Risk for Self or Other- Directed Violence - Schizophrenia Care Plan

Nursing Diagnosis for Schizophrenia : Risk for Self or Other- Directed Violence

Goal: The patient can control violent behavior,
with the following criteria:

• Bright face, smiling.
• Want to get acquainted and there is eye contact.
• Willing to tell the feeling.
• Telling cause irritation / anger.
• Can identify signs of violent behavior.
• Can identify, form of violence that is done.
• Can be identified as a result of violent behavior.
• Able to practice taught how to control anger.
• Able to engage in group activity therapy.
• Can taking medication with minimal assistance.
• Clients can continue the relationship in accordance with the responsibilities of the role.

Interventions

Client Intervention

1. Perform a trusting relationship.
2. Identify the causes of violent behavior.
3. Identify the signs and symptoms of violent behavior.
4. Identification form of violence that is ever done.
5. Identification due to violent behavior.
6. Teach how to control violent behavior, among others:
   • Physically (relaxation, activities and sports)
   • Verbally (sharing / telling others)
   • Spiritually (pray).
7. Help the patient to practice healthy ways to express the way to control the violent behavior that has been taught.
8. Suggest to choose how to control violent behavior accordingly.
9. Suggest to include ways to control violent behavior that have been to the daily activity schedule.
10. Help the patient to plan the schedule of daily activities.
11. Explain to patients on oral medication (type, dose, time drinking, benefits and side effects of drugs)
    Give appropriate medication treatment program.
12. Monitor the effectiveness of the treatment and its side effects (vital signs and physical examination of the other).
13. Involve patients in group therapy, cognitive therapy, and in the day-to-day activities in the room.
14. Keep the patient environment at low stimulus levels (low irradiation, little people, the decor is simple and low noise level).
15. Strict observation of behavior and signs of angry patient every 15 minutes.
16. Remove objects that can harm the environment around the patient.
17. If necessary, do fixation or restrain and observation every 15 minutes.

Family Interventions

1. Discuss family perceived problems in patient care violent behavior.
2. Provide health education on understanding the signs and symptoms of violent behavior occurrence of violent behavior.
3. Explain how to care for patients with violent behavior.
4. Teach and practice how to involve the family in caring for patients with violent behavior directly in hospital (constructive manner, Follow-up)