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NURSING DIAGNOSIS: Thought Processes, disturbed
May be related to
- Severe malnutrition/electrolyte imbalance
- Psychological conflicts, e.g., sense of low self-worth, perceived lack of control
Possibly evidenced by
- Impaired ability to make decisions, problem-solve
- Non–reality-based verbalizations
- Ideas of reference
- Altered sleep patterns, e.g., may go to bed late (stay up to binge/purge) and get up early
- Altered attention span/distractibility
- Perceptual disturbances with failure to recognize hunger; fatigue, anxiety, and depression
Desired Outcomes
- Verbalize understanding of causative factors and awareness of impairment.
- Demonstrate behaviors to change/prevent malnutrition.
- Display improved ability to make decisions, problem-solve.
7 Eating Disorders (Anorexia & Bulimia Nervosa) Nursing Care Plan (NCP)
- Imbalanced Nutrition — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Deficient Fluid Volume — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Disturbed Thought Process — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Disturbed Body Image — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Impaired Parenting — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Impaired Skin Integrity — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Knowledge Deficit — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
Disturbed Thought Process — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP): Nursing Interventions & Rationale
| Nursing Interventions | Rationale |
| Be aware of patient’s distorted thinking ability. | Allows caregiver to have more realistic expectations of patient and provide appropriate information and support. |
| Listen to/avoid challenging irrational, illogical thinking. Present reality concisely and briefly. | It is difficult to responds logically when thinking ability is physiologically impaired. Patient needs to hear reality, but challenging patient leads to distrust and frustration. Note:Even though patient may gain weight, she or he may continue to struggle with attitudes/behaviors typical of eating disorders, major depression, and/or alcohol dependence for a number of years. |
| Adhere strictly to nutritional regimen. | Improved nutrition is essential to improved brain functioning. |
| Review electrolyte/renal function tests. | Imbalances negatively affect cerebral functioning and may require correction before therapeutic interventions can begin. |
Found through:
nursing care plan pre-operative for glaucoma, thought process of anorexia and bulimia
