-
Establish
trusting IPR.
-
Calm,
patient, acceptance, active listening.
-
Asses
for symptoms duration, intensity and frequency.
-
Observe
for behavioral clues.
-
Help
to record number of hallucinations.
-
Focus
on symptoms and help to describe the happening.
-
Empower
by helping to understand.
-
Help
to control over hallucinations.
-
Identify
whether drugs or alcohol have been used.
-
If
asked, point out that you are not experiencing same stimuli.
-
Do
not argue.
-
Suggest
and reinforce use of interpersonal relationships as a symptom
management technique.
-
Encourage
to talk.
-
Help
to mobilize social support.
-
Help to describe and
compare current and past hallucinations.
-
Determine
the pattern if any.
-
Encourage
to remember when it began first.
-
Pay
attention to the content may helpful in predicting the behavior.
-
Alert
for commanding hallucinations.
-
Determine the impact
of the patients symptoms on ADL.
-
Provide
feedback on coping responses.
-
Help
to recognize symptom triggers and management strategies.
-
Place delusion in a
time frame and identify triggers.
-
Identify
all the components , triggers related to stress or anxiety.
-
If
related with anxiety, teach anxiety management skills.
-
Develop
symptom management program.
-
Assess intensity
frequency and duration
-
Fleeting
delusions can be worked out in a short time frame.
-
Listen
quietly until need to discuss.
-
Identify emotional
components.
-
Respond
to the underlying feeling.
-
Encourage
discussions with out assuming right or wrong.
-
Observe for evidence
of concrete thinking.
-
Is
patient and nurse using language in the same way.
-
Is
patient takes you literally.
-
Observe speech for
symptoms of a thought disorder.
-
May
not be a time for discrepancy.
-
Observe ability to
use cause and effect relationship.
-
Is
patient making logical predictions based on past experiences.
-
Is
patient conceptualizes time.
-
Is
patient using recent or remote memory meaning fully.
-
Distinguish between
description and facts of the situation.
-
Identify
false situations.
-
Promote
the ability to test reality.
-
Determine
hallucinations.
-
Carefully question
the facts as they are presented and their meaning.
-
To
be done after previous steps.
-
Discuss consequences
when the person is ready.
-
Allow
to take responsibility of own action.
-
Encourage
personal responsibility in wellness and recovery.
-
Promote distraction
as a way to stop focusing on delusions.
-
Promote
physical activities.
-
Recognize
and reinforce healthy and positive aspects of personality.
