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Pt.’s Data Nursing Diagnosis Goals
Subjective Data:
The patient, Yusuf Anwar, during interview verbalized that:
“I cannot come with you in group therapy because my hands gets contaminated so I need to wash my hands first then do other things”
And
“I’m here in this hospital because of little physical weakness otherwise; I don’t have any other problem as such. I’m a normal person and I shouldn’t be here with these people who are mental. I get bore whole day and I don’t like talking to these patient therefore mostly I stay quiet on my bed”
Objective Data
36 Yr old male patient, named Yusuf Anwar admitted under the diagnosis of obsessive compulsive disorder, sitting on bed and having breakfast, looking neat and clean. Patient had blunted expression. Mood and affect weren’t congruent. However, pt was calm and cooperative through the interview. Insight is not intact due to which patient is reluctant in engaging into the conversation with other patients. Moreover, pt was not ready to participate in group activity as he perceives
Nursing Diagnosis is
Impaired social interaction r/t Sever anxiety s/t obsessive compulsive disorder as evidenced by pt’s Preoccupation with own thoughts and performance of repetitive, actions i.e. washing hands
Or
Impaired social interaction r/tLow perception about others s/t absence of insight as evidenced by pt’s verbalization.
The goals are:
Short TermBy the end of a week:
Client will develop trusting relationship with nurse or counselor
Client’s ritualistic behaviors will be minimized from 10 to 8 or 7
Long TermBy the end of 3 weeks:
Patient willdemonstrates willingness and desire to socialize with others by participating in activities and programs at level of ability and desire
Patient will voluntarilyattend group activities
Patient will voluntarily spend time with other patients and nurse or therapist in group activities by time of discharge from treatment
that other pts are mental.
Nursing Care plan