Question

1. What nursing interventions are appropriate to reduce risk/complications of the identified medical concerns of a person with Traumatic Stress Disorder with Suicidal Ideation?
2. What psychosocial concerns do you have? Why?
3. What nursing interventions are appropriate to reduce risk/complications of the identified psychosocial concerns?
4. What issues/concerns take priority? Why?

Answer 1

1)Nursing interventions -Traumatic Stress Disorder with Suicidal Ideation

>Talk to the patient to evaluate the potential for self-injury.

>Ask the following questions:

•“Have you ever considered harming yourself?”

•“Have you ever attempted suicide?”

•“Do you currently consider like killing yourself?”

•“What are your plans with regard to killing yourself?”

•“Do you trust yourself to maintain control over your insights, emotions, and motives?”

>Observe for risk factors that may increase the chance of suicide attempt.

•History of suicide attempt by oneself or within the family

•Suicidal thoughts or statements

•Substance use

•Sleep habits

•History of mood disorders

•Unexplained happiness or drive

•Male gender

•Giving away personal possessions

>Determine particular stressors.

>Appraise all possible and beneficial coping methods

>Assess the need for hospitalization and safety precautions

>Assess all support resources available to the patient

>Assess decision-making and problem-solving energy.

>Render close patient supervision by sustaining observation or awareness of the patient at all times

>Provide a safe environment. Weapons and pills should be removed by friends, relatives, or the nurse.

>Present opportunities for the patient to express thoughts, and feelings in a nonjudgmental environment.

>Create a verbal or written contract stating that the patient will not act on impulse to do self-harm.

>Stay with the patient more often.

>Disincline the patient in making decisions during severe stress.

>Help the patient with problem-solving in a constructive manner.

>Educate the patient cognitive-behavioral self-management responses to suicidal thoughts.

>Introduce the use of self-expression methods to manage suicidal feelings.

2) I have some psychosocial concerns.

3)It may be because of work load, job unsatisfaction, night shifts and security concers.

4)

Nursing interventions - Psychosocial Concerns

>Encourage clients to express feelings (anger, sadness, guilt) and come up with alternative ways to handle feelings of anger and frustration.

>Contact the family, arrange for crisis counseling. Activate links to self-help groups.

>Implement a written no-suicide contract

>If, hospitalized, follow unit protocols.

>Educate the patient in the appropriate use of medications to facilitate his or her ability to cope.

>Help the patient with problem-solving in a constructive manner.