Concept Map

NDX 1. Risk for self- inflicted

harm related to history of threat to self episodes secondary to undeveloped stage of development
Subjective: gusto ko na mamatay, pagod na pagod nako, wala ako kwenta Objective: Affect: Flat Age: 17 y/o (+) auditory hallucinations Posture: stereotyped behavior of rocking chair while sitting LOC: Conscious and responsive Mood: depressed Facial Expression: sad Speech: Clear and Appropriate

Medical Diagnosis: Bipolar Affective Disorder Current Episode Manic with Psychotic Symptoms Key assessment: Demographic Data Developmental Milestone Medical History Defense Mechanisms Level of SelfEsteem Nutritional Status Medication Gordons Functional health Pattern Maslows Hierarchy of Needs

NDX 2. Impaired social interaction related to social isolation of self to others secondary to unresolved conflict in psychosocial development as evidenced by lack of ability to develop relationship with others Subjective: baliw kasi ako kaya ayaw nila sa akin" Objective: Client is seen often by herself Affect: Blunted LOC: Conscious and Alert (-) hallucinations (-)delusions Age: 17 y/o Mood: Euthymic Good thought process Doesnt interact with other patients during activities

Patients Initials: S.M. Student Nurse: Estrella, Bien Menardo G.

Date of Birth: October 26, 1996 Area: Zonta Pavillion

Gender: Female Date: 1-23-14