Obsessive Compulsive Disorder is a neurological disorder in which obsessions and compulsions are present. OCD is an anxiety disorder marked by persistent, unwanted thoughts that intrude upon the mind and by compulsive behaviors and unneeded actions by a person feels must be done repeatedly in certain rigid and consistent ways.

Patient suffer from such disorder are an aware that they have a psychological problem that leads them to think and behave like irrational in particular circumstances. They usually have fears and anxieties that they cannot seem to control. It’s as if their brains get stuck on a certain thought and keep on repeatedly. To relieve their anxiety and nervousness, they commit these repetitive behaviors.

Nursing Priorities

  1. Assist client to recognize onset of anxiety.
  2. Explore the meaning and purpose of the behavior with the client.
  3. Assist client to limit ritualistic behaviors.
  4. Help client learn alternative responses to stress.
  5. Encourage family participation in therapy program.

Discharge Goals

  1. Anxiety decreased to a manageable level.
  2. Ritualistic behaviors managed/minimized.
  3. Environmental and interpersonal stress decreased.
  4. Client/family involved in support group/community programs.
  5. Plan in place to meet needs after discharge.

Nursing Diagnosis:Severe Anxiety

May Be Related to

  • Earlier life conflicts(may be reflected in the nature of the repetitive actions and recurring thoughts)

Evidenced by

  • Repetitive action (e.g., hand-washing)
  • Recurring thoughts (e.g., dirt and germs)
  • Decreased social and role functioning

Desired Outcomes

  • Verbalize understanding of significance of ritualistic behaviors and relationship to anxiety.
  • Demonstrate ability to cope effectively with stressful situations without resorting to obsessive thoughts or compulsive behaviors.

Obsessive Compulsive Disorder Nursing Care Plan-Severe Anxiety