Pt.: C.

B
69 y/o
Female
Dx: Other Schizophrenia
Assessmen Diagnosis Planning Intervention Rationale Evaluation
t
Subjective: Altered thought Orient patient to These decreases the The goal was met.
22 years old na po process r/t Short-Term surroundings and chance of
ako eh as inadequate Goal reality misinterpretation Client is able to
verbalized by the support system appraise situations
patient Client will realistically and to
develop trust in Use Patients name This helps them refrain from
at least one staff when speaking to her remember their name projecting own
member within and for them to be alert feelings onto the
1 week. when called environment.
Objective:
Disorientation to
person, place,time
Speak slowly and For the patient to Client is able to

clearly understand well what recognize and

Memory
youre saying clarify possible
deficit;altered
Long-Term misinterpretations
attentionspan,
Goal of the behaviours
decreasedability to
and verbalizations
graspideas
Client will Present information in a This helps the patient to of others.

demonstrate use matter-of-fact manner realized the reality

Impaired abilityto
makedecisions, of more
problem-solve adaptive coping
skills, as
evidenced by
appropriateness Provide quiet/calm Minimizes
of interactions environment environmental stimuli to
and willingness reduce sensory
to participate in overload/confusion
the therapeutic while preventing
community. sensory deprivation.
Pt.: C.B
69 y/o
Female
Dx: Other Schizophrenia

Reorient to Provides clues to aid in

surroundings, person, recognition of reality.
and so forth.

Present reality Confrontation

concisely, briefly, and potentiates defensive
do not challenge reactions and may lead
illogical thinking. to patient mistrust and
heightened denial of
reality.

Communicate May aid in reducing

information/instruction confusion, and increases
s in simple, short possibility that
sentences. Ask direct, communications will be
yes/no questions. understood/remembered
Repeat explanations as .
necessary.

Establish a regular
schedule for expected Aids in maintaining
activities. reality orientation and
may reduce
fear/confusion.
Pt.: C.B
69 y/o
Female
Dx: Other Schizophrenia

Promote adequate rest

and undisturbed periods Sleep deprivation may
for sleep further impair cognitive
abilities.