ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

SUBJECTIVE:  Impaired Social  Patient will use  Assess if the After nursing intervention
Interaction appropriate social medication has patient is now :
"Ma'am pasok na po ako related to skills in reached
sa loob" "Ayoko na po Impaired thought interactions. therapeutic  Symptoms
mag activity kasi processes levels. subsides with the
susumpungin na po ako" (hallucinations)  Patient will help of the
as verbalized by the possible maintain an Rationale: positive medication
patient . evidenced by interaction with symptoms of
Verbalized or another client schizophrenia  Social
"May naririnig po ako'ng observed while doing an (hallucinations) will interactions
boses" as verbalized by discomfort in activity subside with Improved with
the patient social situations. medications, which the nurses
 Patient will state will facilitate
OBJECTIVE: that he or she is interactions.  Engaged in one or
comfortable in at two activities
Agitated least three  Identify with with minimal
Uncomfortable structured client symptoms encouragement
activities that are he experiences from nurse
goal directed. when he or she
begins to feel  Stated that he is
 Patient will use anxious around comfortable in at
appropriate skills others. least three
to initiate and structured
maintain an Rationale: Increased activities that are
interaction. anxiety can intensify goal directed
agitation, and
aggressiveness .  Attended one
structured group
 Avoid touching activities
the client.
 Used appropriate
Rationale: Touch by an social skills in
unknown person can be interactions
misinterpreted
threatening gesture. This  maintained an
particularly true for a interaction with
paranoid client. another client
while doing an
 If client is activity
hallucinating or is
having trouble
concentrating at
this time, provide
very simple
concrete
activities with
client (e.g.,
looking at a
picture or do a
painting).

Rationale : Even
simple activities help
draw client away
from delusional
thinking into reality
in the environment.

 Teach client to
remove himself
briefly when
feeling agitated
and work on
some anxiety
relief exercise
Rationale : increasing
a sense of control.

 Eventually engage
other clients and
significant others
in social
interactions and
activities with the
client (sing-a-
songs, group
sharing activities)
at client’s level.

Rationale : Client
continues to feel safe
and competent in a
graduated hierarchy
of interactions.