Psychiatric Nursing Care Plan

Prepared by: [YOUR NAME]
Contact: [YOUR EMAIL]
Date Created: January 10, 2050

Patient Information

• Name: Elisa West

• Age: 32 years

• Diagnosis: Major Depressive Disorder (MDD) with Generalized Anxiety Disorder (GAD)

• Hospital Number: P-20501-032

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Care Plan Overview

This care plan is designed for use in an outpatient clinic to support the patient in managing Major Depressive Disorder and Generalized Anxiety Disorder.

Assessment Findings

Assessment Area	Findings
Mood and Affect	Persistent sadness, low energy, anxiety
Thought Processes	Difficulty concentrating, rumination
Social Interaction	Withdrawal from family and friends
Physical Complaints	Insomnia, fatigue, and reduced appetite

Care Plan Details

Nursing Diagnosis

• Ineffective Coping related to overwhelming life stressors, as evidenced by withdrawal, persistent feelings of sadness, and self-reported difficulty managing stress.

Goals and Outcomes

• Patient will verbalize three coping strategies by February 10, 2050.

• Patient will demonstrate improved sleep patterns within 30 days.

• Patient will attend 4 weekly therapy sessions as planned by February 15, 2050.

Interventions

Intervention	Frequency	Assigned To
Conduct one-on-one therapeutic communication	Twice per week	Nurse-in-Charge
Facilitate mindfulness training exercises	Weekly	Psychotherapist
Educate patient on medication compliance	Every follow-up visit	Clinical Nurse

Evaluation Criteria

Criteria	Status
Patient verbalizes use of new coping strategies.	In Progress
Sleep journal reflects consistent improvement.	Not Started
Patient completes all therapy sessions.	Pending

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