Therapeutic Communication in Patients Hallucinations

Therapeutic communication in patients: Hallucinations a. Case An 18 year old female patient was just transferred this morning to the maintenance or quiet ward from the critical ward. When in the patient's room he was seen talking to himself and sometimes scratching his hands while continuing to care. You are currently a practitioner who is currently practicing in the Sintha Room with 4 fellow nurses and 5 professional nurse practitioners. b. Material review Hallucinations are sensory sensations without any stimulation. The client feels seen, heard, smelled, there is a sense of touch and taste even though there is no stimulus directed at these five senses. Hallucinations are false impressions, responses and sensory experiences. Types of Hallucinations: 1. Hearing Hearing sounds or noises, most often people's voices. 2. Vision Visual stimuli in the form of flashes of light, geometric images, cartoon images, complicated or complex shadows. Shadows can be pleasant or scary, like seeing a monster. 3. Smell Smelling certain odors such as blood, urine and feces are generally unpleasant odors. Olfactory hallucinations are often the result of stroke, tumor, seizure, or dementia. 4. Tasting Feeling a taste like the taste of blood, urine or feces. 5. Touch Experiencing pain or discomfort without a clear stimulus. Feeling of electric shock coming from the ground, inanimate objects or other people. 6. Cenesthetic Sensing body functions such as blood flow in veins or arteries, digestion of food or the formation of urine 7. Kinisthetic Feeling movement while standing without moving Implementation Strategy: Hallucinations SP Patient Family SP 1 1. Identify hallucinations: frequency, time they occur, triggering situations, feelings, response 1. Discuss felt patient 2. Explainhallucinations:conversing,activity 3. Practice how to control hallucinations by shouting 4. Put on the activity schedule for rebuke practice 2. Explain the meaning, signs & symptoms, and the process of hallucinations (use booklet) 3. Explain how to treat hallucinations 4. Practice how to treat hallucinations: rebuke 5. Encourage helping patients according to schedule and giving praise SP 2 1. Evaluate rebuke activities. Give praise 1. Evaluation family activities in caring for/training patient rebuked. Give 2. Practice how to control praise hallucinations with medication (explain the 6 correct things: type, use, dose, 2. Explain the 6 correct ways to give frequency, method, continuity of taking medicine medication) 3. Practice how to give/guide taking 3. Include in your activity schedule the medication practice of scolding and taking 4. Encourage helping patients medication according to schedule and giving praise SP 3 1. Evaluationrebuke & medicine. Give praise 2. Practice how to control hallucinations by having a conversation when hallucinations occur 3. Include activities in your activity schedule to practice scolding, taking medication and having conversationsactivity exercise 1. Evaluation family activities in caring for/training patient rebuked give medicine. Give praise 2. Explain how to have conversations and carry out activities to control hallucinations 3. Practice and provide time to chat with patients, especially during hallucinations 4. Encourage helping patients according to schedule and giving praise SP 4 1. Evaluate the rebuke & medicine & conversation training activities. Give praise 1. Evaluation family activities in caring for/training patiens rebukedhave a conversation. Give praise 2. Train hallucinationsDaily activities (start 2 activities) 2.Explain follow up to RSJ/PKM, signs of relapse,reference 3. Enteractivityrebuke,have a conversation daily 3.Advise the patient to assist as appropriate schedule Andgive praise.