Sample of Nursing Care Plan

Sample of Nursing Care Plan

Sample of Nursing Diagnoses (As per NANDA- North American Nursing Diagnosis Association)
	Nursing Diagnosis	Analysis
1	Risk for injury related to accelerated motor activity	Accelerated motor activity or impulsive actions
2	Disturbed thought process related to impaired judgement associated with manic behaviour	Judgement impaired , mood of elation (patient is using inappropriate dress and bizarre dressing)
3	Self-care deficit (unkempt appearance) related to hyperactivity	Unable to take time for self-care is, dishevelled and unkempt
4	Impaired verbal communication –flight of ideas related to accelerated thinking	Accelerated speech with flight of ideas (thought speeded up causing rapid speech and flight of ideas, excessive planning for activities
5	Ineffective coping related to elated expressive mood	Euphoria, elation, cheerfulness( an exaggerated sense of well being)
6	Disturbed thought process –grandiosity related to elevated mood	Grandiosity-inflation self-esteem
7	Ineffective coping related to emotional liability associated with manic behaviour	Emotional labiality (unstable mood moves from cheerfulness to irritation easily with little irritation
8	Disturbed thought process –related to delusion of grandeur	Grandiose delusions (Belief that well known political religious, or entertainment leader)
9	Disturbed thought process decreased attention span and difficulty in concentration related to accelerated thinking	Short attention span, difficulty in concentrating , easily disturbed
10	Risk for violence related to hostile and angry behaviour	Hostile comment and complaints
11	Impaired verbal communication related to pressure of speech	Accelerated thinking, highly responsive to environmental stimuli, accompanying flight of ideas
12	Nutrition: less than body requirements, imbalanced Nutrition: more than body requirements, imbalanced Nutrition: risk for more than body requirements, imbalanced	Weight loss (less food intake associated with depression which contributes to loss of appetite with weight loss/weight gain following pharmacological management/possible wieght gain
13	Self-care deficit-neglect of personal hygiene related to depression	Neglect of personal hygiene (feeling of worthlessness associated with depression which contribute to lack of interest in personal hygiene
14	Health Maintenance, ineffective –psychomotor retardation related to depression	Extreme slowness in performing activity
15	Risk for violence- self-directed, related to depression	Bruises, cuts, scars, (possible destructive behaviour or abuse by others)
16	Anxiety –neurological symptoms related to depression	Extreme nervousness (possible response to loss with symptoms to those of anxiety)
17	Risk for violencerm	Suicidal feeling (Hopelessness contributes to total despair
18	Sensory perceptual alteration –disorientation about time, place, and person related to increased anxiety	Confusion or disorientation
19	Ineffective coping –obsessive thinking related to anxiety	Anxiety (Increased anxiety unapparent and discharge through obsessive thinking)
20	Impaired Social interactions –inability to form warm, meaningful relationships, related to compulsive behaviour	Lacks ability to develop warm relationship ( has limited ability to express emotion)
21	Ineffective coping –compulsion related to need for excessive cleanliness)	Excessive cleanliness (Over emphasis for cleanliness and neatness)
22	Potential for self harm related to poor impulse control associated with substance abuse)	Poor impulse control
23	Potential for self-harm related to marked disorientation , disorganization, and confusion	Disorientation, disorganization and confusion (If marked , patient is at high suicidal risk)
24	Distarbance of self-concept-insecurity related to suspiciousness	Insecurity, oversensitive, Failure to meet needs results in mistrust and insecurity
25	Potential for violence directed towards others related t perceived threat or injustice to himself	Anger and hostility –may become physically violent (Overly concerned with protecting himself from environment : overly sensitive)
25	Ineffective individual coping persecutory feeling related to mistrust	Feeling of being misjudged , conspired against, spied upon , followed , poisoned, dragged, obstructed in achieving long term goals.

Source : http://www.nursingplanet.com/pn/nursing_process_psychiatric_nursing.html