Self Care Deficit in Patient with Mental Disorders

Self-care deficit is a condition in which a person who has weakness in the ability to perform or complete the independent self-care activities such as bathing (hygiene), dressing / makeup, eating and bowel / bladder (toileting) (Fitria, 2009).

Signs and symptoms :

• Personal hygiene disorders, characterized by; dirty hair, dirty teeth, skin dirty and smelly, as well as the long and dirty nails.
• Inability to make up / dressing, characterized by; unkempt hair, dirty clothes and unkempt, dressed not appropriate, the patient men do not shave, do not dress up in female patients.
• Inability to eat independently, characterized by; inability to take their own food, eating spilled, and the food is not in place.
• Inability elimination independently, characterized by; defecation or urination is not in place, and do not clean the self properly after a bowel / bladder.

Data that need to be assessed

1. Decreased ability and motivation to take care of themselves

• Subjective data: The client say not able to shower, could not do anything.
• Objective data: The client looks more or less attention to cleanliness, body odor, dirty skin.

2. Social Isolation

• Subjective data: The client said he could not anything, not knowing anything, ignorant, self-criticism, expressing feelings of shame.
• Objective data: The client look more like being alone, confused when asked to choose an alternative action, want to injure self-own / want to end his life, apathetic, sad expression, verbal communication is less, decreased activity, fetal position during sleep, refusing to deal, paying less attention to cleanliness.

3. Self-care deficit

• Subjective data: feeling weak, lazy activity, feel helpless.
• Objective data: dirty hair, body and clothes dirty and smelly, smelly mouth and teeth, skin dull and dirty, long fingernails and unkempt.

Action taken

Decrease in the ability and motivation to take care of themselves

Objective: The client can increase the interest and motivation to pay attention to personal hygiene.

Specific objective: The client can perform personal hygiene with the help of a nurse.
Intervention:

• Give regards every interaction.
• Introduce your name, the name of the nurse call and meet objectives.
• Ask the client's name and favorite calls.
• Demonstrate honesty and keeping promises whenever interacting.
• Ask feelings and problems faced by the client.
• Create a clear interaction contract.
• Listen to the client's expression of feelings with empathy.
• Meet the basic needs of the client.

Specific objective: The clients can get to know about the importance of personal hygiene.
Intervention:

• Develop a relationship of trust with using the principles of therapeutic communication.
• Discuss with the client the importance of personal hygiene by way of explaining the understanding of the meaning of signs clean and spotless.
• Encourage clients to mention 3 of 5 marks personal hygiene.
• Discuss the function of personal hygiene by digging the client's knowledge on matters relating to personal hygiene.
• Help the client to express the meaning of personal hygiene, and the purpose of maintaining personal hygiene.
• Give positive reinforcement after the client is able to express the meaning of personal hygiene.
• Remind the client to maintain personal hygiene.

Specific objective: The client can perform personal hygiene with the help of a nurse.
Intervention:

• Motivation to take a shower.
• Give a chance to take a shower, give the client the opportunity to demonstrate how to properly maintain personal hygiene.
• Advise the client to change clothes every day.
• Assess the client's desire to cut the nails and hair done.
• Collaboration with the nurse room for facility management personal hygiene, such as bathing and cleanliness of the bathroom.
• Works with families to conduct personal hygiene facilities such as toothpaste, toothbrushes, shampoo, clothes, towels and slippers.

Specific objective: The client can perform self-care hygiene independently.
Intervention:

• Monitor the client in personal hygiene regularly reminded to wash her hair, comb, brush teeth, change clothes and wear slippers.

Specific objective: The client can maintain personal hygiene independently.
Intervention:

• Give positive reinforcement if successfully perform personal hygiene.

 Specific objective: The client can support families in improving personal hygiene.
Intervention

• Explain to the family about the cause of the lack of interest in the client maintaining personal hygiene.
• Explain to families about the benefits of a complete tool to keep their client.
• Encourage families to set up a means of maintaining personal hygiene.
• Discuss with your family how to assist clients in maintaining personal hygiene.
• Discuss with your family about what to do, for example: reminiscent of a bath, brush teeth, shower, wash, and others.