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Avoidant Personality Disorder (Picmonic)
Antisocial Personality Disorder (Picmonic)
Paranoid Personality Disorder (Picmonic)
Personality Disorder Pathochart (Cheat Sheet)
Blank Nursing Care Plan_CS (Cheat Sheet)
Example Care Plan_Personality Disorders (Cheat Sheet)
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Transcript
Hey everyone. Today, we're going to be creating a nursing care plan for personality disorders. So let's get started. All right, we're going to get started with the pathophysiology. So personality disorder is a term that covers several different types of mental disorders that cause unhealthy patterns of thinking, functioning and behaving. These are categorized into three clusters. According to the behavior cluster of disorders, schizoid and schizotypal exhibit odd or eccentric thinking. Behavior cluster B disorders, antisocial, borderline, and narcissistic exhibit dramatic, unpredictable, and overly emotional behaviors. Cluster C disorders, obsessive compulsive and avoidant, exhibit anxiety and fear. Nursing considerations: going to assess neurological function, monitor behaviors, set clear boundaries, and encourage positive interaction. Desired outcomes: the client will develop the ability to set realistic goals, identify realistic personal strengths, demonstrate a reduction in violent or manipulative behaviors, and demonstrate coping skills for anxiety.
So we're going to go ahead and get into our care plan. We have some subjective data and we have some objective data. So things that we're going to see in these patients, one of the things is going to be low self-esteem and anxiety. Some other things you may see with these patients: they may be arrogant, poorly control of money, and have a lack of remorse. Some others that you'll see are the desire to be in control of other people, difficulty disagreeing with low self-esteem, lack of confidence, envy of others, easily influenced, and feelings of emptiness. Some other objectives being the inability to discard worthless or broken objects or possible hoarding, shyness, hostility, and that odd or eccentric behavior.
So interventions, we want to make sure we're going to first assess the client's neurological status. So we're going to do a neuro assessment. We want to determine if there are any other conditions present and get a baseline for this patient. Another invention we're going to be doing is observe and identify behaviors and set clear limits with consequences. This helps set and maintain the structure and limits that develop feelings of security and safety for the patient. We want to make sure that we're being consistent when we're interacting with the client and routine care; so making sure we're consistent with the patient. Changes in the consistency will threaten the structure of the care and open up the opportunity for the client to use manipulative behaviors or tactics. The client may be resistant to change, so consistency helps encourage new thought processes. Another intervention we want to discuss with the client are their plans and goals, and help distinguish between some positive, realistic goals and unrealistic goals. So we're going to talk about goals; this is going to help the client regain control of reality and become more focused. It's also going to help the client understand their capabilities. Set realistic, short-term goals for the client and offer and recognition for obtaining these goals. It's also going to help the client realize their abilities and maybe some of their limitations, offer encouragement, and improve their self-esteem and cooperation in the process. Another invention we're going to be doing is making sure we're enforcing limits and consequences. And we want to make sure we're discouraging hostile or aggressive behaviors; this is going to help reinforce the structure and discourage inappropriate behaviors by the patient. It's also going to maintain the safety of the clients as well as others around you. Another intervention, we want to make sure we discuss alternative ideas or ways of thinking. This is going to help the client develop coping skills for emotions or feelings that they have. We're also going to monitor and encourage positive social interaction with others in a safe environment. This is going to help the clients develop positive social skills and healthy interactions. It's going to offer an opportunity to learn new ways of dealing with social situations.
So we're going to go over some key points. So this covers several different types of mental disorders that cause an unhealthy pattern of thinking, functioning and behaving. The cause is unknown, but it's believed to be triggered by genetic and environmental influences. So some subjective and objective data. What you'll see in these patients is they may have some low self-esteem, anxiety, lack of interest, desire to be in control, odd eccentric behavior, lack of remorse, arrogance, lying, or stealing. We're going to make sure we're assessing their neurological function at baseline. Observe any behaviors, making sure we're setting those boundaries with those patients. And we want to discuss their plans and their goals. We're going to set those boundaries, discuss alternative ways of thinking, encouraging positive, social interactions with others. And there you have a completed care plan.
We love you guys. Go out, be your best self today and, as always, happy nursing.
So we're going to go ahead and get into our care plan. We have some subjective data and we have some objective data. So things that we're going to see in these patients, one of the things is going to be low self-esteem and anxiety. Some other things you may see with these patients: they may be arrogant, poorly control of money, and have a lack of remorse. Some others that you'll see are the desire to be in control of other people, difficulty disagreeing with low self-esteem, lack of confidence, envy of others, easily influenced, and feelings of emptiness. Some other objectives being the inability to discard worthless or broken objects or possible hoarding, shyness, hostility, and that odd or eccentric behavior.
So interventions, we want to make sure we're going to first assess the client's neurological status. So we're going to do a neuro assessment. We want to determine if there are any other conditions present and get a baseline for this patient. Another invention we're going to be doing is observe and identify behaviors and set clear limits with consequences. This helps set and maintain the structure and limits that develop feelings of security and safety for the patient. We want to make sure that we're being consistent when we're interacting with the client and routine care; so making sure we're consistent with the patient. Changes in the consistency will threaten the structure of the care and open up the opportunity for the client to use manipulative behaviors or tactics. The client may be resistant to change, so consistency helps encourage new thought processes. Another intervention we want to discuss with the client are their plans and goals, and help distinguish between some positive, realistic goals and unrealistic goals. So we're going to talk about goals; this is going to help the client regain control of reality and become more focused. It's also going to help the client understand their capabilities. Set realistic, short-term goals for the client and offer and recognition for obtaining these goals. It's also going to help the client realize their abilities and maybe some of their limitations, offer encouragement, and improve their self-esteem and cooperation in the process. Another invention we're going to be doing is making sure we're enforcing limits and consequences. And we want to make sure we're discouraging hostile or aggressive behaviors; this is going to help reinforce the structure and discourage inappropriate behaviors by the patient. It's also going to maintain the safety of the clients as well as others around you. Another intervention, we want to make sure we discuss alternative ideas or ways of thinking. This is going to help the client develop coping skills for emotions or feelings that they have. We're also going to monitor and encourage positive social interaction with others in a safe environment. This is going to help the clients develop positive social skills and healthy interactions. It's going to offer an opportunity to learn new ways of dealing with social situations.
So we're going to go over some key points. So this covers several different types of mental disorders that cause an unhealthy pattern of thinking, functioning and behaving. The cause is unknown, but it's believed to be triggered by genetic and environmental influences. So some subjective and objective data. What you'll see in these patients is they may have some low self-esteem, anxiety, lack of interest, desire to be in control, odd eccentric behavior, lack of remorse, arrogance, lying, or stealing. We're going to make sure we're assessing their neurological function at baseline. Observe any behaviors, making sure we're setting those boundaries with those patients. And we want to discuss their plans and their goals. We're going to set those boundaries, discuss alternative ways of thinking, encouraging positive, social interactions with others. And there you have a completed care plan.
We love you guys. Go out, be your best self today and, as always, happy nursing.
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