Criteria for measuring Outcomes: The Patient

Criteria for measuring Outcomes: The Patient

  • Exhibits no evidence of physical injury
  • Has not harmed self or others
  • Is no longer exhibiting signs of physical agitation
  • Eats a well-balanced diet with snacks to prevent weight loss and maintain nutritional status
  • Verbalizes an accurate interpretation of the environment
  • Verbalizes that hallucinatory activity has ceased and demonstrates no outward behavior indicating hallucinations
  • Accepts responsibility for own behaviors
  • Does not manipulate others for gratification of own needs
  • Interacts appropriately with others
  • Is able to fall asleep within 30 minutes of retiring
  • Is able to sleep 6 to 8 hours per night

Planning Implementation

  1. Risk for Violence: Self-Directed or Other-Directed
    • Remove all dangerous objects from the environment.
    • Maintain a calm attitude.
    • If restraint is deemed necessary, ensure that sufficient staff are available to assist.
  1. Impaired Social Interaction
    • Set limits on manipulative behaviors.
    • Do not argue, bargain, or try to reason with the client.
    • Provide positive reinforcement.
  1. Imbalanced Nutrition: Less than Body Requirements / Insomnia
    • Provide client with high-protein, high-calorie foods.
    • Maintain an accurate record of intake, output, and calorie count.
    • Monitor sleep patterns.

Patient and family Education

  • Nature of the illness
    • Causes of bipolar disorder
    • Cyclic nature of the illness
    • Symptoms of depression
    • Symptoms of mania
  • Management of the illness
    • Medication management
    • Assertive techniques
    • Anger management
  • Support services
    • Crisis hotline
    • Support groups
    • Individual psychotherapy
    • Legal/financial assistance

Evaluation

  • Evaluation of the effectiveness of the nursing interventions is measured by fulfillment of the outcome criteria.
    • Has the client avoided personal injury?
    • Has violence to the client or others been prevented?
    • Has agitation subsided?
    • Have nutritional status and weight been stabilized?
    • Have delusions and hallucinations ceased?
    • Is the client able to make decisions about own self-care?
    • Is behavior socially acceptable?
    • Is the client able to sleep 6 to 8 hours per night and awaken feeling rested?
    • Does the client understand the importance of maintenance medication therapy?

Share:

More Posts

Shoulder Injuries and Disorders

Summary Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are

Stroke Signs and Symptoms

Learn what to do if you or someone else is having a stroke. During a stroke, every minute counts! Fast treatment can lessen the brain damage

The Emotional Benefits of Exercise

Research shows the benefits of exercise go beyond just physical well-being. Learn how physical activity helps support emotional and mental health. Share this infographic and