Nursing Care Plan: Pt.'s Data Nursing Diagnosis Goals

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Pt.

’s Data Nursing Diagnosis Goals

Subjective Data: Nursing Diagnosis is The goals are:

The patient, Yusuf Anwar, during Impaired social interaction r/t Sever Short Term
interview verbalized that: anxiety s/t obsessive compulsive By the end of a week:
disorder as evidenced by pt’s
“I cannot come with you in group Preoccupation with own thoughts and Client will develop trusting
therapy because my hands gets performance of repetitive, actions i.e. relationship with nurse or counselor
contaminated so I need to wash my washing hands
hands first then do other things” Client’s ritualistic behaviors will be
Or minimized from 10 to 8 or 7
And
Impaired social interaction r/t
“I’m here in this hospital because of Low perception about others s/t Long Term
little physical weakness otherwise; I absence of insight as evidenced by By the end of 3 weeks:
don’t have any other problem as such. pt’s verbalization.
I’m a normal person and I shouldn’t Patient will
be here with these people who are demonstrates willingness and desire
mental. I get bore whole day and I to socialize with others by
don’t like talking to these patient participating in activities and
therefore mostly I stay quiet on my programs at level of ability and desire
bed”
Patient will voluntarily
Objective Data attend group activities

36 Yr old male patient, named Yusuf Patient will voluntarily spend time
Anwar admitted under the diagnosis with other patients and nurse or
of obsessive compulsive disorder, therapist in group activities by time
sitting on bed and having breakfast, of discharge from treatment
looking neat and clean. Patient had
blunted expression. Mood and affect
weren’t congruent. However, pt was
calm and cooperative through the
interview. Insight is not intact due to
which patient is reluctant in engaging
into the conversation with other
patients. Moreover, pt was not ready
to participate in group activity as he
perceives that other pts are mental.

Nursing Care plan

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