Psychiatric Nursing Care Plan
Psychiatric Nursing Care Plan
Prepared by: [YOUR NAME]
Contact: [YOUR EMAIL]
Date Created: January 10, 2050
Patient Information
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Name: Elisa West
-
Age: 32 years
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Diagnosis: Major Depressive Disorder (MDD) with Generalized Anxiety Disorder (GAD)
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Hospital Number: P-20501-032
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
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Ineffective Coping related to overwhelming life stressors, as evidenced by withdrawal, persistent feelings of sadness, and self-reported difficulty managing stress.
Goals and Outcomes
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Patient will verbalize three coping strategies by February 10, 2050.
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Patient will demonstrate improved sleep patterns within 30 days.
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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 |
