Disturbed Sensory Perception: Hallucinations related to Social Withdrawal

Nursing Care Plan for Hallucinations

Nursing Diagnosis : Disturbed Sensory Perception: Hallucinations related to Social Withdrawal

Goal : The client is able to control the hallucinations .

Outcomes :

• Patients can and want to shake hands .
• Patients want to mention names , would call out the name of the nurse and want to sit together .
• Patients can mention the cause of the client withdrew .
• Patients want to connect with other people .
• After a home visit to a client in touch with family gradually

Intervention :

1. Construct a trusting relationship .
2. Make a contract with the client .
3. Perform introductions .
4. A name calling .
5. Invite a conversation with a patient friendly .
6. Assess the client's knowledge about the behavior of withdrawn and the signs
7. and give the client a chance to express feelings cause the patient does not want to hang out / withdrawal.
8. Explain to the client about withdrawn behavior , and signs that may be the cause .
9. Give praise to the client's ability to express feelings .
10. Discuss about the advantages of touch .
11. Slowly and with the patient in the room activity through defined stages .
12. Give credit for the success that has been achieved .
13. Instruct the patient to independently evaluate the benefits of touch .
14. Discuss daily schedule to do the patient to fill his time .
15. Motivation patient in following activity room .
16. Give credit for participation in the activity room .
17. Perform kungjungan home , building a trusting relationship with the family .
18. Discuss with your family withdrawn behavior , and the causes of a family facing car .
19. Encourage family members to communicate .
20. Instruct patient's family members routinely visit patients at least once a week .