Learning Center Articles

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?