We will share to you a sample of nursing care plan (NCP) of violence,
risk for other-directed. This is a nursing care plan sample about risk for
other-directed violence of Mr. Dutman, 65 years old, lawyer. Mr. Dutman is
very good lawyer with an outstanding records throughout his career. He has 88% win
rate of all his cases that makes him popular in his field. He also wrote a book
that helps beginners to attain professional level in the field of law. He is so
workaholic until he was turned 65 years of age. He needs to forcefully retire
due to his age and he didn't want it to. Now that he had no longer have a job,
he, for him, have nothing else important to do. Mr. Dutman became violent,
always mad at something and almost changes his behavior for unknown
reason. Always remember that do not use this diagnosis to address other
problems such as anxiety and poor self-esteem, but instead should make and
refer to ANXIETY Nursing Care Plan and Effective Coping.
ASSESSMENT:
Subjective:
"I will kill everyone!” as verbalized by the patient.
Objective:
- Clenching of fist
- Facial flaring
- Shouting
- Flaring eyes
- Grunting of teeth
Diagnosis:
Risk for other-directed violence related to aggressive acts
and manic excitement as manifested by shouting and clenching of fist.
Planning:
After 2 hours of nursing
intervention, the client will refrain from threatening, loud language towards
others and identifies calming strategies.
INTERVENTIONS:
- Promote trust to Mr.
Dutman first by acknowledging his feelings. Tell Mr. Dutman: "You are
having a rough time." Just be genuine and empathetic and tell Mr.
Dutman that you will help him and do not do anything destructive.
- Set limits when Mr. Dutman poses a risk to others. Do not touch him,
avoid feelings of physical entrapment but do not do this intervention alone,
presence of three to four staffs is necessary in order for Mr. Dutman not
to lose control. Offer choices, sometimes it is necessary to give necessary
demands to avoid a power struggle. Also encourage Mr. Dutman to express
anger by saying or verbally instead of acting out.
- Do not take the verbal abuse of Mr. Dutman personally because it
may lead to disruptive or strain nursing care. Be calm at all times, if you
become upset, leave the situation to others and a break or focus attention to
others. After the nursing intervention, discuss your feelings about the
situation to other staffs.
- Remove Mr. Dutman from the environment if it contributes to the
aggressive behavior using the least amount of control needed, like asking
others to leave or taking Mr. Dutman to the quiet room. Repeatedly tell
Mr. Dutman what will go to happen before external control begins.
- Explore what precipitates Mr. Dutman out of control. Assist him to
recall the physical symptoms associated with his anger. Teach Mr.
Dutman the use of deep breaths and relaxation breathing.
- Encourage increased recreational activities.
Evaluation:
After 2 hours of nursing
intervention, the client refrained from threatening, loud language towards
others and identified calming strategies.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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