Component Task: Managing Patient with Inappropriate Thought (Delusion)

This is where the RCPN assist client to replace their disordered thoughts with realistic ones.

Aims

·         Protect the client from harming self and others

·         Help organise/replace their faulty thoughts with realistic ones

Requirements

·         Client’s records (manual or electronic)

·         Teaching and learning materials e.g. videos, diagram etc.

·         Pen and paper

·         Related website

Steps

1.        Establish rapport and offer clients a seat if possible

2.      Interview client to determine whether delusion is present

3.      Respect client’s needs and maintain physical space during interview

4.      Encourage expression of feelings and thoughts

5.      Identify precipitating factors

6.      Show acceptance, listen and avoid arguing with client

7.       Offer honest perceptions of reality in feedback

8.      Observe for verbal and nonverbal cues

9.      Inform client the support system available

10.    Teach client therapeutic values of medicines and daily routines that promote compliance

11.      Direct client to the next activities

12.    Document observations and findings