the client to go to the bath room on hourly bases or as needed, until he\she is able to fulfill needs without help. • Encourage client to perform ADLs independently & • Provide positive reinforcement each time the client performs self care independently to increase self esteem • Help the client in choosing own clothes (teach him\her how to choose and wear)

8. Nursing Interventions • Ignore the client’s failure in the attempt to help him self and assist with caring and without embracing the client. • Creative ways need to be taken with client who are suspicious and refuse to eat such as allowing client to open own canned food or packaged food, eat from the same food of client, or help the client to prepare own food in kitchen