Following the implementation of these interventions,
MR improved. MR’s score on discharge was 4 on
NOC Outcome of Sensory Function: Hearing, which
means mildly compromised. He realized it was the
voices telling him to hurt himself and expressed a
desire to remain safe and not hurt himself. He was
concerned about his appearance and hygiene and was
able to take care of these needs without assistance.
His appetite was back to normal, and he regained the
weight he had lost. With resolution of the nursing
diagnosis: Disturbed Sensory Perception: Auditory,
MR was able to manage his auditory hallucinations
and no longer had problems regarding self-directed
violence or self-care deficits of bathing, dressing, and
eating.
On the NOC Outcome of Knowledge: Disease
Process and Prescribed Medication, a score of 4 was
noted, indicating that substantial knowledge was
acquired. MR was discharged to his parents, and
arrangements were in place for MR to begin in the
hospital’s adolescent day hospital. A visit to the day
hospital prior to discharge was arranged for MR and
his parents who agreed with the placement. Here, MR
would attend school, receive his medications, and be
involved in individual and group therapy, as well as
family therapy with his parents. With continued effective
self-management of the treatment plan, MR
would have an acceptable quality of life while living
with paranoid schizophrenia.