Nursing care plan for behavioral problem requires a comprehensive evaluation and assessment of the patient. A nursing diagnosis can be identified and interventions are implemented to ensure that desired behavior change is achieved. In this article, we provide an overview of the management of behavioral problems in healthcare settings. We will also explore the steps in constructing a nursing care plan for a specific case.
A detailed assessment of the patient’s physical, emotional, and cognitive functioning is done to provide a thorough understanding of the underlying cause and contributing factors of the problem. The initial assessment should include information on a patient’s medical history, past treatments, medication levels, diet, sleep habits, and social/family situation. Further, it is also beneficial to assess the patient’s beliefs, values, and understanding of their difficulty.
The diagnosis should identify associated behaviors, such as aggression, depression, anxiety, or substance abuse. It is important to differentiate between symptoms of a mental illness and problematic behaviors in order to create the best approach for managing the issue.
Identifying Nursing Diagnosis
Once the cause or contributing factors to the problem have been identified, the nurse can begin to develop nursing diagnoses. A nursing diagnosis focuses on the patient’s response to the identified problem. It helps to identify the barriers to healing and how the nurse and patient can work together to resolve the problem.
Examples of Nursing Diagnosis
- Ineffective Coping
- Ineffective Health Management
- Risk for Injury
- Risk for Violence
Outcome statements provide a means for assessing the successfulness of the nursing care plan by identifying desired outcomes to be achieved by a certain date. They are measurable, achievable, and time-bound statements that specify the goal of the patient’s treatment. Examples of outcome statements include:
- Patient will demonstrate improved coping strategies by __/__/__.
- Patient will demonstrate improved health management skills by __/__/__.
- Patient will demonstrate increased safety awareness by __/__/__.
- Patient will improve interpersonal communication skills by __/__/__.
Intervention strategies are specific actions or treatments that help the patient make progress towards desired outcomes. They are evidence-based, realistic, and meaningful measures that improve the patient’s overall wellbeing. Examples of intervention strategies include:
- Teaching patients how to manage stress
- Teaching anger management techniques
- Providing coping skills to manage negative emotions
- Facilitating opportunities for psychotherapy, individual or group counseling
- Encouraging healthy lifestyle behaviors, such as exercise and proper nutrition
Explanations of Rationales
Explanations of rationales provide an understanding of why a particular intervention is chosen. It can help nurses understand the expected effects and potential side effects of the intervention, as well as any changes that need to be made if the intervention is not working. Examples of rationales include:
- Teaching patients how to manage stress can reduce tension, minimize conflicts, and decrease reliance on alcohol or drugs.
- Anger management techniques teach patients to recognize triggers, self-regulate, and reduce aggressive responses.
- Providing coping skills can help patients gain control over negative emotions and problem-solve more effectively.
- Psychotherapy and counseling can help patients gain insight into their behavior, identify conflicts, and learn effective communication and problem-solving skills.
- Encouraging healthy lifestyle behaviors can help patients feel empowered and give them the ability to make positive, lasting changes.
Monitoring progress is essential to ensure the effectiveness of the interventions. This can be done through ongoing assessment of patient’s symptoms and behaviors. Additionally, feedback from the patient and other involved parties is also essential to monitor progress and course-correct when necessary.
By integrating all components of the nursing care plan, including assessment, nursing diagnosis, outcomes, interventions, and evaluation, nurses can provide the best care for their patients, ensuring that the desired behavior change is achieved. Furthermore, focusing on patient-centered care and communication is essential to maintaining a successful therapeutic relationship with the patient.
- What is a nursing diagnosis? A nursing diagnosis focuses on the patient’s response to the identified problem. It helps to identify the barriers to healing and how the nurse and patient can work together to resolve the issue.
- What are the components of a nursing care plan? The components of a nursing care plan are assessment, nursing diagnosis, outcomes, interventions, and evaluation.
- How can I monitor progress in a nursing care plan? Progress can be monitored through ongoing assessment of patient’s symptoms and behaviors, as well as feedback from the patient and other involved parties.
- What is the importance of patient-centered care? Patient-centered care is essential to maintaining a successful therapeutic relationship with the patient, as it focuses on the patient’s goals, preferences, and needs.
- What are some examples of intervention strategies? Examples of intervention strategies include teaching patients how to manage stress, anger management techniques, providing coping skills, facilitating psychotherapy and counseling, and encouraging healthy lifestyle behaviors.